Hye-Jung Choi, Carol Ewing Garber, Tae-Won Jun, Young-Soo Jin, Sun-Ju Chung, Hyun-Joo Kang
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引用次数: 48
摘要
目标。该研究的目的是调查为期12周的太极治疗计划对特发性帕金森病患者(pd)运动功能和身体功能的影响。方法。研究对象为22名临床稳定的Hoehn-Yahr 1-2期pd患者,随机分为太极治疗组(TTC, N = 11)和对照组(CON, N = 9)。对照组中有2名受试者因个人原因未完成研究。TTC每周进行3天(每次60分钟)。通过UPDRS评估运动症状,并在12周试验前后进行身体功能测试。结果。与CON组相比,TTC组在UPDRS的心理状态、行为、情绪和运动量表上均有改变(P < 0.05, P < 0.01,均有差异),但对日常生活活动量表(ADL)无显著主影响。而时间与干预组在ADL上存在显著交互作用(P < 0.05)。对任何生理功能变量都没有显著的主要影响。在平衡和敏捷性方面存在显著的交互作用效应(P < 0.05)。结论。本研究表明TTC训练对帕金森病患者的功能状态有适度的积极影响。
Therapeutic effects of tai chi in patients with Parkinson's disease.
Objective. The purpose of the study was to investigate the effects of a 12-week program of therapeutic Tai Chi on the motor function and physical function of idiopathic Parkinson's disease patients (PDs). Methods. The participants were 22 clinically stable PDs in Hoehn-Yahr stages 1-2 randomly assigned to a therapeutic Tai Chi group (TTC, N = 11) or a control group (CON, N = 9). Two subjects in control group did not complete the study for personal reasons. TTC was performed three days a week (60 min/session). Motor symptoms by the UPDRS were assessed, and tests of physical function were administered before and after the 12-week trial. Results. The TTC group, as compared to the CON group, showed changes in the mentation, behavior, mood, and motor scales of the UPDRS (P < 0.05, P < 0.01, resp.), with no significant main effects on the activities of daily living scale (ADL). However, there was a significant interaction between the time and intervention group on ADL (P < 0.05). There were no significant main effects for any of the physical function variables. There were significant interaction effects in balance and agility (P < 0.05, resp.). Conclusions. This study showed that TTC training had modest positive effects on the functional status of Parkinson's disease patients.