八段锦联合平衡训练改善帕金森病运动和非运动症状的效果

doi:10.3969/j.issn.1006-9771.2021.01.017

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (1): 111-116.doi: 10.3969/j.issn.1006-9771.2021.01.017

八段锦联合平衡训练改善帕金森病运动和非运动症状的效果

王翔宇¹, 董青², 董双双², 蔡增林³

1.南京医科大学康达学院附属连云港市东方医院康复科，江苏连云港市 222000
2.南京医科大学康达学院第一附属医院神经内科，江苏连云港市 222000
3.苏州科技城医院神经内科，江苏苏州市 215000

收稿日期:2020-06-05 修回日期:2020-08-26 出版日期:2021-01-25 发布日期:2021-01-27
通讯作者: 蔡增林，E-mail： caizengling@163.com
作者简介:王翔宇(1985-)，男，汉族，江苏连云港市人，主治医师，主要研究方向：神经康复；蔡增林(1972-)，男，汉族，江苏连云港市人，博士，副教授，硕士研究生导师，主要研究方向：神经变性疾病。
基金资助:
江苏省"333工程"(No. BRA2018293)

Effects of Baduanjin and Balancer Exercise on Motor and Non-motor Symptoms of Parkinson's Disease

WANG Xiang-yu¹, DONG Qing², DONG Shuang-shuang², CAI Zeng-lin³

1. Department of Rehabilitation, Affiliated Lianyungang Oriental Hospital of Kangda College of Nanjing Medical University, Lianyungang, Jiangsu 222000, China
2. Department of Neurology, the First Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, Jiangsu 222000, China
3. Department of Neurology, Suzhou Science and Technology Town Hospital, Suzhou, Jiangsu 215000, China

Received:2020-06-05 Revised:2020-08-26 Published:2021-01-25 Online:2021-01-27
Contact: CAI Zeng-lin, E-mail: caizengling@163.com
Supported by:
Jiangsu 333 Project (No. BRA2018293)

摘要/Abstract

摘要： 目的研究八段锦联合平衡仪训练对轻中度帕金森病患者运动功能和非运动症状的影响。方法 2017年5月至2018年9月，南京医科大学康达学院附属连云港市东方医院、第一附属医院门诊和住院患者，以及招募的院外患者中，纳入轻中度帕金森病患者31例，在常规药物治疗基础上，先后行八段锦训练3周、平衡仪训练3周。两种训练前后，分别采用世界运动障碍学会帕金森病综合评定量表(MDS-UPDRS) I、Ⅱ、Ⅲ、Ⅳ部分，以及非运动症状量表(NMSS)进行评定。结果八段锦训练期间4例脱落。训练后，患者MDS-UPDRS总分和I、Ⅱ、Ⅲ部分评分，以及NMSS评分均明显下降(t > 3.274, P < 0.01)。平衡仪训练期间又脱落3例。训练后，患者MDS-UPDRS总分和Ⅲ部分评分降低(t > 2.763, P < 0.05)。结论八段锦训练对轻中度帕金森病患者的非运动症状、运动症状均有改善作用，但对运动系统并发症无明显作用。平衡仪训练对轻中度帕金森病患者的运动症状有改善作用，对非运动症状和运动系统并发症均无明显作用。

关键词: 帕金森病, 八段锦, 平衡仪, 运动症状, 非运动症状

Abstract: Objective To explore the effects of Baduanjin and balancer exercise on motor and non-motor symptoms for patients with mild to moderate Parkinson's disease (PD). Methods From May, 2017 to September, 2018, 31 patients with PD were collected from the inpatients, outpatients and outside of our hospitals. The patients accepted Baduanjin and balancer exercise successively, three weeks for each exercise, and were assessed with Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part I, II, III and IV, and Non-motor Symptoms Scale (NMSS) before and after each exercise. Results Four cases dropped out during Baduanjin exercise. The total score, the scores of part I, II and III of MDS-UPDRS, and NMSS score (t > 3.274, P < 0.01) decreased significantly after Baduanjin exercise. Other three cases dropped out during balancer exercise. The total score and the score of part III of MDS-UPDRS decreased significantly after balancer exercise (t > 2.763, P < 0.05). Conclusion Baduanjin exercise can improve the motor and non-motor symptoms of mild to moderate PD, but not significant for motor complications; while balancer exercise can improve the motor symptoms, but not significant for non-motor symptoms and motor complications.

Key words: Parkinson's disease, Baduanjin, balancer, motor symptoms, non-motor symptoms

中图分类号:

R742.5

王翔宇, 董青, 董双双, 蔡增林. 八段锦联合平衡训练改善帕金森病运动和非运动症状的效果[J]. 《中国康复理论与实践》, 2021, 27(1): 111-116.

WANG Xiang-yu, DONG Qing, DONG Shuang-shuang, CAI Zeng-lin. Effects of Baduanjin and Balancer Exercise on Motor and Non-motor Symptoms of Parkinson's Disease[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 111-116.

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八段锦联合平衡训练改善帕金森病运动和非运动症状的效果

Effects of Baduanjin and Balancer Exercise on Motor and Non-motor Symptoms of Parkinson's Disease

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