动静态平衡训练联合四肢联动训练改善帕金森病患者平衡功能及日常生活活动能力的临床研究

Clinical study of dynamic and static balance training combined with joint training of extremities to improve the balance function and activities of daily living of patients with Parkinson's disease

目的探讨动静态平衡训练联合四肢联动训练对帕金森病患者平衡功能及日常生活活动能力的作用。方法对符合纳入标准的50例帕金森病患者随机分为试验组(25例)和对照组(25例),对照组仅进行常规的康复训练,试验组在对照组的基础上进行动静态平衡训练及四肢联动训练,干预疗程为4周。两组在治疗前、治疗4周后均进行Berg平衡量表(BBS)、起立-行走计时测试(TUGT)及改良的Barthel指数(MBI)评定,以组内和组间比较康复治疗前后平衡功能及日常生活活动能力的变化。结果与治疗前比较,经过4周治疗后试验组和对照组的BBS,TUGT,MBI均有所改善(P<0.01),而试验组的BBS,TUGT,MBI均显著优于对照组(P<0.01)。结论动静态平衡训练联合四肢联动训练能够提高帕金森病患者的平衡功能及日常生活活动能力。

Objective To explore the effect of dynamic static balance training combined with joint training of extremities on the balance function and activities of daily living of patients with Parkinson＇s disease. Methods Fifty patients with Parkinson＇s disease who met the inclusion criteria were randomly divided into trial group（n = 25） and control group（n = 25）. Both groups received routine rehabilitation training. The control group only received routine rehabilitation training,while the trial group received dynamic and static balance training and joint training of extremities on the basis of the control group. The course of intervention was 4 weeks. Before and after 4 weeks treatment,the two groups were assessed with Berg Balance Scale（BBS）,Timed＂Up and Go＂Test（TUGT） and Modified Barthel Index（MBI）. The changes of balance function and activity of daily living（ADL） before and after rehabilitation treatment were compared between the two groups. Results The scores of BBS,TUGT and MBI improved in trial group and control group after 4 weeks training（P〈0. 01）. The BBS,TUGT and MBI of the trial group was significantly better than the control group＇s（P〈0. 01）. Conclusion Dynamic and static balance training combined with joint training of extremities can improve the balance function and activities of daily living of patients with Parkinson＇s disease.