渐进性下蹲式抗阻训练对帕金森病患者运动功能的改善效果

Effect of progressive squat resistance training on motor function of patients with Parkinson disease

目的观察渐进性下蹲式抗阻训练对帕金森病(Parkinson disease,PD)患者运动功能的改善效果。方法将纳入的帕金森病患者随机分为对照组与试验组。对照组采用常规康复训练方法,包括力量训练、平衡功能训练和步态训练;试验组在此基础上增加渐进性下蹲式抗阻训练。两组分别在治疗前及治疗后4周评估Berg平衡量表(Berg balance scale,BBS)评分、起立-行走计时测验(time up and go test,TUG)结果、Fugl-Meyer运动功能评分量表(Fugl-Meyer assessment,FMA)评分及总有效率。结果最终纳入40例患者,每组20例。治疗后两组BBS评分、TUG计时、FMA评分均较治疗前改善(P<0.001),且试验组3项的改善率均优于对照组(P<0.05);试验组患者总有效率高于对照组(95.0%vs85.0%,P<0.05)。结论渐进性下蹲式抗阻训练可进一步改善接受常规康复训练患者的平衡能力,并提高其运动功能。

Objective To observe the clinical effect of progressive squat resistance training on motor function of patients with Parkinson disease.Methods The enrolled patients with Parkinson disease were randomly divided into control group and experimental group.The patients in the control group received routine rehabilitation training,including strength training,balance function training and gait training.The patients in the experimental group received progressive squat resistance training based on routine rehabilitation.Before treatment and 4 weeks after treatment,Berg balance scale(BBS)score,time up and go test(TUG)result and Fugl-Meyer assessment(FMA)score,and the total effective rate were assessed.Results Forty patients were included finally,with 20 in each group.After treatment,BBS,TUG and FMA results of patients in the two groups improved than before treatment(P<0.001),and improvement rates of these results in the experimental group were better than those in the control group(P<0.05).The total effective rate in the experimental group was higher than that in the control group(95.0%vs 85.0%,P<0.05).Conclusion Progressive squat resistance training could further improve balance ability and motor function of patients with Parkinson disease who received routine rehabilitation training.