The effects of incremental speed-dependent treadmill training on postural instability and fear of failing in Parkinson's disease
The effects of incremental speed-dependent treadmill training on postural instability and fear of failing in Parkinson's disease
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DOI：
10.1177/0269215507077269
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发表时间：
2007-08-01
影响因子：
3
通讯作者：
Inan, Levent
中科院分区：
文献类型：
--
作者：
Cakit, Burcu Duyur;Saracoglu, Meryern;Inan, Levent
目的：检测增量速度依赖性跑步机训练对特发性帕金森病患者姿势不稳定、动态平衡和跌倒恐惧的有效性。设计：随机对照试验。地点：安卡拉教育研究医院，第二 PM&R 诊所，心肺康复科。受试者：54 名 Hoehn Yahr 分期 2 或 3 期特发性帕金森病患者，以及31 名患者（21 名训练患者，10 名对照患者）获得结果数据。 干预措施：使用统一帕金森病评定量表 (UPDRS) 的运动部分、伯格平衡测试、动态步态指数和跌倒功效量表评估帕金森病患者的姿势不稳定性。 21 名帕金森病患者参加了为期八周的锻炼计划，使用渐进式速度依赖性跑步机训练。训练计划前后，对帕金森病组的平衡感、步态、对跌倒的恐惧以及跑步机上的步行距离和速度进行评估。主要指标：跑步机上的步行距离和速度、UPDRS、伯格平衡测试、动态步态指数和跌倒功效量表。结果：训练组在跑步机上的初始总步行距离为266.45+/-82.14m，并逐渐增加到726.36+/-82.14m。 16 次训练后 93.1 m（P < 0.001）。训练组在跑步机上的耐受最大速度基线为 1.9 +/- 0.75 km/h，改善至 2.61 +/- 0.77 km/h (P < 0.001)。训练组的Berg平衡测试、动态步态指数和跌倒功效量表评分在训练计划结束后均显着提高（P < 0.01）。对照组的任何结果测量均无显着改善（P > 0.05）。结论：使用增量速度依赖性跑步机训练的特定运动计划可以改善帕金森病患者的活动能力，减少姿势不稳定性和对失败的恐惧。
Objective: To detect the effectiveness of incremental speed-dependent treadmill training on postural instability, dynamic balance and fear of falling in patients with idiopathic Parkinson's disease.Design: Randomized controlled trial.Setting: Ankara Education and Research Hospital, 2nd PM&R Clinic, Cardiopulmonary Rehabilitation Unit.Subjects: Fifty-four patients with idiopathic Parkinson's disease in stage 2 or 3 of the Hoehn Yahr staging entered, and 31 patients (21 training, 10 control) had outcome data.Interventions: Postural instability of patients with Parkinson's disease was assessed using the motor component of the Unified Parkinson's Disease Rating Scale (UPDRS), Berg Balance Test, Dynamic Gait Index and Falls Efficacy Scale. Twenty-one patients with Parkinson's disease participated in an eight-week exercise programme using incremental speed-dependent treadmill training. Before and after the training programme, balance, gait, fear of falling and walking distance and speed on treadmill were assessed in both Parkinson's disease groups.Main measures: Walking distance and speed on treadmill, UPDRS, Berg Balance Test, Dynamic Gait Index and Falls Efficacy Scale.Results: Initial total walking distance of the training group on treadmill was 266.45 +/- 82.14 m and this was progressively increased to 726.36 +/- 93.1 m after 16 training session (P < 0.001). Tolerated maximum speed of the training group on treadmill at baseline was 1.9 +/- 0.75 km/h and improved to 2.61 +/- 0.77 km/h (P < 0.001). Berg Balance Test, Dynamic Gait Index and Falls Efficacy Scale scores of the training group were improved significantly after the training programme (P < 0.01). There was no significant improvement in any of the outcome measurements in the control group (P > 0.05).Conclusions: Specific exercise programmes using incremental speed-dependent treadmill training may improve mobility, reduce postural instability and fear of failing in patients with Parkinson's disease.