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瑜伽随机试验后帕金森病的功能改善。

Functional Improvements in Parkinson's Disease Following a Randomized Trial of Yoga.

机构信息

Clemson University, Clemson, South Carolina, USA.

Colorado State University, Fort Collins, Colorado, USA.

出版信息

Evid Based Complement Alternat Med. 2018 Jun 3;2018:8516351. doi: 10.1155/2018/8516351. eCollection 2018.

Abstract

Individuals with Parkinson's Disease (PD) experience significant limitations in motor function, functional gait, postural stability, and balance. These limitations often lead to higher incidences of falls, which have significant complications for individuals with PD. Yoga may improve these functional deficits in individuals with PD. The objective of this study was to determine changes in motor function, functional gait, postural stability, and balance control for community dwelling individuals with PD. This randomized, wait-list controlled pilot study examined the influence of an 8-week yoga intervention for people with PD who met the following inclusion criteria: endorsing a fear of falling, being able to speak English, scoring 4/6 on the minimental state exam, and being willing to attend the intervention twice weekly for 8-weeks. Participants in the yoga group (n=15) experienced improvements in motor function, postural stability, functional gait, and freezing gait, as well as reductions in fall risk. Participants in the wait-list control (n=12) also significantly improved in postural stability, although their fall risk was not reduced. Individuals in the yoga group significantly reduced their fall risk. An 8-week yoga intervention may reduce fall risk and improve postural stability, and functional and freezing gait in individuals with PD. This clinical trial is registered as protocol record Pro00041068 in clinicaltrials.gov.

摘要

帕金森病(PD)患者的运动功能、功能性步态、姿势稳定性和平衡能力受到显著限制。这些限制常常导致更高的跌倒发生率,对 PD 患者有重大的并发症。瑜伽可能改善 PD 患者的这些功能缺陷。本研究的目的是确定瑜伽对社区居住的 PD 患者的运动功能、功能性步态、姿势稳定性和平衡控制的影响。这是一项随机、等待名单对照的初步研究,检查了为期 8 周的瑜伽干预对符合以下纳入标准的 PD 患者的影响:承认有跌倒恐惧、能够说英语、迷你精神状态检查得分为 4/6 分、并愿意每周参加 2 次、为期 8 周的干预。瑜伽组(n=15)的参与者在运动功能、姿势稳定性、功能性步态和冻结步态方面均有所改善,跌倒风险也有所降低。等待名单对照组(n=12)的参与者在姿势稳定性方面也有显著改善,尽管他们的跌倒风险没有降低。瑜伽组的参与者显著降低了他们的跌倒风险。为期 8 周的瑜伽干预可能降低跌倒风险,改善 PD 患者的姿势稳定性以及功能性和冻结步态。这项临床试验在 clinicaltrials.gov 中作为方案记录 Pro00041068 进行注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a4f/6009016/e4a20b6c4127/ECAM2018-8516351.001.jpg

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