Synapsys静动态平衡仪在帕金森患者平衡和步态康复训练中的应用

Application of Synapsys balancer of static-dynamic state in balance and gait rehabilitation training of patients with PD

目的:探讨Synapsys静动态平衡仪在帕金森(PD)患者平衡和步态康复训练中的应用价值。方法:选取在医院就诊的60例PD患者,采用数表法将其随机分为对照组、训练A组和训练B组,每组20例。对照组患者采用常规护理和药物治疗相结合的方法;训练A组在对照组治疗的基础上,进行运动及暗示训练;训练B组在训练A组治疗的基础上利用Synapsys静动态平衡仪进行平衡和步态训练。干预2周后,运用三维步态分析系统评价3组PD患者的功能状态、平衡能力及步态特征。结果:康复训练干预后结果显示:(1)训练A组和训练B组PD患者的UPDRSIII评分明显低于对照组,组间两两比较,差异均有统计学意义(t=4.823,t=7.065;P<0.05);(2)静态和动态异常率训练A组和训练B组PD患者明显低于对照组,与对照组两两比较,静态和动态异常率差异均有统计学意义(x^2=6.942,x^2=8.316,x^2=5.615,x^2=12.942;P<0.05);(3)训练A组和训练B组Berg平衡量表(BBS)评分均高于对照组,与对照组两两比较,差异均有统计学意义(t=3.189,t=7.924,P<0.05);(4)训练B组站立相百分比均高于对照组和训练A组,摆动相百分比和步频均低于对照组和训练A组,训练B组与对照组立相百分比、摆动相及步频比较,差异均有统计学意义(t=6.056 t=7.289,t=5.516;P<0.05);(5)训练B组PD患者的步长、步速及跨步长均高于对照组和训练A组,其步长、步速及跨步长指标与对照组比较,差异均有统计学意义(t=5.615,t=7.193,t=6.413;P<0.05)。结论:Synapsys静动态平衡仪结合护理干预模式对提高PD患者平衡能力和运动功能具有积极的作用,值得推广应用。

Objective:To investigate the application value of Synapsys balancer of static-dynamic state in balance and gait rehabilitation training of patients with Parkinson's disease(PD).Methods:60patients with PD were divided into control group(20cases),training group A(20cases)and training group B(20cases)as random number table.Patients of control group received routine care combined with drug treatment,and patients of training group A received exercising and hint training on the basis of the therapy of control group,and patients of training group B received training of balance and gait rehabilitation by using Synapsys balancer of static-dynamic state on the basis of the therapy of training group A.After2weeks of intervention,the3-Dimensional gait analysis system was applied to evaluate the functional status,balanced capacity and gait characteristic of patients with PD of three groups.Results:Through rehabilitation training,the UPDRSIII scores of training group A and training group B were significantly lower than that of control group(t=4.823,t=7.065,P<0.05),respectively.The abnormal rates of staticdynamic state of training group A and training group B were significantly lower than that of control group(x2=6.942,x2=8.316,x2=5.615,x2=12.942,P<0.05),respectively.The BBS scores of training group A and training group B were significantly higher than that of control group(t=3.189,t=7.924,P<0.05),respectively.The stand percentage of training group B was higher than that of control group and training group A,and both of swing percentage and stride frequency of training group B were lower than that of control group and training group A,and the differences of stand percentage,swing percentage and stride frequency between training group B and control group were significant(t=6.056,t=7.289,t=5.516,P<0.05).Besides,the step size,step speed and step length of training group B were higher than that of control group and training group A,and the differences of all of these indicators between training group B and control group were significant(t=5.615,t=7.193,t=6.413,P<0.05).Conclusion:The combination of Synapsys balancer of static-dynamic state and nursing intervention has positive effect for enhancing balanced capacity and motor function of patients with PD.Therefore,it should be popularized and applied.