太极拳锻炼对帕金森患者的疗效观察  

Effectiveness of Tai Chi for Parkinson disease

作　　者：季苏琼[1] 毛志娟[1] 杨清梅[1] 高红铃 薛峥[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院神经内科,武汉430000

出　　处：《中国康复》2016年第1期51-53,共3页Chinese Journal of Rehabilitation

摘　　要：探讨太极拳锻炼对轻中度帕金森患者运动、平衡及步行功能的疗效。方法:将38名帕金森患者随机分为太极组与对照组各19例。2组均给予神经内科基础药物治疗,太极组患者此基础上进行太极拳锻炼。分别治疗前后对患者进行运动功能的评定,包括帕金森综合评分量表III(UPDRS III)、Berg平衡量表、15m步行速度及6min步行距离的测定,以及自身状态的评估,包括健康状态评估量表(HAQ)评分、疲劳、肌肉疼痛、跌倒恐惧感的视觉模拟量表(VAS)评分等。结果:锻炼3个月后,2组的UPDRS III评分较锻炼前均明显降低(P<0.05),且太极拳组更大于对照组(P<0.05);2组的Berg平衡量表评分较锻炼前明显增加,且太极拳组更大于对照组(P<0.05);2组的15m步行速度和6min步行距离较锻炼前都有增加,HAQ评分、跌倒恐惧、疲劳、肌肉疼痛的VAS评分较锻炼前都有降低,但差异均无统计学意义。结论:太极锻炼可以改善轻中度帕金森患者运动功能,是改善轻中度帕金森病运动障碍和生活能力的有效的手段。Objective：To evaluate the effects of Tai Chi on motor function,balance,gait and self-reported health status in patients with mild to moderate Parkinson disease（PD）.Methods：Thirty-eight patients with PD were randomly assigned to either Tai Chi group or control group（n=19each）.Both groups were administered with basic drug therapy of neurology.Besides,the patients in Tai Chi group participated in 1-h long training session everyday within 3months.To evaluate motor function in all patients before and after treatment,UPDRS III,Berg Balance Scale,15-ft walk test and 6-min walk test were assessed.Self-reported health status was also observed before and3 months after treatment.Health Assessment Questionnaire（HAQ,ranging 0-3,3 = worst）,visual analogue scales（VAS,ranging 0-100 mm）for fatigue,muscle pain and fear of falling were assessed.Results：UPDRS III scores of two groups were significantly reduced after treatment for three months（P〈0.05）,and there was a more obvious reduction in Tai Chi group than in control group.Berg Balance Scale of two groups was significantly increased after treatment for three months,and the improvement in Tai Chi group was more remarkable than in control group.The scores of the 15-ft walk test and 6-min walk test of two groups were reduced after treatment for three months,but there was no significant difference between two groups.HAQ and VAS for fatigue,muscle pain,and fear of falling score of two groups were also reduced after treatment,but no statistically significant differences were found between the two groups.Conclusion：Tai Chi can improve motor function in patients with mild to moderate PD,and it is an effective method to improve their movement disorder and living ability.But more long follow-up studies are needed to confirm the effect of Tai Chi on PD.

关 键 词：太极拳 帕金森氏病 运动功能 平衡 步态 跌倒 疲劳 肌肉疼痛 

分 类 号：R742.5[医药卫生—神经病学与精神病学]