Paolucci Teresa, Zangrando Federico, Piccinini Giulia, Deidda Laura, Basile Rossella, Bruno Enrico, Buzi Emigen, Mannocci Alice, Tirinelli Franca, Haggiag Shalom, Lispi Ludovico, Villani Ciro, Saraceni Vincenzo M
Complex Unit of Physical Medicine and Rehabilitation, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy.
Department of Physical Medicine and Rehabilitation, San Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00151 Rome, Italy.
Parkinsons Dis. 2017;2017:2762987. doi: 10.1155/2017/2762987. Epub 2017 Dec 3.
The aim of this study was to assess the efficacy of Mézières method in improving trunk flexibility of the back muscles and balance in patients with Parkinson's disease (PD). . Thirty-six patients were randomized into 2 groups: the Mézières treatment group and the control group (home exercise group). The primary outcome was the improvement in balance per the Berg Balance Scale (BBS) and the trunk flexibility of the back for the anterior flexion trunk test. Also, we evaluated pain, gait balance for the Functional Gait Assessment (FGA), disease-related disability for the Modified Parkinson's Activity Scale and the Unified Parkinson's Disease Rating Scale (UPDRS), the quality of life, and the functional exercise capacity. All the measures were evaluated at baseline (0), at the end of the rehabilitative program (1), and at the 12-week follow-up (2). . In the Mézières group, the BBS ( < .001) and trunk flexion test ( < .001) improved significantly at 1 and remained the same at 2. Between groups, significant changes were reported in FGA ( = .027) and UPDRS Total ( = .007) at 1 and in FGA ( = .03) at 2. . The Mézières approach is efficacious in improving the flexibility of the trunk and balance in PD patients.
本研究的目的是评估梅齐埃方法在改善帕金森病(PD)患者背部肌肉的躯干灵活性和平衡能力方面的疗效。36名患者被随机分为两组:梅齐埃治疗组和对照组(家庭锻炼组)。主要结局指标是根据伯格平衡量表(BBS)评估的平衡能力改善情况以及前屈躯干试验中背部的躯干灵活性。此外,我们还评估了疼痛、功能性步态评估(FGA)中的步态平衡、改良帕金森病活动量表和统一帕金森病评定量表(UPDRS)中的疾病相关残疾程度、生活质量以及功能锻炼能力。所有测量指标均在基线(0)、康复计划结束时(1)和12周随访时(2)进行评估。在梅齐埃组中,BBS(<.001)和躯干前屈试验(<.001)在1时显著改善,在2时保持不变。组间比较,在1时FGA(=.027)和UPDRS总分(=.007)以及在2时FGA(=.03)有显著变化。梅齐埃方法在改善PD患者的躯干灵活性和平衡能力方面是有效的。