学术论文

      太极拳训练对帕金森患者平衡功能及害怕跌倒的影响

      Influence of Taiji exercise on balance ability and fear of falling of patients with Parkinson's disease

      摘要:
      目的:探讨太极拳训练对帕金森患者平衡能力和害怕跌倒的影响.方法:选择60例帕金森患者为研究对象,随机分为干预组和对照组,各30例.对照组接受神经内科常规护理,干预组在此基础上进行12周的太极拳训练.采用修订版的跌倒效能量表(modified falls efficacy scale,MFES)、Berg平衡量表(Berg balance scale,BBS)和Fugl-Meyer平衡功能量表(Fugl-Meyer balance scale,FM-B)比较两组干预效果.结果:干预前,两组患者MFES、BBS、FM-B得分无差异(P>0.05),干预后两组MFES、BBS、FM-B得分有差异(P<0.05);干预前后自身对比,对照组无差异(P>0.05),干预组差异明显(P<0.05).干预前对照组害怕跌倒(fear offalling,FOF)的PD患者为14例(46.67%),干预组为12例(40%);12周后,对照组FOF的PD患者为11例(36.67%),干预组为6例(20%),差异有显著性意义,P< 0.05.结论:太极拳训练可以提高帕金森患者的平衡能力和跌倒自我效能水平,对改善患者害怕跌倒的状况有积极的效果.
      Abstract:
      Objective:To explore the effect of taiji exercise on balance ability and fear of falling of patients with Parkinson disease.Method:Sixty patients with Parkinson disease were divided into intervention group (30 cases) and control group (30 cases) randomly.Routine neurological medical care were used for the control group,additional 12 weeks taiji exercise was used for intervention group.The modified falls efficacy scale(MFES),Berg balance scale(BBS)and Fugl-Meyer balance scale(FMB) were used to evaluate the effects of intervention for the two groups.Result:Before intervention,the scores of MFES、BBS and FM-B between the two groups have no significant difference(P>0.05).After intervention,the differences are significant(P<0.05).The scores after intervention,in intervention group were significantly higher than before.No significant improvement is found in the control group (P>0.05).Before intervention,the subjects fear of falling(FOF) in the control group and intervention group are 12(40%)and 14(46.67%).12 weeks later,they are 11 (36.67%) and 6(20%) accordingly.The difference is significant.Conclusion:Taiji exercise can improve the balance ability and reduce fear of falling of patients with Parkinson disease.
      作者: 李博 [1] 钟清玲 [1] 余红 [2] 王丹 [1] 黄朝意 [1] 毕瑞雪 [1]
      作者单位: 南昌大学,江西南昌,330000 深圳市中医院
      刊 名: 中国康复医学杂志 ISTICPKU
      年,卷(期): 2017, 32(3)
      分类号: R742.5 R493
      在线出版日期: 2017年4月18日
      基金项目: 江西省科技计划项目,江西省教育厅科学计划研究项目