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太极拳训练对早期帕金森病患者平衡功能及害怕跌倒心理的影响 被引量:18

Influence of Tai Chi training on balance ability and fear of falling of patients with early Parkinson's disease
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摘要 目的研究分析太极拳训练对改善老年早期帕金森病患者平衡能力及害怕跌倒心理(Fear of Falling,FOF)的影响。方法选择80例H-Y 1-2.5期老年帕金森病患者按随机数字表法分为干预组(n=40例)和对照组(n=40例)。对照组接受基础药物治疗和常规步行,干预组则接受基础药物治疗和24周的简化24式太极拳训练。采用Berg平衡量表(BBS)评估患者平衡能力;修订版的跌倒效能量表(MFES)评估跌倒自我效能水平以及单条目问题法评估FOF人数。结果干预后,干预组与对照组患者BBS评分(45.85±4.16分vs 43.56±3.99分)和MFES评分(98.31±10.39分vs 85.52±9.63分)、FOF人数(17.69±2.63例vs 19.74±3.55例)结果比较差异具有显著性(P<0.05)。结论简化24式太极拳训练可以提高H-Y 1-2.5期帕金森病患者的平衡能力和跌倒自我效能水平,改善患者FOF状况。 Objective To study the effects of Tai Chi training on improving the balance ability and the Fear of Falling(FOF)of patients with early Parkinson's disease. Methods 80 patients with elderly Parkinson's disease in H-Y 1-2.5 period were randomly divided into the intervention group(n=40 cases) and the control group(n=40 cases). The control group received basic drug therapy and routine walking,and the intervention group received basic drug therapy and 24 weeks of simplified 24-type Tai Chi training. The Berg balance scale(BBS) was used to assess patients' balance ability. The revised fall performance scale(MFES) was performed to assess the level of self-efficacy. Single entry questionnaire was to calculate the number of FOF. Results After the intervention,the significant differences(P〈0.05) were found between intervention group and control group in the aspects of BBS(45.85±4.16 vs 43.56±3.99),MFES(98.31±10.39 vs 85.52±9.63),FOF(17.69±2.63 vs 19.74±3.55). Conclusion The simplified 24-type Tai Chi training could improve the balance ability and self-efficacy level of patients with early parkinson's disease in H-Y 1-2.5 period,and improve patients' FOF status.
出处 《江西医药》 CAS 2017年第11期1124-1127,共4页 Jiangxi Medical Journal
基金 江西省卫生计生委中医药科技计划项目 编号2016A099
关键词 太极拳 帕金森病 平衡功能 害怕跌倒心理 Tai Chi Parkinson's disease Balance ability Fear of falling
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