抗阻运动联合规律康复训练在帕金森病患者中的应用价值

Value of resistance exercise combined with regular rehabilitation training for patients with Parkinson disease

目的分析抗阻运动联合规律康复训练在帕金森病患者中的应用价值。方法抽取2018年12月至2021年7月郑州颐和医院收治的帕金森病患者98例,将其按随机数字表法分为抗阻运动组和康复训练组,每组49例。康复训练组予以规律康复训练,抗阻运动组在此基础上予以抗阻运动。比较两组干预前后帕金森综合评分量表(UPDRS)、肌力评分(肩关节外展肌、膝关节伸展肌)、Berg平衡量表(BBS)、Barteh I指数、步态时间距离及不良情绪[汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分]的变化。结果干预后,抗阻运动组UPDRS评分[(46.21±5.63)分]低于康复训练组[(49.17±5.97)分](P<0.05);干预后,抗阻运动组肩关节外展肌、膝关节伸展肌评分高于康复训练组(P<0.05);干预后,抗阻运动组BBS评分、BartehI指数高于康复训练组(P<0.05);干预后,抗阻运动组步速长于康复训练组,步宽、步长高于康复训练组(P<0.05);干预后,抗阻运动组HAMD、HAMA评分低于康复训练组(P<0.05)。结论抗阻运动联合规律康复训练应用于帕金森病患者,可减轻患者的临床症状,改善肌力,提高机体平衡功能与日常生活能力,并可改善步态时间距离,减轻负性情绪。

Objective To analyze the application value of resistance exercise combined with regular rehabilitation training for patients with Parkinson disease.Methods A total of 98 patients with Parkinson disease treated in Zhengzhou Yihe Hospital from December 2018 to July 2021 were selected,and they were divided into resistance exercise group and rehabilitation training group by random number table method,with 49 cases in each group.The rehabilitation training group was given regular rehabilitation training,and the resistance exercise group was given resistance exercise based on regular rehabilitation training.The unified Parkinson’s disease rating scale(UPDRS),muscle strength scores(shoulder abductors,knee extensors),Berg balance scale(BBS),Barteh I index,gait time distance and depressed emotions assessed by Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)before and after intervention were compared between the two groups.Results After the intervention,the UPDRS score in the resistance exercise group(46.21±5.63)was lower than that in the rehabilitation training group(49.17±5.97),P<0.05.After the intervention,the shoulder abductor and knee extensor scores in the resistance exercise group were higher than those in the rehabilitation training group(P<0.05).After intervention,the BBS and Barteh I scores in the resistance exercise group were higher than those in the rehabilitation training group(P<0.05).After the intervention,the step speed in the resistance exercise group was longer than that in the rehabilitation training group,the step stride width and step length were higher than those in the rehabilitation training group(P<0.05).After intervention,the HAMD and HAMA scores in the resistance exercise group were lower than those in the rehabilitation training group(P<0.05).Conclusions Resistance exercise combined with regular rehabilitation training can relieve clinical symptoms,improve muscle strength,body balance function,daily living ability,gait time distance,and reduce negative emotions in patients with Parkinson disease.