摘要
目的:探讨康复管理结合运动疗法提高帕金森病(PD)步行及平衡功能的作用。方法:采用随机、单盲及对照试验,将39例PD患者分为康复训练(试验组,20例)和对照组(19例)。两组按神经内科常规治疗,接受2次的康复讲座和咨询;试验组另进行以运动疗法为主的个体化康复训练,每周3次×8周。治疗前后对两组患者进行Berg平衡量表和室内平地45 m折返行走能力评定。结果:治疗8周后,两组患者Berg平衡量表评分均有改善,试验组评分提高(5.70±4.54)分,对照组提高(2.11±2.49)分,以试验组改善更明显,差异有统计学意义(P<0.05)。室内平地45 m折返行走能力试验组较对照组改善明显,试验组评分提高(4.81±2.88),对照组无显著提高,两组间差异有统计学意义(P<0.05)。结论:康复管理结合运动疗法的个体化康复训练对PD患者步行及平衡运动功能的改善有很好的疗效。
Aim：To explor effects of rehabilitation management and functional rehabilitation on walking ability and balance function for Parkinson＇s disease.Methods：The HR-QOL of forty-four non-demented patients suffering from PD in their early to moderate stage were compared by using a single-blind,controlled clinical trial.Among them there were an intervention group（n=20） and control group（n=19）.The intervention group was given a combination of health education with functional rehabilitation for eight weeks.Both the two groups were treated with the same medication and the health education-management,meanwhile the patients in the treatment group received Kinesio-therapy for eight weeks.The two groups were assessed with Berg Balance Scale（BBS） Berg＇s balance scores for the patient＇s lower limb＇s motor-coordination function,and time of 45m turn around indoor walk for the patient＇s walking ability.The effectiveness was compared between the two groups.Results：A total of 40 patients were enrolled in the study.After eight weeks,BBS of the intervention group improved significantly（P0.05）,the grading of intervention group enhanced 5.70±4.54,and the control group enhanced 2.11±2.49.The time 45 m turn around indoor walk of the intervention group enhanced 4.81±2.88,but the control group stands still,The effectiveness between the two groups was evident（P0.05）.Conclusion：The present program that integrated rehabilitation management with physiotherapy appeared to be a practical intervention for improving patients with PD walking ability and balance function.
出处
《中国临床神经科学》
2011年第4期387-392,共6页
Chinese Journal of Clinical Neurosciences
关键词
康复管理
运动疗法
帕金森病
步行能力
平衡功能
physiotherapy
rehabilitation
Parkinson＇s disease
walking ability
balance function
