Pro-kin 视觉反馈平衡训练对早期帕金森病患者平衡功能的影响：一项随机对照初步试验。
Effect of Pro-kin visual feedback balance training on balance function of individuals with early Parkinson's disease: a randomized controlled pilot trial.
机构信息
Sino-French Department of Neurological Rehabilitation, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Cerebrovascular Disease Center, Gansu Provincial Hospital, Lanzhou, Gansu, China.
出版信息
Afr Health Sci. 2023 Jun;23(2):582-588. doi: 10.4314/ahs.v23i2.67.
BACKGROUND
Parkinson's disease (PD) is the second most common neurodegenerative disease. Patients often present with balance dysfunction. Several studies have applied visual feedback training to stroke patients and demonstrated significant improvement. However, the application of visual feedback balance training in PD patients has not been reported.
OBJECTIVE
To observe the effects of visual feedback balance training combined with conventional rehabilitation training on the balance function of patients with early PD.
METHODS
Fifty patients with early PD were randomly divided into control group and observation group. The control group received conventional rehabilitation training, including body position transfer, weight shifting, movement in all directions and gait training. The observation group were added with visual feedback balance training on the basis of the training above. All patients were trained 5 times per week for 4 weeks. Berg Balance Scale (BBS), Time Up-and-Go test (TUG) and Pro-Kin balance training instrument were used to evaluate the balance function of patients before and after treatment, and the balance function were compared between the two groups.
RESULTS
The BBS and TUG scores of the observation group and the control group were improved significantly (P<0.01), and the BBS and TUG scores of the observation group were improved more obviously than control group (P<0.01). The length and area of eye open and closed condition in the observation group and the control group were significantly reduced compared with those before training (P<0.01), and the degree of reduction in the observation group was more obvious (P<0.01). The length and area of the observation group and the control group before and after training when eye open were smaller than those when eye closed (P<0.01).
CONCLUSION
The conventional rehabilitation therapy can improve the balance function of PD patients, but the combination of visual feedback balance training and conventional rehabilitation therapy can improve the balance function more significantly.
背景
帕金森病（PD）是第二常见的神经退行性疾病。患者常出现平衡功能障碍。已有多项研究将视觉反馈训练应用于脑卒中患者，并取得了显著改善。然而，视觉反馈平衡训练在 PD 患者中的应用尚未见报道。
目的
观察视觉反馈平衡训练联合常规康复训练对早期 PD 患者平衡功能的影响。
方法
将 50 例早期 PD 患者随机分为对照组和观察组。对照组接受常规康复训练，包括体位转移、重心转移、各向运动和步态训练。观察组在上述训练基础上增加视觉反馈平衡训练。所有患者每周训练 5 次，共 4 周。治疗前后采用 Berg 平衡量表（BBS）、计时起坐试验（TUG）和 Pro-Kin 平衡训练仪评估患者平衡功能，并比较两组平衡功能。
结果
观察组和对照组的 BBS 和 TUG 评分均显著提高（P<0.01），观察组的 BBS 和 TUG 评分改善更为明显（P<0.01）。观察组和对照组睁眼和闭眼时的长度和面积均较训练前显著减少（P<0.01），观察组的减少程度更为明显（P<0.01）。观察组和对照组训练前后睁眼时的长度和面积均小于闭眼时（P<0.01）。
结论
常规康复疗法可改善 PD 患者的平衡功能，但视觉反馈平衡训练联合常规康复疗法可更显著地改善平衡功能。
Zotero 插件