五禽戏对帕金森病患者平衡功能、步行能力及生活质量的效果

doi:10.3969/j.issn.1006-9771.2021.09.014

摘要/Abstract

摘要：

目的观察中国传统运动五禽戏对帕金森病患者平衡功能、步行能力和生活质量的疗效。方法 2018年12月至2020年12月,山东中医药大学附属医院帕金森病住院患者62例,随机分为对照组(n = 31)和观察组(n = 31),对照组接受常规抗帕金森药物治疗和常规康复训练,观察组在对照组基础上接受五禽戏训练,共8周。治疗前后,采用PRO-KIN平衡仪测量30 s内压力中心运动轨迹长和运动椭圆面积,采用Berg平衡量表(BBS)、计时起立-行走测试(TUGT)、帕金森病生活质量量表(PDQ-39)进行评定。结果治疗后两组运动轨迹长、运动椭圆面积、BBS评分、TUGT时间、PDQ-39评分均显著改善 (t > 11.225, P < 0.001),观察组均显著优于对照组(t > 5.919, P < 0.001)。结论五禽戏训练可以有效改善帕金森病患者平衡功能、步行能力和生活质量。

关键词: 帕金森病, 五禽戏, 平衡, 步行, 生活质量

Abstract:

Objective To observe the effects of traditional Chinese exercise Wuqinxi on balance, walking and quality of life for patients with Parkinson's disease.Methods From December, 2018 to December, 2020, 62 inpatients with Parkinson's disease in the Affiliated Hospital of Shandong University of Chinese Medicine were randomly divided into control group (n = 31) and observation group (n = 31). The control group received routine medicine and rehabilitation training, while the observation group received Wuqinxi in addition, for eight weeks. The trajectory length and ellipse area of the center of pressure in 30 seconds were measured with PRO-KIN before and after treatment, while they were assessed with Berg Balance Scale (BBS), Timed 'Up and Go' Test (TUGT) and Parkinson's Disease Quality of Life Scale-39 (PDQ-39).Results The trajectory length and ellipse area of the center of pressure, BBS score, TUGT time, and PDQ-39 score improved in both groups after treatment (t > 11.225, P < 0.001), and all improved more in the observation group than in the control group (t > 5.919, P < 0.001).Conclusions Wuqinxi training is effective on balance, walking and quality of life for patients with Parkinson's disease.

Key words: Parkinson's disease, Wuqinxi, balance, walking, quality of life

曹海豪,孙文玉,席晓明,王丽敏,毕鸿雁. 五禽戏对帕金森病患者平衡功能、步行能力及生活质量的效果[J]. 《中国康复理论与实践》, 2021, 27(9): 1087-1092.

CAO Hai-hao,SUN Wen-yu,XI Xiao-ming,WANG Li-min,BI Hong-yan. Effects of Wuqinxi on Balance, Walking and Quality of Life for Patients with Parkinson's Disease[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1087-1092.

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组别	n	性别(男/女, n)	年龄(岁)	体质量指数(kg/m²)	病程(年)
对照组	31	21/10	62.97±3.27	22.39±3.22	5.71±1.10
观察组	31	20/11	62.45±2.87	23.48±2.17	6.10±0.87
t/χ²值		0.072	0.660	1.571	1.536
P值		0.788	0.512	0.122	0.130

组别	n	治疗前	治疗后	t值	P值
对照组	31	653.94±49.07	450.23±38.43	43.539	< 0.001
观察组	31	655.74±44.53	340.97±31.00	60.351	< 0.001
t值		0.152	12.321
P值		0.880	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	31	1242.39±153.09	767.48±163.00	38.236	< 0.001
观察组	31	1288.65±161.34	495.97±160.26	99.968	< 0.001
t值		1.158	6.613
P值		0.251	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	31	34.65±1.62	39.16±1.77	11.225	< 0.001
观察组	31	33.94±1.55	42.16±1.77	81.735	< 0.001
t值		1.761	6.666
P值		0.083	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	31	24.26±2.28	19.32±2.33	62.118	< 0.001
观察组	31	24.45±2.26	15.55±2.35	22.265	< 0.001
t值		0.335	6.351
P值		0.738	< 0.001