前庭康复训练辅助康复运动训练对老年帕金森病患者平衡能力、肢体功能及认知功能的影响  

Effect of Vestibular Rehabilitation Training Assisted Rehabilitation Exercise Training on Balance,Limb Function and Cognitive Function in Elderly Patients with Parkinson's Disease

作　　者：魏丙超 丁彩云 WEI Bingchao;DING Caiyun(Department of Rehabilitation Medicine,Tai'an 88th Hospital,Tai'an 271000,China)

机构地区：[1]泰安八十八医院康复医学科,山东泰安271000

出　　处：《反射疗法与康复医学》2024年第17期78-81,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探究前庭康复训练辅助康复运动训练在老年帕金森病患者中的应用效果。方法选取该院2021年10月—2023年9月收治的88例老年帕金森病患者为研究对象,采用密闭信封法将其分为对照组(n=44)和研究组(n=44)。对照组实施康复运动训练,研究组在对照组基础上结合前庭康复训练。干预前及干预2个月后,比较两组的平衡量表(BBS)、Fugl-Meyer运动功能评分(FMA)及蒙特利尔认知评估量表(MoCA)评分。结果干预前,两组BBS评分比较,差异无统计学意义(P>0.05);干预2个月后,两组BBS评分均高于干预前,且研究组BBS评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组FMA评分比较,差异无统计学意义(P>0.05);干预2个月后,两组FMA评分均高于干预前,且研究组FMA评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组MoCA评分比较,差异无统计学意义(P>0.05);干预2个月后,两组MoCA评分均高于干预前,且研究组MoCA评分高于对照组,差异有统计学意义(P<0.05)。结论在帕金森病患者康复进程中应用前庭康复训练辅助康复运动训练,可提高患者的平衡能力,改善其肢体功能及认知功能。Objective To explore the application effect of vestibular rehabilitation training assisted rehabilitation exercise training in elderly patients with Parkinson's disease.Methods A total of 88 elderly Parkinson's patients admitted to the hospital from October 2021 to September 2023 were selected as the research objects and were divided into a control group(n=44)and a research group(n=44)using a sealed envelope method.The control group performed rehabilitation exercise training,and the research group combined with vestibular rehabilitation training on the basis of the control group.The Berg Balance Scale(BBS),Fugl-Meyer Motor Assessment(FMA),and Montreal Cognitive Assessment(MoCA)score were compared before and 2 months of intervention.Results Before intervention,there was no statistically significant difference in BBS scores between the two groups(P>0.05);after 2 months of intervention,the BBS scores of both groups were higher than before the intervention,and the BBS scores of the research group were higher than those of the control group,with statistical significance(P<0.05).Before intervention,there was no statistically significant difference in FMA scores between the two groups(P>0.05);after 2 months of intervention,the FMA scores of both groups were higher than before intervention,and the FMA scores of the research group were higher than those of the control group,with statistical significance(P<0.05).Before intervention,there was no statistically significant difference in MoCA scores between the two groups(P>0.05);after 2 months of intervention,the MoCA scores of both groups were higher than before intervention,and the MoCA score of the research group was higher than that of the control group,with statistical significance(P<0.05).Conclusion Using vestibular rehabilitation training assisted rehabilitation exercise training can improve the balance ability and limb function and cognitive function.

关 键 词：帕金森病 前庭康复训练 康复运动训练 平衡能力 肢体功能 认知功能 

分 类 号：R741[医药卫生—神经病学与精神病学]