基于视觉反馈的姿势控制训练改善帕金森病患者平衡功能及日常生活活动能力的临床观察

Clinical observation of visual feedback-based postural control training to improve balance function and activities of daily living in patients with Parkinson's disease

目的:探讨基于视觉反馈的姿势控制训练对帕金森病患者的平衡功能及日常生活活动能力的影响。方法:纳入2018年1月至2021年12月于我院就诊的帕金森病患者60例,按照随机数字表法随机分为试验组和对照组,每组各30例。对照组接受常规的康复训练,试验组在对照组的基础上给予基于视觉反馈的动态平衡训练及核心肌群控制训练,共治疗8周。两组在治疗前、治疗8周后均进行Berg平衡量表(BBS)、起立-行走计时测试(timed“up and go”test,TUGT)及改良的Barthel指数(MBI)评定,并对两组患者的临床疗效及康复训练满意度进行分析比较。结果:治疗后,两组患者BBS[(49.00±1.97)vs.(44.77±1.78)]、TUGT[(10.17±2.31)vs.(13.67±2.26)]、MBI[(64.83±6.09)vs.(54.33±7.51)]评分均优于治疗前,具有显著性差异(P<0.05);与对照组比较,试验组BBS(49.00±1.97)、TUGT(10.17±2.31)、MBI(64.83±6.09)均优于对照组,差异有显著性(P<0.05);试验组患者康复训练效果满意度为93.33%,与对照组(70.00%)比较有显著性优势,差异有显著性(P<0.05)。结论:常规康复训练能够改善帕金森病患者的平衡功能及日常生活活动能力,在此基础上,增加视觉反馈的姿势控制训练效果更显著,具有一定的临床推广价值。

Objective:To explore the effect of visual feedback-based postural control training on balance function and activities of daily living in patients with Parkinson's disease.Method:Sixty patients with Parkinson's disease who met the inclusion criteria were randomly divided into trial group(n=30)and control group(n=30).Both groups received routine rehabilitation training.The trial group received additional visual feedback-based dynamic balance training and core muscle group control training.The course of intervention was 8 weeks.Before and after 8 weeks treatment,the two groups were assessed by Berg Balance Scale(BBS),Timed"Up and Go"Test(TUGT)and Modified Barthel Index(MBI).The changes of balance function,activity of daily living(ADL)and degree of satisfaction before or after rehabilitation treatment were compared between the two groups.Result:The scores of BBS[(49.00±1.97)vs.(44.77±1.78)],TUGT[(10.17±2.31)vs.(13.67±2.26)]and MBI[(64.83±6.09)vs.(54.33±7.51)]improved in the trial group and control group after 8 weeks training(P<0.05).The results of BBS,TUGT and MBI in the trial group were significantly better than the results in the control group(P<0.05).The degree of satisfaction of the trail group(93.33%)was significantly higher than that in the control group(70.00%)(P<0.05).Conclusion:Routine rehabilitation training can improve the balance function and activity of daily life in Parkinson's disease patients.On the basis of this,the visual feedback-based postural control training reveals more significant effect and has certain clinical popularization value.