摘要：
目的 探讨暗示策略对帕金森病患者平衡功能和步态的康复作用。 方法 共40 例原发性帕金森病患者随机接受常规抗帕金森病药物治疗和常规康复训练以及在此基础上联合暗示策略，分别于训练前和训练4 周时采用Berg 平衡量表（BBS）、10 米步行试验（10MWT）、起立-行走计时测验（TUGT）和冻结步态问卷（FOGQ）评价平衡功能和步态，10MWT 计算步长和步速。 结果 与训练前相比，训练4 周时两组患者BBS 评分（P = 0.000）、10MWT 之步长（P = 0.000）和步速（P = 0.000）均增加，TUGT 时间（P = 0.000）和FOGQ 评分（P = 0.000）减少；与对照组相比，观察组患者仅10MWT 之步长（P =0.048）和步速（P = 0.025）均增加、TUGT 时间（P = 0.023）和FOGQ 评分（P = 0.034）减少。 结论 常规康复训练联合暗示策略可以明显改善帕金森病患者平衡功能和步态，尤其对步态的康复治疗效果优于常规康复训练。
关键词:
帕金森病,
步态,
提示,
康复
Abstract:
Objective To explore the effect of cueing strategies on balance function and gait in patients with Parkinson's disease (PD). Methods A total of 40 PD patients were randomly divided into control group (N = 20) and observation group (N = 20). The patients in control group received routine drug treatment and rehabilitation therapy according to the disease. The patients in observation group received rhythmic recurring cues and one - off cues on the basis of routine treatment. All patients were given rehabilitation therapy for 4 weeks (30 minutes, 5 times a week). Berg Balance Scale (BBS), 10-Meter Walk Test (10MWT), Timed Up and Go Test (TUGT) and Freezing of Gait Questionnaire (FOGQ) were used to evaluate balance function and gait of patients before and after 4 - week training. 10MWT was used to calculate step length and velocity. Results After 4-week training, BBS score (P = 0.000), step length (P = 0.000) and velocity (P = 0.000) of 10MWT were significantly increased, while TUGT time (P = 0.000) and FOGQ score (P = 0.000) were significantly reduced in both groups. Compared with control group, step length (P = 0.048) and velocity (P = 0.025) of 10MWT were significantly increased, while TUGT time (P =0.023) and FOGQ score (P = 0.034) had a significant decrease in observation group. Conclusions Both routine rehabilitation therapy and cueing strategies can improve the balance function and gait of PD patients, but cueing strategies had better effect on gait than routine rehabilitation therapy.
Key words:
Parkinson disease,
Gait,
Cues,
Rehabilitation
崔立玲, 于洋, 朱志中, 李雅晴, 侯玮佳, 王利群, 陈荣杰. 暗示策略对帕金森病患者平衡功能和步态的康复作用[J]. 中国现代神经疾病杂志, 2017, 17(6): 428-433.
CUI Li-ling, YU Yang, ZHU Zhi-zhong, LI Ya-qing, HOU Wei-jia, WANG Li-qun, CHEN Rong-jie. Rehabilitation effect of cueing strategies on balance function and gait in patients with Parkinson's disease[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2017, 17(6): 428-433.