运动疗法对帕金森病患者肌张力及步态的影响

Effect of kinesitherapy on the muscle tension and gait of patients with Parkinson's disease

目的:探讨运动疗法对帕金森病患者肌张力及步态的影响。方法:将36例帕金森病患者按入院时间随机分为观察组及对照组各18例。基础药物治疗2组相同,观察组给予3个月的运动疗法。记录2组患者治疗前后改良Ashworth评分、步行速度、步行周期及重复步距离。分析2组患者治疗前后数据的差异。结果:与对照组比较,治疗后观察组改良Ashworth评分降低(P<0.01),步行速度增快、步行周期缩短及重复步距离增加(P<0.01)。结论:运动疗法能降低帕金森病患者的肌张力,增加步速,改善小步态症状。

Objective： To investigate the effects of kinesitherapy on the muscle tension and gait of patients with Parkinson＇s disease（ PD）. Methods： Thirty-six patients with Parkinson＇s disease were randomly divided into the experiment group（ 18 cases） and control group（ 18 cases）. The basic drug treatment of two groups were the same,and the experiment group were additionally treated with kinesitherapy. The differences of the modified Ashworth score,walking speed,cycle time and repeat step distance on foot between two groups were analyzed before and after treatment. Results： Compared with the control group,the modified Ashworth score,walking speed,cycle time and repeat step distance on foot in experiment group after treatment decreased,sped,shortened and increased,respectively（ P〈 0. 01）. Conclusions： The kinesitherapy can reduce the muscle tension,increase the pace and improve the symptoms of gait.