太极拳训练对帕金森病病人步行能力及害怕跌倒的影响

Effect of Tai Chi training on walking ability and fear of falling of patients with Parkinson's disease

[目的]探讨太极拳训练对帕金森病病人步行能力和害怕跌倒的影响。[方法]选择62例帕金森病病人为研究对象,随机分为干预组和对照组各31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。应用步态时间距离参数变化量表、"起立-行走"计时测试(TUGT)评估病人的步行能力,用Berg平衡量表(BBS)和平衡信心量表(ABC)评估病人的平衡能力和害怕跌倒的程度。[结果]干预前两组病人步速和步长、BBS评分、TUGT结果比较差异无统计学意义(P>0.05);干预后两组病人步速和步长、BBS评分、TUGT结果比较差异有统计学意义(P<0.05)。[结论]太极拳训练可以提高帕金森病病人的步行能力,对改善病人害怕跌倒的状况有积极的效果。

Objective： To probe into the effect of Tai Chi training on walking ability and fear of falling（FOF） of patients with Parkinson＇s disease. Methods： A total of 62 patients with Parkinson＇s disease were selected and divided into intervention group（31 cases） and control group（31 cases） randomly. Routine rehabilitation exercises of neurology were used for the patients in control group,in addition,the patients in intervention group added Tai Chi training;all the intervention last for 12 weeks. The gait scale and Timed “Up and Go” Test（TUGT） were used to evaluate patient’s walking ability;The Berg Balance Scale（BBS） and Activities -Specific Balance Confidence（ABC） were used to evaluate patients’ balance function and the degree of FOF. Results： After intervention, the scores of velocity and step length, BBS score, TUGT results in intervention group were significantly higher than those in control group（P〈0. 05）. Conclusion： Tai Chi training could improve the walking ability of patients with Parkinson’s disease and reduce their FOF.