太极拳运动对帕金森病患者认知功能及健康相关生活质量的影响

Effects of Tai Chi exercise on cognition and health-related quality of life in patients with Parkinson's disease

目的:探讨太极拳运动对轻度认知障碍帕金森病患者认知功能和健康相关生活质量的影响。方法:将52例轻度认知障碍帕金森病患者随机分为干预组28例和对照组24例。对照组仅接受常规药物治疗和运动建议,干预组在此基础上进行24式杨氏太极拳训练。干预前后采用蒙特利尔认知评估量表(Mo CA)和39项帕金森病生活质量问卷(PDQ-39)进行评定。结果:干预16周后,干预组Mo CA评分较干预前明显提高(P<0.05),PDQ-39评分明显降低(P<0.05),对照组无显著改变。干预后,干预组Mo CA评分明显高于对照组(P<0.05),PDQ-39评分明显低于对照组(P<0.05)。结论:太极拳运动对轻度认知障碍帕金森病患者改善认知功能和提高生活质量具有积极意义。

Objective:To investigate the effects of Tai Chi exercise on cognition and health-related quality of life in Parkinson's disease patients with mild cognitive impairment.Methods:Fifty-two Parkinson's disease patients with mild cognitive impairment were randomly divided into intervention group(n=28)and control group(n=24).Both groups were given routine medication care and exercise advice,and the participants in intervention group received 16-week 24 Yang's Tai Chi exercise as well(5 times/week,40 min/session).Before and after the study,Montreal Cognitive Assessment(MoCA)and Parkinson's disease questionnaire-39(PDQ-39)were recorded and assessed.Results:After 16 weeks of treatment,the score of MoCA in intervention group was significantly higher than before(P<0.05)and control group.The score of PDQ-39 in intervention group was significantly lower than before(P<0.05)and control group.Conclusion:Tai Chi exercise has positive effects on cognitive function recovery and health-related quality of life improvement in Parkinson's disease patients with mild cognitive impairment.