Nordic Walking在帕金森患者步态康复训练中的研究

Nordic Walking in Parkinson’s Gait Rehabilitation Exercises

目的:评估Nordic Walking(NW)康复训练对帕金森(PD)患者步态的改善效果。方法:40例PD患者纳入研究,随机分为对照组和NW组,各20例。对照组不给予康复训练,仅维持入组前的用药。NW组在维持入组前用药的基础上,增加NW训练,1 h/次,2次/周,共训练3个月。于治疗前及治疗3个月后,收集并比较2组的步态指标,包括步伐长度、手臂摆动角度和身体前倾角度。结果:治疗前,2组的步伐长度、手臂摆动角度和身体前倾角度差异均无统计学意义(P>0.05)。治疗后,对照组的上述3指标与同组治疗前差异均无统计学意义(P>0.05);NW组的步伐长度、手臂摆动角度和身体前倾角度均高于治疗前(均P<0.05),步态出现显著改善。结论:NW康复训练是改善PD患者步态的良好康复训练方式。

Objective: To evaluate the role of Nordic walking(NW) in gait rehabilitation in Parkinson’s disease(PD) patients. Methods: Forty PD patients were recruited and randomly assigned to the NW group or control group with 20 patients in each. Both groups maintained the course of medication initiated before recruitment.The NW group additionally received rehabilitation training while the control group did not. Rehabilitation of the NW group consisted of NW exercise for 1 hour per session 2 times per week for a duration of 3 months. Gait parameters, including step length, arm swing angle, and body forward tilt angle, were recorded before and after 3 months of treatment, and the results of the 2 groups were compared. Results: Before treatment, the 2 groups showed no significant difference in step length, arm swing angle, and body forward tilt angle(P>0.05). After treatment, the control group showed no significant change in the above three parameters compared to before treatment(P>0.05). In the NW group, the step length, arm swing angle, and body forward tilt angle were significantly greater after treatment than before(all P<0.05), and there was significant improvement in gait. Conclusion: NW rehabilitation training is an effective method for improving gait in PD patients.