《中国康复理论与实践》

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低负荷运动训练对帕金森病患者步态及平衡功能的效果①

刘锦仪1,2,陈伟3,吴志刚3,邵明3   

  1. 1.广州医科大学附属清远市人民医院神经内科,广东清远市511518;2.广州医科大学,广东广州市511436;3.四川省八一康复中心康复科,四川成都市611130。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Effects of Low Load Exercise on Gait and Balance in Patients with Parkinson's Disease

LIU Jin-yi1,2, CHEN Wei3, WU Zhi-gang3, SHAO Ming3   

  1. 1. Department of Neurology, Qingyuan People's Hospital Affiliated to Guangzhou Medical University, Qingyuan, Guangdong 511518, China; 2. Guangzhou Medical University, Guangzhou, Guangdong 511436, China; 3. Rehabilitation Department, Bayi Rehabilitation Center, Chengdu, Sichuan 611130, China
  • Published:2016-01-25 Online:2016-05-23

摘要: 目的探讨低负荷运动训练对帕金森病患者步态及平衡功能的影响。方法2015 年5~8 月,12 例住院帕金森病患者在用药不变,未接受其他物理康复训练情况下,接受2 周共14 次低负荷帕维尔康复训练器运动训练。训练前后进行三维步态分析,采用Berg 平衡量表进行评估。结果患者训练后步长、跨步长、步速均较训练前改善(P<0.05),受累严重侧的改善率优于次严重侧;步频、跨步周期、步行时间、单支撑相、双支撑相、脚离地百分比、脚触地百分比等训练前后对比无显著性差异(P>0.05)。训练后Berg 平衡量表评分改善(P<0.05)。结论低负荷运动训练能改善帕金森病患者的步态及平衡功能。

关键词: 帕金森病, 低负荷核心肌群训练, 步态, 平衡, 帕维尔康复

Abstract: Objective To explore the effects of low load exercise on the gait and balance in patients with Parkinson's disease. Methods 12 inpatients with Parkinson's disease from May to August, 2015 accepted low load exercise on Power Rehabilitation System 14 times in 2 weeks, with the medication as before. They were assessed with 3D gait analysis and Berg Balance Scale before and after treatment. Results The step length, stride length and walking speed improved after treatment (P<0.05), and improved more in the seriously affected limbs. There was no difference in cadence, stride time, step time, single support, double support, opposite foot off and opposite foot contact after treatment (P>0.05). The scores of Berg Balance Scale improved after treatment (P<0.05). Conclusion The low load exercise can improve the gait and balance in patients with Parkinson's disease.

Key words: Parkinson's disease, low load exercise, gait, balance, Power Rehabilitation