呼吸训练对帕金森病患者肺功能和运动功能的效果

doi:10.3969/j.issn.1006-9771.2021.03.012

Abstract

Abstract: Objective

To explore the effects of respiratory training on pulmonary and motor function for patients with Parkinson's disease.

Methods

From January, 2018 to November, 2019, 60 inpatients with idiopathic Parkinson's disease from the Second Rehabilitation Hospital of Shanghai were randomly divided into control group (n = 30) and experimental group (n = 30). All the patients accepted routine rehabilitation, while the experimental group accepted respiratory training with Power Breathe in addition. They were measured the pulmonary function, and assessed with Unified Parkinson's Disease Rating Scale (UPDRS) part II and III, and modified Barthel Index (MBI) before and four weeks after treatment.

Results

The scores of UPDRS II and III, and MBI improved in both groups after treatment (|t| > 2.550, P < 0.05), while the forced vital capacity (FVC), forced expiratory volume in the first second (FEV₁) and maximum expiratory flow rate at 50% vital capacity (MEF₅₀) increased in the experimental group (|t| > 2.838, P < 0.01), but did not in the control group (|t| < 1.058, P > 0.05). FVC, FEV₁, MEF₅₀, MBI score and UPDRS II score improved more in the experimental group than in the control group (|t| > 2.191, P < 0.05).

Conclusion

Respiratory training can improve pulmonary function for patients with Parkinson's disease, to further improve their activities of daily living. No synergistic effect is found on motor function.

Key words: Parkinson's disease, respiratory training, pulmonary function, motor function

CLC Number:

R742.5

Kun-peng LI,Zong-lei ZHOU,Zi-nan ZHANG,Bo-han SHI,Hao CHEN,Yun LUO,Yan ZHU. Effects of Respiratory Training on Pulmonary Function and Motor Function for Patients with Parkinson's Disease[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(3): 320-324.

Figures/Tables 7

References 22

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组别	n	性别(n)		年龄(岁)	病程(年)	Hoehn-Yahr分期(n)
组别	n	男	女	年龄(岁)	病程(年)	Ⅱ期	Ⅲ期	Ⅳ期
对照组	30	17	13	63.17±5.78	8.29±2.19	12	12	6
观察组	30	16	14	65.53±9.43	8.11±2.23	10	13	7
χ²/t值		0.067		1.169	-0.315	0.299
P值		0.795		0.247	0.754	0.861

组别	n	治疗前	治疗后	t值	P值
对照组	30	3.05±0.28	3.11±0.21	-0.939	0.352
观察组	30	3.15±0.23	3.43±0.33	-3.813	< 0.001
t值		1.512	4.481
P值		0.136	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	2.29±0.38	2.32±0.36	-0.314	0.755
观察组	30	2.31±0.23	2.51±0.31	-2.838	0.006
t值		0.247	2.191
P值		0.806	0.033

组别	n	治疗前	治疗后	t值	P值
对照组	30	3.51±0.28	3.58±0.23	-1.058	0.294
观察组	30	3.44±0.31	3.75±0.26	-4.197	< 0.001
t值		-0.918	2.682
P值		0.363	0.010

组别	n	治疗前	治疗后	t值	P值
对照组	30	33.57±6.82	29.03±5.31	2.877	0.006
观察组	30	32.10±6.03	25.83±5.67	4.150	< 0.001
t值		-0.884	-2.256
P值		0.380	0.028

Effects of Respiratory Training on Pulmonary Function and Motor Function for Patients with Parkinson's Disease

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组别	n	治疗前	治疗后	t值	P值
对照组	30	35.93±3.87	29.27±2.49	7.927	< 0.001
观察组	30	34.70±4.25	30.10±5.34	3.692	< 0.001
t值		0.734	0.772
P值		0.466	0.444

组别	n	治疗前	治疗后	t值	P值
对照组	30	68.83±6.18	72.77±5.78	-2.550	0.013
观察组	30	65.90±6.99	77.23±6.30	-6.595	< 0.001
t值		-1.720	2.857
P值		0.091	0.006

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