| 摘要: |
| 目的探讨太极拳运动对轻中度帕金森病患者步态和姿势控制的影响。方法选择轻中度帕金森病患者80例，分为太极拳组和对照组。太极拳组42例，男24例，女18例；年龄62～83（65.25±6.37）岁。对照组38例，男20例，女18例，年龄60～79（67.78±5.36）岁。对太极拳组患者进行为期16周的太极拳训练，3次/周。分别于治疗前、后对两组患者进行UPDRSIII评分、步态分析和稳定极限测试，选取步幅、步速、步频、步幅变异度、压力中心移动面积、压力中心移动距离和压力中心偏移速度进行比较分析。结果太极拳组患者治疗后，步幅、步速均较治疗前增加，步幅变异度、UPDRSIII、压力中心移动面积、压力中心移动距离和压力中心移动速度均较治疗前明显减小，差异均有统计学意义（均P＜0.05），步频差异无统计学意义（P＞0.05）。对照组上述指标治疗前、后差异均无统计学意义（均P＞0.05）。结论太极拳训练可以有效改善轻中度帕金森病患者的异常步态和姿势控制，是值得推广的抗帕金森病运动训练方法。 |
| 关键词: 太极拳 帕金森病 步态 姿势控制 |
| DOI：10.12056/j.issn.1006-2785.2017.39.7.2016-1978 |
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| Tai Chi exercise improves gait performance and posture control in patients with mild/moderate Parkinson's disease |
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LI Lin, YU Lixiang, WANG Dandan, WAN Xiaoqing
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Zhejiang Hospital
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| Abstract: |
| Objective To investigate the effect of Tai Chi exercise on gait performance and posture control in persons with mild/moderate Parkinson's disease (PD). Methods Eighty patients with mild/moderate PD were randomly assigned to Tai Chi group or control group. Tai Chi exercise was performed for 16 weeks in Tai Chi group, while patients in control group kept their daily activities only. Results After 16 week-trial Parkinson's Disease Rating Scale Part III score in Tai Chi group was significantly improved, the stride length and gait velocity were increased; and the coefficient of variability of stride length, sway area, sway path and the center of pressure velocity was reduced significantly, while no significant changes were observed in cadence. There were no significant changes of above indicators in control group. Conclusion Tai Chi exercise can significantly improve gait performance and posture control in patients with mild/moderate Parkinson's disease. |
| Key words: Tai Chi Parkinson's disease Gait Motion function |
