摘要
目的探究动态神经肌肉稳定技术对帕金森患者运动能力、平衡功能以及步行功能的影响。方法选取帕金森病患者46名,采用随机数字表法分为对照组(n=23)、试验组(n=23)。对照组采用常规药物、康复训练,30 min/次,1 d/次,5 d/w;试验组在对照组的基础上采用动态神经肌肉稳定技术,30 min/次,1 d/次,5 d/w。分别于治疗前、治疗后4 w、治疗后8 w时采用统一帕金森综合评定量表第3部分(UPDRS-Ⅲ)、腰背肌峰力矩(PT)、躯干压力中心前后移动距离(AP-SD)、计时起立-行走测试(TUGT)进行评定。结果治疗前,两组患者UPDRS-Ⅲ、PT、AP-SD、TUGT组间比较差异无统计学意义(P>0.05)。治疗后4 w、治疗后8 w两组患者UPDRS-Ⅲ、PT、AP-SD、TUGT组内比较均较治疗前改善;且治疗8 w时实验组UPDRS-Ⅲ[(18.76±3.59)分]、PT[(128.09±23.74)N·m]、AP-SD[(60.68±18.63)mm]、TUGT[(22.71±3.43)S]改善较为明显(P<0.05)。结论动态神经肌肉稳定技术能有效地改善帕金森患者的运动功能障碍,提高患者的腰背肌力量、平衡功能以及步行能力。
Objective To explore the effects of dynamic neuromuscular stabilization techniques on the exercise capacity,balance function and walking function of Parkinson’s patients.Methods A total of 46 Parkinson’s disease patients were selected and divided into control group(n=23)and study group(n=23)using a random number table method.The control group was given conventional drugs and rehabilitation training,30 min/time,1 d/time,5 d/week;the study group was treated with dynamic neuromuscular stabilization technology on the basis of the control group,30 min/time,1 d/time,5 d/week.Before treatment,4 weeks after treatment,and 8 weeks after treatment,the third part of the Unified Parkinson’s Comprehensive Rating Scale(UPDRS-Ⅲ),the peak torque of the back muscles(PT),and the forward and backward movement distance of the trunk pressure center(AP-SD),timed up-walking test(TUGT)were evaluated.Results Before treatment,there was no significant difference in UPDRS-Ⅲ,PT,AP-SD and TUGT between the two groups(P>0.05).The UPDRS-Ⅲ,PT,AP-SD,and TUGT groups of the two groups improved after 4 weeks of treatment and 8 weeks of treatment compared with those before treatment,and the experimental group had UPDRS-Ⅲ[(18.76±3.59)points]at 8 weeks of treatment,PT[(128.09±23.74)N·m],AP-SD[(60.68±18.63)mm],TUGT[(22.71±3.43)S]improved significantly(P<0.05).Conclusion DNS can effectively improve the motor dysfunction of Parkinson’s patients,improve the patient’s back muscle strength,balance function and walking ability.
作者
王丽敏
毕鸿雁
WANG Limin;BI Hongyan(Rehabilitation School of Shandong University of Traditional Chinese Medicine,Ji’nan 250355,China)
出处
《中风与神经疾病杂志》
CAS
2022年第6期514-517,共4页
Journal of Apoplexy and Nervous Diseases
基金
山东省中医药科技项目重点项目(2020Z04)。
关键词
动态神经肌肉稳定技术
帕金森
平衡
等速肌力
峰力矩
Dynamic neuromuscular stabilization technique
Parkinson
Balance
Isokinetic muscle strength
Peak torque
