暗示策略对帕金森病患者平衡功能和步态的康复作用  

Rehabilitation effect of cueing strategies on balance function and gait in patients with Parkinson's disease

作　　者：崔立玲[1] 于洋[1] 朱志中[1] 李雅晴[1] 侯玮佳[1] 王利群[1] 陈荣杰[2] CUI Li-ling YU Yang ZHU Zhi-zhong LI Ya-qing HOU Wei-jia WANG Li-qun CHEN Rong-jie(Department of Rehabilitation Medicine, 2Department of Neurology, Tianjin Huanhu Hospital, Tianjin 300350, Chin)

机构地区：[1]天津市环湖医院康复医学科,300350 [2]天津市环湖医院神经内科,300350

出　　处：《中国现代神经疾病杂志》2017年第6期428-433,共6页Chinese Journal of Contemporary Neurology and Neurosurgery

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。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 IOMWT 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.

关 键 词：帕金森病 步态 提示 康复 

分 类 号：R49[医药卫生—康复医学] R742.5[医药卫生—临床医学]