视觉追踪训练联合六字诀对帕金森病患者运动功能和生活质量的影响

Effect of Visual Tracking Training combined with Six-character Formula on Motor Function and Quality of Life in Patients with Parkinson's Disease

目的:观察视觉追踪训练联合六字诀对帕金森病患者运动功能和生活质量的影响。方法:选择在山东中医药大学附属医院治疗的帕金森病患者42例,按照随机数字表法分为对照组和观察组,每组21例。对照组接受常规康复训练,主要包括核心训练、平衡训练、协调性训练、步态训练、日常生活能力训练,每天上、下午各1次,每次45 min,每周5 d,持续训练6周。观察组在对照组基础上接受视觉追踪联合六字诀训练。视觉追踪训练包括:拇指追踪、打地鼠游戏、姿势控制以及眼球转"8"字等训练,每次训练20 min,每天1次;六字诀训练主要包括吹、呼、嘻、呵、嘘、呬等呼吸训练,配合肢体导引训练,每次训练25 min,每天1次。以上训练每周5 d,持续训练6周。采用统一的帕金森病评分量表第三部分运动分量表(UPDRS-Ⅲ)和起身-步行计时测试(TUGT)对患者运动功能进行评定;采用平衡稳定极限测试(AP-SD、ML-SD)对患者平衡功能进行评估;采用帕金森患者生活质量评定量表(PDQ-39)对患者生活质量进行评估。结果:治疗前,2组UPDRS-Ⅲ评分、AP-SD和ML-SD、TUGT时间和PDQ-39评分无明显区别,差异无统计学意义(P>0.05);与治疗前比较,2组治疗后UPDRS-Ⅲ、AP-SD、ML-SD、TUGT和PDQ-39评分均明显降低,差异具有统计学意义(P<0.05);与对照组比较,观察组UPDRS-Ⅲ、AP-SD、ML-SD、TUGT和PDQ-39评分均明显更低,差异具有统计学意义(P<0.05)。结论:视觉追踪训练联合六字诀可以有效改善帕金森病患者的运动功能和生活质量。

Objective:To observe the effects of visual tracking training combined with six-character formula on motor function and quality of life in patients with Parkinson's disease.Methods:A total of 42 patients with Parkinson's disease treated in the affiliated hospital of Shandong university of traditional Chinese medicine were selected and divided into the control group and the observation group according to random number table method,with 21 cases in each group.The control group received routine rehabilitation training,mainly including core training,balance training,coordination training,gait training,and daily life ability training,twice a day,45 minutes each time,five days a week,continuous training for six weeks.The observation group received visual tracking training combined with six-character formula training on the basis of the control group.Visual tracking training included thumb tracking,Whack-a-mole game,posture control,training eyeball moving as figure"8",each training for 20 minutes,once a day.Six-character formula of pronunciation training with blowing,shout,hippies,oh,boo,si breathing exercises,and cooperated with body guidance training,each training for 25 minutes,once a day.The above training for five days per week,continuous training for six weeks.The third part of the unified Parkinson's disease rating scale(UPDRS-Ⅲ)and the time up and go test(TUGT)were used to assess the patient's motor function;the balance stability limit test(AP-SD,ML-SD)was used to evaluate the patient's balance function;the Parkinson's questionnaire-39(PDQ-39)was used to evaluate the patient's quality of life.Results:Before treatment,there were no statistically significant difference in UPDRSⅢscore,AP-SD and ML-SD,TUGT time and PDQ-39 score between two groups(P>0.05);Compared with before treatment,the UPDRSⅢ,AP-SD,ML-SD,TUGT and PDQ-39 scores of the two groups after treatment decreased significantly,the differences were statistically significant(P<0.05);Compared with the control group,UPDRSⅢ,AP-SD,ML-SD,TUGT and PDQ-39 scores of the observation group after treatment were lower,the differences were statistically significant(P<0.05).Conclusion:Visual tracking training combined with six-character formula can effectively improve the motor function and quality of life of patients with Parkinson's disease.