Department of Nursing, Physiotherapy and Medicine, University of Almería, Spain.
Complement Ther Med. 2018 Feb;36:147-153. doi: 10.1016/j.ctim.2017.12.001. Epub 2017 Dec 8.
Various exercise strategies have been suggested to address movement deficits in order to improve motor function and quality of life for individuals in the early or moderate stages of Parkinson disease. The purpose is to evaluate the effects of an aquatic Ai Chi intervention on balance, gait speed and quality of life of patients.
Twenty-nine people with Parkinson disease participated in this pilot study. People were randomized into (1) aquatic Ai Chi program (experimental group) and (2) a dry land conventional Western physical therapy intervention (control group). Twenty-two twice-weekly sessions were performed with the 14 patients assigned to the experimental group, during the same period of time as the control group (same number of sessions), who received dry land therapy.
Visual Analogue scale (VAS), The Timed Get up and Go test, Five Times Sit-to-Stand test, single leg standing, Yesavage test and Parkinson's Disease Questionnaire (PDQ-39). A descriptive analysis was performed on all study variables.
The results showed a significant effect on time - of a high effect which indicates that the VAS scores (F 1.3; p < 0.001), Five time (F = 1.8; p = 0.001) and Get up and Go (F = 1.7; p < 0.001) significantly decreased in time, independent of the treatment group. In contrast, no significant differences were found in the results shown on the PDQ-39 scale, finding only changes in the section of social support (p < 0.001 F = 18.63).
The results of this 11-week controlled pilot trial suggest that aquatic Ai Chi applied twice weekly may potentially reduce Parkinsonian symptoms as measured on different motor symptoms, bradykinesia and rigidity.
为了改善帕金森病早期或中期患者的运动功能和生活质量，提出了各种运动策略来解决运动障碍。本研究旨在评估水上 Ai Chi 干预对患者平衡、步态速度和生活质量的影响。
29 名帕金森病患者参与了这项初步研究。参与者被随机分为（1）水上 Ai Chi 组（实验组）和（2）旱地常规西方物理治疗干预组（对照组）。实验组的 14 名患者接受了 22 次每周两次的治疗，与对照组（相同的治疗次数）同时进行，对照组接受旱地治疗。
视觉模拟量表（VAS）、计时起立行走测试、五次坐站测试、单腿站立、Yesavage 测试和帕金森病问卷（PDQ-39）。对所有研究变量进行了描述性分析。
结果显示时间有显著影响，效果较高，表明 VAS 评分（F 1.3;p<0.001）、五次时间（F=1.8;p=0.001）和起立行走（F=1.7;p<0.001）在时间上显著降低，独立于治疗组。相比之下，PDQ-39 量表的结果没有发现显著差异，只有社会支持部分发生变化（p<0.001 F=18.63）。
这项为期 11 周的对照初步试验结果表明，每周两次的水上 Ai Chi 应用可能潜在地减轻帕金森病患者的不同运动症状、运动迟缓症和僵硬症的症状。
