Wang Tian, Xiao Guiping, Li Zhenlan, Jie Kuncheng, Shen Mengyue, Jiang Yan, Wang Zhen, Shi Xiangrong, Zhuang Jie
School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China.
College of Chinese Wushu, Shanghai University of Sport, Shanghai 200438, China.
Evid Based Complement Alternat Med. 2020 Oct 29;2020:8352176. doi: 10.1155/2020/8352176. eCollection 2020.
This study was designed to evaluate the effect of Wuqinxi after one session and 12-week intervention on hand dexterity in patients with Parkinson's disease (PD).
Forty-six elderly participants with mild-to-moderate PD were randomly assigned to the groups trained with Wuqinxi ( = 23) or stretching ( = 23). All participants practiced 60 min session of either of these exercises, 2 sessions a week for 12 weeks in standing position. The score of Purdue Pegboard Test (PPT) and time for Soda Pop Test (SPT) were performed to assess hand dexterity and motor function along assessing the 39 items of Parkinson's Disease Questionnaire before and after 12-week interventions. In addition, the PPT scores were compared before vs. after one session of either of these two exercise modes.
Single session with either Wuqinxi or stretching exercise tended to improve PPT scores in PD patients. Furthermore, the improved SPT time was significant ( < 0.01) following 12-week training interventions with Wuqinxi (-1.32 ± 0.38 sec) or stretching (-0.89 ± 0.16 sec), which showed no group difference (=0.734). However, only the participants in Wuqinxi group significantly improved the PPT scores of the dominant hand (+0.61 ± 1.34), both hand (+1.83 ± 3.13) and assemble (+2.04 ± 3.44) performance after 12-week training intervention. In parallel with improved hand dexterity and motor function, 12-week Wuqinxi training also significantly improved the patient's emotional wellbeing.
The Wuqinxi intervention could be safely and effectively applied to improve hand dexterity following single-session exercise or 12-week training, which were accompanied by improved quality of life in patients with mild-to-moderate PD.
本研究旨在评估一次五禽戏练习及12周干预对帕金森病（PD）患者手部灵活性的影响。
46名轻度至中度PD老年参与者被随机分配到五禽戏训练组（n = 23）或伸展训练组（n = 23）。所有参与者在站立位进行这两种练习中的一种，每次练习60分钟，每周2次，共12周。在12周干预前后，通过普渡钉板测试（PPT）评分和汽水罐测试（SPT）时间来评估手部灵活性和运动功能，同时评估帕金森病问卷的39项内容。此外，比较这两种运动模式单次练习前后的PPT评分。
单次进行五禽戏或伸展练习均倾向于提高PD患者的PPT评分。此外，经过12周的五禽戏训练干预（-1.32±0.38秒）或伸展训练干预（-0.89±0.16秒）后，SPT时间显著改善（P < 0.01），且两组间无差异（P = 0.734）。然而，仅五禽戏组参与者在12周训练干预后，优势手的PPT评分（+0.61±1.34）、双手的PPT评分（+1.83±3.13）和组装任务的PPT评分（+2.04±3.44）均有显著提高。与手部灵活性和运动功能改善同时，12周的五禽戏训练还显著改善了患者的情绪健康。
五禽戏干预可安全有效地应用于单次练习或12周训练后改善手部灵活性，同时轻度至中度PD患者的生活质量也得到改善。
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