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

Abstract

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

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.

Figures/Tables 6

References 29

[1]	MA C L, SU L, XIE J J, et al. The prevalence and incidence of Parkinson's disease in China: a systematic review and meta analysis[J]. J Neural Transm (Vienna), 2017, 121(2):123-134.
[2]	CANNING C G, PAUL S S, NIEUWBOER A. Prevention of falls in Parkinson's disease: a review of fall risk factors and the role of physical interventions[J]. Neurodegener Dis Manag, 2014, 4(3):203-221. doi: 10.2217/nmt.14.22
[3]	赵丹, 段逸山, 王兴伊. 中医导引历史发展概要[J]. 中华中医药杂志, 2020, 35(8):3811-3814.
	ZHAO D, DUAN Y S, WANG X Y. Historical development summary of Daoyin of traditional Chinese medicine[J]. Chin J Tradit Chin Med Pharm, 2020, 35(8):3811-3814.
[4]	郑德采, 袁旺贵, 李漾, 等. 巢元方导引法改善中风患者平衡功能的疗效评价[J]. 湖北中医杂志, 2014, 36(5):1-2.
	ZHENG D C, YUAN W G, LI Y, et al. Curative effect evaluation of Chaoyuanfang guidance method improving balance function of patients with stroke[J]. Hubei J Tradit Chin Med, 2014, 36(5):1-2.
[5]	朱高峰, 罗开涛, 沈志方, 等. 导引功法易筋经对老年骨骼肌减少症平衡功能的影响[J]. 浙江中医杂志, 2018, 53(5):351-352.
	ZHU G F, LUO K T, SHEN Z F, et al. Effect of Chinese Medicine Guidance Gong Fa Yijinjing on balance function of senile patients with sarcopenia[J]. Zhejiang J Tradit Chin Med, 2018, 53(5):351-352.
[6]	孙文玉, 毕鸿雁. 导引术对帕金森病患者运动、平衡和生活质量的影响[J]. 中国康复理论与实践, 2020, 26(7):836-841.
	SUN W Y, BI H Y. Effects of Daoyin on motor function, balance and quality of life for patients with Parkinson's disease[J]. Chin J Rehabil Theory Pract, 2020, 26(7):836-841.
[7]	曹彦俊, 胡笑燊, 何静, 等. 简化五禽戏功法锻炼对老年人动态平衡能力影响的临床研究[J]. 上海中医药杂志, 2019, 53(5):64-68.
	CAO Y J, HU X S, HE J, et al. Clinical study on effects of simplified Wuqinxi on dynamic balance of the elderly[J]. Shanghai J Tradit Chin Med, 2019, 53(5):64-68.
[8]	殷献锦, 李海峰. 五禽戏对女性膝关节骨关节炎患者本体感觉及平衡功能影响的研究[J]. 江汉大学学报(自然科学版), 2017, 45(4):355-358.
	YIN X J, LI H F. Influence of Wuqinxi on proprioceptive sensation and body balance function of female patients with knee osteoarthritis[J]. J Jianghan Univ (Nat Sci Ed), 2017, 45(4):355-358.
[9]	卢远坚, 曹彦俊, 冯伟, 等. 五禽戏锻炼对中老年女性膝关节肌力及平衡能力影响的临床研究[J]. 上海中医药杂志, 2017, 51(4):73-76.
	LU Y J, CAO Y J, FENG W, et al. Clinical research on the influence of five mimic-animal exercise on knee-joint muscle strength and balance capacity in middle-aged and elderly women[J]. Shanghai J Tradit Chin Med, 2017, 51(4):73-76.
[10]	中华医学会神经病学分会帕金森病及运动障碍学组, 中国医师协会神经内科医师分会帕金森病及运动障碍专业组. 中国帕金森病的诊断标准(2016版)[J]. 中华神经科杂志, 2016, 49(4):268-271.
	Parkinson's Disease and Dyskinesia Group, Chinese Medical Doctor Association. Diagnostic Criteria for Parkinson's Disease in China (2016 Edition)[J]. Chin J Neurol, 2016, 49(4):268-271.
[11]	KEUS S H J, MUNNEKE M, GRAZIANO M, et al. European Physiotherapy Guideline for Parkinson's Disease[S]. KNGF/ParkinsonNet, 2014.
[12]	国家体育总局健身管理中心. 健身气功·五禽戏[M]. 北京: 人民体育出版社, 2003: 10-38.
	Fitness Management Center of State General Administration of Sports. Fitness Qigong: Wuqinxi [M]. Beijing: People's Sports Publishing House, 2003: 10-38.
[13]	孙然, 张通, 赵军, 等. 虚拟现实技术对脑卒中偏瘫患者平衡功能的疗效[J]. 中国康复理论与实践, 2014, 20(5):458-463.
	SUN R, ZHANG T, ZHAO J, et al. Effect of virtual reality rehabilitation on balance function in stroke patients with hemiplegia[J]. Chin J Rehabil Theory Pract, 2014, 20(5):458-463.
[14]	董新春, 何星飞, 梁成盼, 等. 常规康复训练联合平衡仪训练对偏瘫患者平衡及日常生活活动能力的影响[J]. 中华物理医学与康复杂志, 2017, 39(4):308-310.
	DONG X C, HE X F, LIANG C P, et al. Effect of routine rehabilitation training combined with balancer training on the balance and activities of daily living in patients with hemiplegia[J]. Chin J Phys Med Rehabil, 2017, 39(4):308-310.
[15]	FOX S H, KATZENSCHLAGER R, LIM S Y. International Parkinson and Movement Disorder Society evidence-based medicine review: update on treatments for the motor symptoms of Parkinson's disease[J]. Mov Disord, 2018, 33(8):1248-1266. doi: 10.1002/mds.27372
[16]	KEDZIOR K K, KAPLAN I. Tai Chi and Parkinson's disease (PD): a systematic overview of the scientific quality of the past systematic reviews[J]. Complement Ther Med, 2019, 46:144-152. doi: 10.1016/j.ctim.2019.08.008
[17]	BEKKERS E M J, DIJKSTRA B W, DOCKX K, et al. Clinical balance scales indicate worse postural control in people with Parkinson's disease who exhibit freezing of gait compared to those who do not: a meta-analysis[J]. Gait Posture, 2017, 56(4):134-140. doi: 10.1016/j.gaitpost.2017.05.009
[18]	王丽云, 刘丽星, 吕海军, 等. 抗帕金森病药物的研究进展[J]. 中国药房, 2017, 28(8):1143-1149.
	WANG L Y, LIU L X, LÜ H J, et al. Research progress of anti Parkinson's disease drugs[J]. Chin Pharm, 2017, 28(8):1143-1149.
[19]	刘姁霖, 王丹, 杨伟伟. 步态训练在帕金森病康复治疗中的研究进展[J]. 中国康复医学杂志, 2019, 34(3):354-359.
	LIU X L, WANG D, YANG W W. Research progress of gait training in rehabilitation treatment of Parkinson's disease[J]. Chin J Rehabil Med, 2019, 34(3):354-359.
[20]	孙志成, 张丽霞, 王彤. 虚拟现实技术在老年康复医学领域的应用进展[J]. 中国康复医学杂志, 2020, 35(4):493-498.
	SUN Z C, ZHANG L X, WANG T. Application progress of virtual reality technology in the field of geriatric rehabilitation medicine[J]. Chin J Rehabil Med, 2020, 35(4):493-498.
[21]	王盛, 杨菊, 朱奕, 等. 平衡反馈训练仪用于脑损伤偏瘫患者静态平衡测试的信度与效度研究[J]. 中国康复医学杂志, 2011, 26(11):1035-1038.
	WANG S, YANG J, ZHU Y, et al. Reliability and validity of static balance measures in hemiplegic patients using balance feedback training equipment[J]. Chin J Rehabil Med, 2011, 26(11):1035-1038.
[22]	姚梦莎, 谭玉燕, 刘军. 帕金森病姿势异常诊疗进展[J]. 中国神经免疫学和神经病学杂志, 2019, 26(1):60-63.
	YAO M S, TAN Y Y, LIU J. Progress in the diagnosis and treatment of postural abnormalities in Parkinson's disease[J]. Chin J Neuroimmunol Neurol, 2019, 6(1):60-63.
[23]	HÜLSE M, HÖLZL M. Vestibulospinal reactions in cervicogenic disequilibrium. Cervicogenic imbalance[J]. HNO, 2000, 48(4):295-301. doi: 10.1007/s001060050569
[24]	AMIRI B, SAHEBOZAMANI M, SEDIGHI B. The effects of 10-week core stability training on balance in women with multiple sclerosis according to Expanded Disability Status Scale: a single-blinded randomized controlled trial[J]. Eur J Phys Rehabil Med, 2019, 55(2):199-208.
[25]	ROSSI M, SOTO A, SANTOS S, et al. A prospective study of alterations in balance among patients with Parkinson's disease. Protocol of the postural evaluation[J]. Eur Neurol, 2009, 61(3):171-176. doi: 10.1159/000189270
[26]	崔高亮, 程立, 刘琴, 等. 前庭康复对帕金森病患者平衡功能的影响[J]. 中华物理医学与康复杂志, 2019, 41(4):287-290.
	CUI G L, CHENG L, LIU Q, et al. Effect of vestibular rehabilitation on balance function of patients with Parkinson's disease[J]. Chin J Physl Med Rehabil, 2019, 41(4):287-290.
[27]	孙莉, 张玉慧, 宋为民, 等. 五禽戏对类风湿关节炎患者疾病活动及其生活质量的影响[J]. 中华全科医学, 2020, 18(9):1485-1489.
	SUN L, ZHANG Y H, SONG W M, et al. The effect of Wuqinxi on the disease activity and quality of life of patients with rheumatoid arthritis[J]. Chin J Gener Pract, 2020, 18(9):1485-1489.
[28]	冯慧, 潘化平, 朱丽, 等. 床边深度呼吸训练可改善晚期帕金森病病人吸气肌功能和日常生活能力[J]. 实用老年医学, 2017, 31(11):1065-1068.
	FENG H, PAN H P, ZHU L, et al. Bedside deep breathing exercises can improve the inspiratory muscle function and ability of daily living of patient with advanced Parkinson's disease[J]. Pract Geriat, 2017, 31(11):1065-1068.
[29]	厉坤鹏, 周宗磊, 张梓楠, 等. 呼吸训练对帕金森病患者肺功能和运动功能的效果[J]. 中国康复理论与实践, 2021, 27(3):320-324.
	LI K P, ZHOU Z L, ZHANG Z N, et al. Effect of respiratory training on lung function and motor function in patients with Parkinson's disease[J]. Chin J Rehabil Theory Pract, 2021, 27(3):320-324.

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

Effects of Wuqinxi on Balance, Walking and Quality of Life for Patients with Parkinson's Disease

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 6

References 29

Related Articles 15

Metrics

Comments

Recommended 0

组别	n	治疗前	治疗后	t值	P值
对照组	31	85.94±5.18	75.55±5.11	54.847	< 0.001
观察组	31	87.74±5.20	67.58±5.48	52.684	< 0.001
t值		1.371	5.919
P值		0.175	< 0.001

[1]	WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73.
[2]	HU Xiaoshi, ZHANG Qi, YUE Qing, LIANG Yanhua, LI Xiaosong, FENG Amei, ZHANG Yanqing. Effect of orthopedic elastic bandages on gait symmetry and walking ability in children with spastic hemiplegic cerebral palsy [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1083-1089.
[3]	YANG Ya'nan, MU Liping, XING Fengmei, XUE Xinhong, WANG Xiaoguang, TAO Yangyu, SUN Zhumei, ZHANG Xiaoli. Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 869-874.
[4]	SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881.
[5]	MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889.
[6]	WANG Ya'nan, LIU Xihua. Correlation and predictive effect of subjective and objective balance function measurements in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 890-895.
[7]	SUN Zhijie, GUO Xin, LAN Zhi, WANG Qiang. Turn intention perception and fall detection for smart walkers [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 849-855.
[8]	TAN Xiaohuan, JIANG Guiping, HUANG Xinyi, WANG Dandan, ZHANG Lei, BU Qingguo, WU Xueping. Relationship between lower limb muscle strength and walk speed in community dwelling older adults: the chain mediating role of flexibility and dynamic balance [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 646-653.
[9]	ZHANG Qian, SUN Xinting. Effect of video-based mirror therapy on lower limb motor function of stroke patients at recovery stage [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 703-707.
[10]	ZHAO Yaxian, TANG Zhiqing, SUN Xinting, WANG Rongrong, LIU Tianhao, ZHANG Hao. Effects of different intensity of wearable lower limb rehabilitation robot-assisted training on lower limb function after stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 497-503.
[11]	JIN Zhenhua, CHEN Ling, LIU Yong. Effect of self-efficacy-based intelligent walking training on function of lower extremities of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 504-509.
[12]	ZHU Xiaomin, LIU Huilin, LIU Yuanmin, YAN Zhiyu, DU Xuejing, WANG Ya'nan, ZHANG Tong. Relationship among spontaneous turning direction, balance and fall risk in stroke patients during walking [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 510-515.
[13]	WANG Lu, CHEN Yan, SU Jiulong, DU Zhiwei, YU Rui, HU Nan, ZENG Yiming, YU Mianxuan, HONG Jing. Effect of three-dimensional motion platform training on balance and walking function of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 485-490.
[14]	WANG Zitong, MA Songcui, XU Lili, MA Rui, SUN Xu, CHENG Mei. Relationship among self-efficacy, quality of care and quality of life for people with physical disabilities [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 340-348.
[15]	MA Qishou, LI Zhongyuan, FU Weiwei, LIN Qian. Effect of repetitive transcranial magnetic stimulation on walking of stroke patients at recovery stage [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 167-173.