体感交互技术训练对帕金森病患者平衡功能、足底压力及跌倒发生率的影响

Effects of Somatosensory Interaction Training on Balance Function,Plantar Pressure and Fall Risk in Patients with Parkinson's Disease

目的分析体感交互技术训练对帕金森病患者平衡功能、足底压力及跌倒发生率的影响。方法选取2020年2月-2022年4月三二〇一医院收治的115例帕金森患者,按不同训练方案分为常规组(n=56)与体感交互组(n=59)。常规药物治疗期间,常规组实施传统平衡训练,体感交互组接受体感交互技术训练。比较两组训练4周后Berg平衡量表(Berg Balance Scale,BBS)评分,动、静态足底压力分布,跌倒发生率。结果训练后体感交互组BBS评分高于常规组(P<0.05);训练前后比较,常规组BBS评分无统计学意义(P>0.05),体感交互组BBS评分有所提升,具有统计学意义(P<0.05)。训练前两组静态、动态足底压力分布无统计学意义(P>0.05),两组静态站立时双脚压力由低到高排序为:2区<1区<3区<6区<5区<4区<7区<8区;行走时左足:2区<6区<1区<3区<5区<4区<7区<8区,右足:2区<6区<1区<3区<5区<7区<8区<4区。训练后两组站立时双足的3区压力上升,双足压力:2区<1区<6区<5区<3区<4区<7区<8区;行走时左足:2区<6区<1区<5区<3区<4区<7区<8区,右足压力分区未变。训练后两组静态跌倒风险指数评分上升,动态跌倒风险指数评分下降,且体感交互组评分优于常规组(P<0.05)。1个月随访期间,常规组发生11例跌倒,体感交互组发生2例,体感交互组跌倒发生率3.39%低于常规组19.64%(P<0.05)。结论体感交互技术训练能有效改善帕金森患者平衡功能康复情况,有助于更好调整动、静态足底压力分布,降低跌倒风险,减少跌倒发生情况。

Objective To analyze the effects of somatosensory interaction training on balance function,plantar pressure and fall risk in patients with Parkinson's disease.Methods One hundred and fifteen patients with Parkinson’s disease in 3201 Hospital Affiliated to Xi’an Jiaotong University College of Medicine from February 2020 to April 2022 were enrolled,and divided into routine group and interaction group according to training methods.During the conventional medication treatment period,the routine group(n=56)received traditional balance training,while the interaction group(n=59)received somatosensory interaction training.Berg Balance Scale(BBS)score,static and dynamic foot plantar pressure pattern and fall risk at the baseline and 4 weeks after treatment were compared between the two groups.Results After training,the interaction group scored higher than the routine group on BBS(P<0.05).BBS score within routine group showed no statistical difference before and after training(P>0.05),while BBS was improved in the interaction group after training(P<0.05).The static and dynamic foot plantar pressure pattern yielded no statistical difference between two the groups before training(P>0.05).Before training,the static foot plantar pressure was ranked in the order of Zone 2<Zone 1<Zone 3<Zone 6<Zone 5<Zone 4<Zone 7<Zone 8.The dynamic foot plantar pressure of left foot was sort as Zone 2<Zone 6<Zone 1<Zone 3<Zone 5<Zone 4<Zone 7<Zone 8,and the dynamic foot plantar pressure of right foot was sort as Zone 2<Zone 6<Zone 1<Zone 3<Zone 5<Zone 7<Zone 8<Zone 4.After training,there was an increase in Zone 3 in static state,and the static foot plantar pressure was ranked in the order of Zone 2<Zone 1<Zone 6<Zone 5<Zone 3<Zone 4<Zone 7<Zone 8.The dynamic foot plantar pressure of left foot was ranked in the order of Zone 2<Zone 6<Zone 1<Zone 5<Zone 3<Zone 4<Zone 7<Zone 8.The right foot plantar pressure pattern remained unchanged.After training,an increase in static fall risk index score and a decrease in dynamic fall risk index score were observed in both groups,and the scores were remarkably higher in the interaction group than that in the routine group(P<0.05).During the 1-month follow-up period,11 cases of falls occurred in the routine group and 2 cases in the interaction group.The incidence of falls was 3.39%in the interaction group,which was significantly lower than that in the routine group(19.64%,P<0.05).Conclusion Application of somatosensory interaction training can effectively improve the balance rehabilitation in Parkinson's patients,adjust foot plantar pressure pattern in static and dynamic state,and reduce the fall risk in patients.