缓慢下蹲式训练联合静动态平衡仪对帕金森患者肢体功能指标的干预效果

Intervention effect of slow squat training combined with static and dynamic balance instrument on limb function index in Parkinson’s patients

目的观察分析缓慢下蹲式训练联合静动态平衡仪对帕金森(parking disease,PD)患者肢体功能指标的干预效果。方法将本院自2016年5月至2018年5月收治的90例患者随机分为3组,各30例,对照组进行常规护理和康复训练,在对照组基础上对训练Ⅰ组进行缓慢下蹲式训练,对训练Ⅱ组联合静动态平衡仪(SPS),从肢体运动功能和平衡能力两方面以PD综合评分量表第三部分(UPDRS-Ⅲ)评分、Berg平衡量表(BBS)评分、SPS检测结果为指标评价干预效果。结果干预后训练Ⅰ组、训练Ⅱ组UPDRS-Ⅲ降低、静态异常和动态异常例数减少、BBS评分升高,与干预前、对照组对比,差异均具有统计学意义(P<0.05)。干预后训练Ⅱ组的UPDRS-Ⅲ评分低于训练Ⅰ组,差异具有统计学意义(t=5.507,P<0.05)。干预后训练Ⅱ组静态异常例数少于训练Ⅰ组,差异具有统计学意义(x^2=4.590,P<0.05);动态异常例数也少于训练Ⅰ组,差异具有统计学意义(x^2=4.291,P<0.05)。干预后训练Ⅱ组BBS评分显著高于训练Ⅰ组,差异具有统计学意义(t=11.064,P<0.01)结论缓慢下蹲式训练联合静动态平衡仪对改善PD 患者肢体功能指标具有积极的作用,值得临床借鉴。

Objective Observed and analyzed the effect of slow squat training combined with static and dynamic balance instrument on the limb function index of patients with parking disease (PD). Methods 90 cases patients who admitted to our hospital from May 2016 to May 2018 were randomly divided into three groups, with 30 cases in each group. The control group received routine nursing and rehabilitation training, and the training group Ⅰ was slowly squatted on the basis of the control group. Training, training group Ⅱ combined static and dynamic balance instrument (SPS), from the two aspects of limb motor function and balance ability, PD comprehensive rating scale (UPDRS-Ⅲ) score, Berg balance scale (BBS) score, SPS The test results are indicators to evaluate the intervention effect. Results After intervention, the training group Ⅰ, training group Ⅱ decreased UPDRS-Ⅲ, the number of static abnormalities and dynamic abnormalities decreased,and the BBS score increased. Compared with the pre-intervention and control groups, the difference was statistically significant (P<0.05). The UPDRS-Ⅲ score of the training group Ⅱ after intervention was lower than that of the training group Ⅰ, and the difference was statistically significant (t=5.507, P<0.05). After intervention, the number of static abnormalities in training group Ⅱ was lower than that in training group Ⅰ, the difference was statistically significant (x^2=4.590, P<0.05);the number of dynamic abnormal cases was also less than that in training group I, the difference was statistically significant (x^2=4.291, P<0.05). After the intervention,the BBS score of the training group Ⅱ was significantly higher than that of the training group Ⅰ, and the difference was statistically significant (t=11.064, P<0.01). Conclusion Slow squat training combined with static and dynamic balance instrument has a positive effect on improving the limb function index of PD patients, which is worthy of clinical reference.