Progressive resistance training improves gait initiation in individuals with Parkinson's disease
Progressive resistance training improves gait initiation in individuals with Parkinson's disease
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DOI：
10.1016/j.gaitpost.2011.12.022
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发表时间：
2012-04-01
期刊：
影响因子：
2.4
通讯作者：
Barthelemy, Ernest J.
中科院分区：
文献类型：
--
作者：
Hass, Chris J.;Buckley, Thomas A.;Barthelemy, Ernest J.
开始行走的能力受损是帕金森病患者姿势不稳和步态障碍的常见特征。虽然渐进式阻力训练（PRT）已被认为是改善帕金森病患者平衡和步态功能的有效方式，但随机试验数量有限，没有研究评估步态启动性能。因此，本研究的目的是检查PRT对帕金森病患者GI表现的潜在益处。18名特发性PD患者被随机分配到每周两次的PRT计划或非接触对照组，为期10周。在干预前后进行GI的生物力学分析。感兴趣的因变量包括位移的压力中心（COP）在预期姿势阶段的GI以及初始步长和速度。PRT组表现出COP的后移以及初始步长和速度的改善。对照组受试者的任何变量均无改善。这些结果表明，PRT可能是一种有效的非药物和非手术治疗，以改善胃肠道功能的PWP。(C)2012爱思唯尔有限公司版权所有。
An impaired ability to initiate walking is a common feature of postural instability and gait impairment in Parkinson's disease. While progressive resistance training (PRT) has been proposed to be an effective modality to improve balance and gait function in people with Parkinson's disease, there are a limited number of randomized trials and no studies have evaluated gait initiation performance. Thus, the. purpose of this study was to examine the potential benefits PRT on GI performance in people with Parkinson's disease. Eighteen individuals with idiopathic PD were randomly assigned to either a twice weekly PRT program or a non-contact control group for 10 weeks. Biomechanical analysis of GI was performed pre- and post-intervention. Dependent variables of interest included the displacement of the center-of-pressure (COP) during the anticipatory postural phase of GI as well as the initial stride length and velocity. The PRT group demonstrated improvements in the posterior displacement of the COP and the initial stride length and velocity. There were no improvements in any variables for the control subjects. These results suggest that PRT may be an effective non-pharmacological and nonsurgical treatment to improve GI performance in PWP. (C) 2012 Elsevier B.V. All rights reserved.