PD-WEBB训练对帕金森病平衡障碍和跌倒的影响  

Effect of PD-WEBB training on balance impairment and falls in people with Parkinson's disease

作　　者：谷绍娟[1] 宋治[1] 范学军[1] 陈茹[1] 郑文[1] 严文广[2] 

机构地区：[1]中南大学湘雅三医院神经内科,长沙410013 [2]中南大学湘雅三医院康复科,长沙410013

出　　处：《中南大学学报（医学版）》2013年第11期1172-1176,共5页Journal of Central South University ：Medical Science

基　　金：湖南省科技计划项目(2013FJ4098)~~

摘　　要：目的:评价PD-WEBB训练对帕金森病(Parkinson’s disease,PD)患者平衡障碍和跌倒的影响。方法:采用随机、单盲、对照设计分析PD-WEBB训练8周前后PD-WEBB组与对照组PD患者跌倒功效量表(falls efficacy scale,FES)评分、帕金森病综合评分量表(UPDRS)评分和Mini-Balance Evaluation Systems Test(Mini-BESTest)评分的变化。结果:8周后PD-WEBB组FES评分、UPDRS-2评分、UPDRS-3评分和Mini-BESTest评分较对照组有明显变化(P<0.05),而两组间UPDRS-1评分变化不明显。结论:PD-WEBB训练可以明显改善PD患者的平衡障碍,提高患者日常生活质量,预防跌倒。PD-WEBB训练适合中国PD患者,是一种合理有效的可持续的家庭训练模式。Objective：To determine the effect of Parkinson’s disease-weight bearing exercise for better balance （PD-WEBB） exercise on balance impairment and falls in people with Parkinson＇s disease （PD）.Methods：A single-blind, randomized controlled clinical trial was conducted. The falls efficacy scale score, unified Parkinson disease rating scale （UPDRS） score and Mini-BESTest score were measured and compared between a PD-WEBB group and a control group. Results：hTe falls effcacy scale score, UPDRS-2 score, UPDRS-3 score and Mini-BESTest score were improved in the PD-WEBB group compared with the control group （P Conclusion：PD-WEBB training can significantly improve the balance impairment and quality of life to prevent falls. PD-WEBB training is suitable for PD patients in China, and is a reasonable, effective and sustainable training of family and community assessment model.

关 键 词：帕金森病 物理疗法 PD-WEBB 跌倒 

分 类 号：R742.5[医药卫生—神经病学与精神病学]