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帕金森病患者跌倒干预效果的系统评价
陶萍1,邵雪荣1,张煜2,黄东雅3,韩甲4,5*
0
(1. 上海体育大学运动健康学院, 上海 200438;
2. 上海交通大学医学院附属新华医院神经内科, 上海 200092;
3. 同济大学附属东方医院神经内科, 上海 200120;
4. 上海健康医学院康复学院, 上海 201318;
5. 同济大学医学院, 上海 200092
*通信作者)
摘要:
运动干预是预防帕金森病患者跌倒的有效手段,但是目前运动干预方式较多,干预强度和干预频率不一致,不同干预方式的疗效也存在争议。本文通过全面复习文献和系统分析,比较不同运动干预方式对帕金森病患者跌倒干预的效果,发现太极对减少轻中度帕金森病患者跌倒最有效,其次是平衡训练,渐进抗阻力量训练的疗效则相对较弱。认知步态双任务训练作为一种新兴的干预手段具有一定优势,值得继续深入研究。
关键词:  帕金森病  跌倒  运动干预  太极  平衡训练  双任务训练
DOI:10.16781/j.CN31-2187/R.20210957
投稿时间:2021-09-22修订日期:2022-03-07
基金项目:教育部人文社会科学一般项目(18YJA890006),上海市科学技术委员会“科技创新行动计划”优秀学术带头人(青年)项目(20XD1423200),上海市体育局体育科技项目(21Q006).
Effect of fall intervention in patients with Parkinson's disease: a systematic review
TAO Ping1,SHAO Xuerong1,ZHANG Yu2,HUANG Dongya3,HAN Jia4,5*
(1. School of Exercise and Health, Shanghai University of Sport, Shanghai 200438, China;
2. Department of Neurology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China;
3. Department of Neurology, Dongfang Hospital Affiliated to Tongji University, Shanghai 200120, China;
4. College of Rehabilitation Sciences, Shanghai University of Medicine & Health Sciences, Shanghai 201318, China;
5. School of Medicine, Tongji University, Shanghai 200092, China
*Corresponding author)
Abstract:
Exercise intervention is effective in preventing falls in patients with Parkinson's disease. However, there are different types of exercise intervention with inconsistencies in the intensity and frequency, and controversy over the efficacy. Through a comprehensive review of literatures and systematic analysis, this paper compared the effects of different exercise intervention methods on preventing falls in patients with Parkinson's disease. It was found that Tai Ji was the most effective method in reducing falls in patients with mild to moderate Parkinson's disease, followed by balance training, while progressive resistance strength training was less effective. As a new intervention method, cognitive gait dual task training has certain advantages and is worthy of further studies.
Key words:  Parkinson's disease  fall  exercise intervention  Tai Ji  balance training  dual task training