特定任务训练对帕金森病患者日常生活活动和功能平衡的影响:试点研究

Parthiban K, Prathap Suganthirababu, Vignesh Srinivasan, Priyadharshini kumar, Dhanusia S, Kumaresan. A, Surya Vishnuram
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摘要

背景:帕金森病(PD)患者对跌倒的恐惧、日常活动的独立性和功能性平衡相互关联。这些障碍会严重限制患者的功能并导致残疾,使跌倒风险增加 46%。目的:本研究的主要目的是探讨特定任务训练对被诊断为帕金森病患者的功能平衡和日常生活活动(ADL)的影响:10 名特发性帕金森氏症患者,根据霍恩和雅尔(H&Y)量表,他们的病情从 I 期到 III 期不等。参与者每周接受三天特定任务训练,隔天进行,为期八周。统一帕金森病评定量表(UPDRS)第二部分、伯格平衡量表(BBS)和特定活动平衡信心(ABC)量表作为结果测量指标。使用西格玛图软件对数据进行制表和分析:结果显示,8周后,BBS的功能平衡从(45.60±2.36)分提高到(50.40±1.95)分,UPDRS第二部分的ADL从(22.50±1.95)分提高到(16.70±1.63)分,ABC量表的平衡信心从(68.12±2.20)分提高到(78.24±2.61)分,P值小于0.01:本研究得出结论:任务特定训练可明显改善帕金森病患者的功能平衡、日常生活自理能力和减少跌倒恐惧。
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Effect of Task Specific Training on Activities of Daily Living and Functional Balance Among Parkinson’s Disease Patients: A Pilot Study
Background: In Parkinson’s disease (PD) patients fear of falling, independence in day-to-day activities, andfunctional balance are interconnected. These impairments can significantly limit functionality and lead to disability,increasing the risk of falling by 46%. Falls can result in severe injuries and reduced quality of life.Purpose: The main purpose of this study was to examine the effects of task-specific training on the functionalbalance and Activities of Daily Living (ADL) in individuals diagnosed with PD.Materials and Method: 10 patients of the both genders who had idiopathic PD ranged from Stage I to III on theHoehn & Yahr (H&Y) scale. Participants received task specific training for three days a week on alternate days for8 weeks. The Unified Parkinson’s Disease Rating Scale (UPDRS) parts II, Berg Balance Scale (BBS), and ActivitiesspecificBalance Confidence (ABC) Scale were used as outcome measures. The data was tabulated and analysedusing sigma plot software.Results: The results showed significant improvement in functional balance on BBS from 45.60±2.36 to 50.40±1.95,ADL on UPDRS part II from 22.50±1.95 to 16.70±1.63, balance confident on ABC scale from 68.12±2.20 to 78.24±2.61at the end of 8 weeks, with a p-value of < 0.01.Conclusion: The study concludes that the task specific training significantly improves functional balance,independence in ADL and reduces fear of fall among PD patients.
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