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运动类型对帕金森病患者运动功能的比较影响:一项三臂随机试验。

The comparative effects of exercise type on motor function of patients with Parkinson's disease: A three-arm randomized trial.

作者信息

Li Fang, Wang Dongyu, Ba Xiaohong, Liu Zhan, Zhang Meiqi

机构信息

Department of Neurology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, China.

Department of Neurology, The Center Hospital of Jinzhou, Jinzhou, China.

出版信息

Front Hum Neurosci. 2022 Dec 1;16:1033289. doi: 10.3389/fnhum.2022.1033289. eCollection 2022.

DOI:10.3389/fnhum.2022.1033289
PMID:36530197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9751317/
Abstract

BACKGROUND

Yang-ge dancing is a culturally specific exercise in which people are required to perform motor skills in coordination with rhythmic music. As an integrated exercise with both physical (decelerating the progression of aged-related motor function degeneration) and mental benefits, it has gained great popularity in China, especially among middle-aged and older adults. It remains largely unknown whether Yang-ge dancing (YG) can effectively improve main symptoms of Parkinson's disease (PD), while conventional exercise rehabilitation program has been recommended in the hospital setting. To this end, this study aimed to investigate the comparative effects of exercise therapy on motor function of PD patients.

MATERIALS AND METHODS

A sample of 51 PD patients were randomly assigned to Yang-ge dancing, conventional exercise, or conventional exercise with music. Participants in each group performed 60 min per session, five sessions per week of interventions for 4 weeks. All the participants were assessed using the Unified Parkinson's Disease Rating Scale-motor examination, Berg balance test, timed up and go test, and Purdue pegboard test. Motor performances were examined before and after intervention.

RESULTS

All the three groups were benefited from exercise. Compared to conventional exercise, the Yang-ge dancing and conventional exercise with music had additional positive effects in mobility with reference to baseline.In addition, compared to the two conventional exercise groups (either with/without music), the Yang-ge dancing further enhanced manual dexterity.

CONCLUSION

Exercise with rhythmic auditory stimulation optimized mobility in PD, while YG dance specifically contributed to improvement in manual dexterity.

CLINICAL TRIAL REGISTERATION

[https://clinicaltrials.gov/], identifier [ChiCTR2200061252].

摘要

背景

秧歌舞是一种具有文化特色的运动,人们需要配合有节奏的音乐来展现运动技能。作为一项对身体(减缓与年龄相关的运动功能衰退进程)和心理都有益的综合运动,它在中国广受欢迎,尤其是在中老年人中。虽然医院环境中推荐使用传统运动康复方案,但秧歌舞(YG)能否有效改善帕金森病(PD)的主要症状仍 largely 未知。为此,本研究旨在探讨运动疗法对 PD 患者运动功能的比较效果。

材料与方法

51 名 PD 患者样本被随机分配到秧歌舞组、传统运动组或有音乐的传统运动组。每组参与者每次进行 60 分钟,每周进行五次干预,共 4 周。所有参与者均使用统一帕金森病评定量表 - 运动检查、伯格平衡测试、计时起立行走测试和普渡钉板测试进行评估。在干预前后检查运动表现。

结果

所有三组都从运动中受益。与传统运动相比,秧歌舞组和有音乐的传统运动组在相对于基线的活动能力方面有额外的积极影响。此外,与两个传统运动组(有/无音乐)相比,秧歌舞进一步提高了手部灵活性。

结论

有节奏听觉刺激的运动优化了 PD 患者的活动能力,而秧歌舞特别有助于改善手部灵活性。

临床试验注册

[https://clinicaltrials.gov/],标识符[ChiCTR2200061252]。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e24/9751317/d5e20d0db6bd/fnhum-16-1033289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e24/9751317/cfe3411a6bf6/fnhum-16-1033289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e24/9751317/d5e20d0db6bd/fnhum-16-1033289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e24/9751317/cfe3411a6bf6/fnhum-16-1033289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e24/9751317/d5e20d0db6bd/fnhum-16-1033289-g002.jpg

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