School of Sport Science, Shanghai University of Sport, Shanghai 200438, China.
Department of Rehabilitation Sciences, Ningbo College of Health Sciences, Ningbo 315100, China.
Int J Environ Res Public Health. 2022 Jun 30;19(13):8042. doi: 10.3390/ijerph19138042.
The objective of this study was to investigate the therapeutic effect of Wuqinxi Qigong vs. stretching on single- and dual-task gait, motor symptoms, and quality of life in people with mild and moderate Parkinson's disease (PD). This single-blind, randomized control trial included 40 participants with idiopathic PD who were randomized into the Wuqinxi Qigong (WQ) group or stretching group. Participants completed 12 weeks (two sessions/week) of intervention. The primary outcomes were gait parameters when performing single-task (comfortable pace) and dual-task (obstacle crossing, serial-3 subtraction and backward digit span) walking, including gait speed, stride length, and double support percentage. The secondary outcomes were ratings from the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS), results of the timed-up-and-go test (TUGT), results of the Mini-Balance Evaluation Systems Test (MiniBESTest), and responses from the 39-item Parkinson's Disease Questionnaire (PDQ-39). All measures were assessed pre- and post-intervention. The WQ group demonstrated increased gait speed ( = 0.000) during the single task, and increased stride length ( = 0.001, = 0.021) during the single-task and serial-3 subtraction task. Double support percentage significantly decreased ( = 0.004) in the WQ group during the obstacle crossing task, and also decreased ( = 0.045) in the stretching group during the single-task. TUGT ( = 0.005), MiniBESTest ( = 0.023) and PDQ-39 ( = 0.043) in the WQ group significantly improved, and both groups showed significant improvement in MDS-UPDRS after intervention. Wuqinxi Qigong is an effective method to improve single- and dual-task gait. While both exercises improve motor symptoms, Wuqinxi Qigong results in better mobility, balance and quality of life compared to stretching alone.
本研究旨在探讨五禽戏气功与拉伸对轻中度帕金森病（PD）患者单任务和双任务步态、运动症状和生活质量的治疗效果。这是一项单盲、随机对照试验，纳入了 40 名特发性 PD 患者，将其随机分为五禽戏气功（WQ）组或拉伸组。参与者完成了 12 周（每周两次）的干预。主要结局指标为单任务（舒适速度）和双任务（过障碍、串行 3 减法和倒背数字广度）行走时的步态参数，包括步速、步长和双支撑百分比。次要结局指标为运动障碍协会统一帕金森病评定量表（MDS-UPDRS）评分、计时起立行走测试（TUGT）结果、简易平衡评估系统测试（MiniBESTest）结果和 39 项帕金森病问卷（PDQ-39）评分。所有指标在干预前后进行评估。与拉伸组相比，WQ 组在单任务时步速增加（ = 0.000），在单任务和串行 3 减法任务时步长增加（ = 0.001， = 0.021）。在过障碍任务时，WQ 组的双支撑百分比显著降低（ = 0.004），在单任务时，拉伸组的双支撑百分比也显著降低（ = 0.045）。WQ 组的 TUGT（ = 0.005）、MiniBESTest（ = 0.023）和 PDQ-39（ = 0.043）显著改善，干预后两组的 MDS-UPDRS 均有显著改善。五禽戏气功是改善单任务和双任务步态的有效方法。虽然两种运动都能改善运动症状，但与单独拉伸相比，五禽戏气功能带来更好的移动性、平衡和生活质量。
