Feasibility of 2 Different Water-Based Exercise Training Programs in Patients With Parkinson's Disease: A Pilot Study
Feasibility of 2 Different Water-Based Exercise Training Programs in Patients With Parkinson's Disease: A Pilot Study
复制标题
DOI：
10.1016/j.apmr.2012.03.029
复制
发表时间：
2012-10-01
影响因子：
4.3
通讯作者：
Cancela, Jose
中科院分区：
文献类型：
--
作者：
Ayan, Carlos;Cancela, Jose
目的：比较2种不同的水基运动训练方案对轻中度帕金森病（PD）患者的功能活动度、运动症状和生活质量（QOL）的影响。设计：配对、对照、先导性研究。地点：帕金森病门诊中心。参与者：21例PD患者。（Hoehn和Yahr分级范围，1-3）。干预：参与者被分配到低强度水中锻炼计划（组1）或肌肉阻力水中锻炼干预（组2）。小组会议举行了12周，每周两次，每次60分钟。主要结果measurements：功能的流动性进行了测量，通过五次坐站试验，而运动的统一帕金森氏病评定量表的一部分被用来评估运动障碍。患者的生活质量通过39项帕金森病Questionnaire.Results评定：一旦干预结束，参与者的生活质量显著改善，无论进行的程序（P=.02组1; P=.005组2）。只有第2组的参与者在功能移动性（P=.001）和帕金森运动症状（P=.012）方面表现出显着变化。结论：水上运动训练计划是PD的一种有用的治疗方法。这类肌肉阻力项目似乎在改善PD患者的功能活动性、运动症状和生活质量方面具有价值。这里详细介绍的一些方法学方面可以用于设计更大的对照试验。
Objective: To compare the effects of 2 different water-based exercise training programs on functional mobility, motor symptoms, and quality of life (QOL) on patients with mild to moderate Parkinson's disease (PD).Design: Matched, controlled, pilot study.Setting: Outpatient Parkinson's disease center.Participants: Patients (N = 21) with PD (Hoehn and Yahr stage range, 1-3).Interventions: Participants were assigned to a low-intensity water exercise program (group 1) or a muscular resistance water exercise intervention (group 2). Group sessions were held for 12 weeks, twice a week for 60 minutes per session.Main Outcome Measures: Functional mobility was measured by means of the Five Times Sit-to-Stand Test, while the motor part of the Unified Parkinson's Disease Rating Scale was used to assess motor impairment. Patients' QOL was rated by means of the 39-item Parkinson's Disease Questionnaire.Results: Once the intervention ended, the participants' QOL improved significantly, regardless of the program undertaken (P=.02 for group 1; P=.005 for group 2). Only participants in group 2 showed a significant change in functional mobility (P=.001) and Parkinsonian motor symptoms (P=.012).Conclusions: Water-based exercise training programs are a helpful therapy in PD. Muscular resistance programs of this kind seem to be of value in improving functional mobility, motor symptoms, and QOL in patients with PD. Some of the methodologic aspects detailed here can be used to design larger controlled trials.