Biodex动静态平衡测试和训练系统改善帕金森病患者平衡功能的康复效果  

Effectiveness of Biodex dynamic and static balance testing and training system for balance recovery in patients with Parkinson's disease

作　　者：于小明[1] 周欢霞[1] 王宏林[1] 蒋黎明[1] 詹青[2] 

机构地区：[1]上海中医药大学附属第七人民医院康复治疗科,上海200137 [2]上海中医药大学附属第七人民医院神经内科,上海200137

出　　处：《神经病学与神经康复学杂志》2016年第3期131-136,共6页Journal of Neurology and Neurorehabilitation

基　　金：上海市浦东新区卫生和计划生育委员会卫生科技项目(编号:PW2014B-14);上海市残疾人联合会科研立项(编号:K2014014);上海中医药大学附属第七人民医院"七院新星"项目(编号:XX2014-07)~~

摘　　要：目的::探讨Biodex动静态平衡测试和训练系统应用于帕金森病患者平衡功能康复中的疗效。方法:符合病例选择标准的42例帕金森病患者被随机分入常规平衡训练组(对照组)和Biodex动静态平衡测试和训练系统组(研究组),每组均21例。训练前以及训练6周后对2组患者的动静态平衡功能进行评估,并进行Berg平衡量表的评估。结果::训练6周后,研究组的静态平衡功能评分均较治疗前显著改善(P<0.05),对照组的前后方向评分的改善并不显著(P>0.05)。治疗6周后,研究组的动态平衡整体、向前、向前左和向前右评分均显著优于治疗前以及对照组治疗后(P值均<0.05),但向左和向右评分的改善与对照组相比并不显著(P值均>0.05);对照组仅向左和向右评分较治疗前显著改善(P值均<0.05)。治疗后,研究组的Berg平衡量表评分显著优于治疗前和对照组治疗后(P值均<0.05)。结论::Biodex动静态平衡测试和训练系统提高帕金森病患者平衡功能训练效果的能力显著优于常规的平衡训练,其中向前、向左、向右、向前左和向前右这5个方向上平衡功能的改善尤为显著。Objective:To evaluate the effectiveness of Biodex dynamic and static balance testing and training system for balance recovery in patients with Parkinson's disease.Methods:Forty-two eligible patients with Parkinson's disease were randomly divided into general balance training group(control group,n = 21) and the Biodex dynamic and static balance testing and training group(study group,n = 21),and received the general balance training and Biodex dynamic and static balance training for 6 weeks,respectively.The dynamic and static balance function was evaluated before training and six weeks after training.The Berg Balance Scale was also used to examine the patients' balance function.Results:As compared with before training,the static balance score of the study group was obviously improved after training for 6 weeks(P<0.05);in the control group,the balance function score of forward and backward adjustment was not remarkably improved after training(P > 0.05).After training for 6 weeks,the balance function scores of overall,forward,front-left and front-right adjustments of the study group were significantly improved than those before training and those of the control group after training(all P<0.05),but the scores of left and right adjustments were not significantly improved as compared with those of the control group after training(both P > 0.05);in the control group,only the scores of left and right adjustments were significantly improved after training(both P<0.05).The Berg Balance Scale score of the study group was also obviously improved as compared with that before training and that of the control group after training(both P< 0.05).Conclusion:Biodex dynamic and static balance testing and training system is superior to the general balance training in improving the balance function of the patients with Parkinson's disease,especially in forward,left,right,front-left and front-right adjustments.

关 键 词：帕金森病 平衡 Biodex动静态平衡测试和训练系统 

分 类 号：R742.5[医药卫生—神经病学与精神病学]