Chen Chiu-Ying, Wang Wei-Ning, Lu Ming-Kuei, Yang Yu-Wan, Yu Tsung, Wu Trong-Neng, Tsai Chon-Haw
Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taichung, Taiwan.
Department of Public Health, China Medical University, Taichung, Taiwan.
Parkinsons Dis. 2023 Jun 8;2023:9175129. doi: 10.1155/2023/9175129. eCollection 2023.
Archery exercise exerts a rehabilitative effect on patients with paraplegia and might potentially serve as complementary physiotherapy for patients with Parkinson's disease.
This study aimed to examine the rehabilitative effects of an archery intervention.
A randomized controlled trial of a 12-week intervention was performed in patients with idiopathic Parkinson's disease. Thirty-one of the 39 eligible patients recruited from a medical center in Taiwan participated in the trial, of whom 16 were in the experimental group practicing archery exercises and 15 were in the control group at the beginning; twenty-nine completed the whole process. The Purdue pegboard test (PPT), the Unified Parkinson's Disease Rating Scale I to III (UPDRS I to III), physical fitness test, and timed up and go test (TUG) were used to assess the intervention effects of archery exercise.
Compared to the control group, the outcome differences between the posthoc and baseline tests in PPT, UPDRS I to III, lower extremity muscular strength, and TUG in the experimental group (between-group difference in difference's mean: 2.07, 1.59, 1.36, -2.25, -3.81, -9.10, 3.57, and -1.51, respectively) did show positive changes and their effect sizes examined from Mann-Whitney tests (: 0.631, 0.544, 0.555, 0.372, 0.411, 0.470, 0.601, and 0.381, respectively; Ps < 0.05) were medium to large, indicating that the archery intervention exerted promising effects on improving hand flexibility and finger dexterity, activity functions in motor movement, lower extremity muscular strength, and gait and balance ability.
Traditional archery exercise was suggested to have a rehabilitative effect for mild to moderate Parkinson's disease and could be a form of physiotherapy. Nevertheless, studies with larger sample sizes and extended intervention periods are needed to ascertain the long-term effects of archery exercise.
射箭运动对截瘫患者具有康复作用，并且可能成为帕金森病患者的辅助物理治疗方法。
本研究旨在探讨射箭干预的康复效果。
对特发性帕金森病患者进行了一项为期12周干预的随机对照试验。从台湾一家医疗中心招募的39名符合条件的患者中，有31名参与了试验，其中16名在开始时为实验组，进行射箭运动，15名在对照组；29名完成了整个过程。使用普渡钉板测试（PPT）、统一帕金森病评定量表I至III（UPDRS I至III）、体能测试和计时起立行走测试（TUG）来评估射箭运动的干预效果。
与对照组相比，实验组在PPT、UPDRS I至III、下肢肌肉力量和TUG方面的事后测试与基线测试之间的结果差异（组间差异均值分别为：2.07、1.59、1.36、-2.25、-3.81、-9.10、3.57和-1.51）确实显示出积极变化，并且从曼-惠特尼检验中检查的效应大小（分别为：0.631、0.544、0.555、0.372、0.411、0.470、0.601和0.381；P值<0.05）为中等至较大，表明射箭干预对改善手部灵活性和手指灵巧性、运动活动功能、下肢肌肉力量以及步态和平衡能力具有显著效果。
传统射箭运动对轻度至中度帕金森病具有康复作用，可作为一种物理治疗形式。然而，需要更大样本量和更长干预期的研究来确定射箭运动的长期效果。
