Effect of improvement of body-weight supported treadmill training on posture and balance of elderly patients with Parkinson's disease

doi:10.3877/cma.j.issn.2095-8757.2019.04.007

Abstract

Abstract:

Objective

To explore the effect of body weight supported treadmill training (BWSTT) on posture and balance of patients with Parkinson's disease.

Methods

74 patients with Parkinson's disease admitted in Zhejiang Hospital from January 2018 to June 2019 were selected. They were divided into 2 groups. The control group (38 cases) was treated with conventional drugs combined with conventional physical therapy (CPT). The observation group (36 cases) was involved with BWSTT on the basis of the treatment of control group. Unified rating scale for Parkinson's disease (UPDRS)Ⅲwas used to assess abnormal gait and posture, berg balance scale (BBS) was used to assess balanced capacity, functional independence measure (FIM) was used to assess athletic ability. Scores of UPDRSⅢ, BBS and FIM were compared before and after treatment.Ttest was used for comparison between groups and within groups.

Results

The scores of UPDRSⅢ, BBS, and FIM of the two groups after treatment were both significantly higher compared with those before treatment (t=2.815, 3.016, 4.281, 2.035, 2.049, 2.234, allP < 0.05). There were no significant differences in scores of UPDRSⅢ, BBS, and FIM between control group and observation group before treatment (t=0.975, 0.784, 0.539, allP> 0.05). After treatment, the scores of UPDRSⅢ, BBS, and FIM of observation group were significantly highe than those in the control group (t=2.346, 2.035, 3.014, allP < 0.05).

Conclusion

BWSTT can effectively improve the posture and balance capacity of patients with Parkinson's disease.

Key words: Body-weight supported treadmill training, Parkinson's disease, Posture, Balance

Lijuan Zhang. Effect of improvement of body-weight supported treadmill training on posture and balance of elderly patients with Parkinson's disease[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2019, 06(04): 31-34.

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References 14

[1]	段盼，罗华.高同型半胱氨酸与帕金森认知功能障碍的关系及机制[J].实用心脑肺血管病杂志，2013，21(4)：167-169.
[2]	Klamroth S, Steib S, Devan S, Pfeifer K. Effects of exercise therapy on postural instability in Parkinson disease: a metaanalysis[J]. J Neurol Phys Ther, 2016, 40(1):3-14.
[3]	Ronald B, Postuma, et al. MDS clinical diagnostic criteria for Parkinson'S disease[J].Mov Disord, 2015, 30(12):1591-601.
[4]	张通，李延峰，王鲁宁等.帕金森康复中国专家共识[J].中国康复理疗与实践，2018，24(7)：745-752.
[5]	Domingos J, Keus SHJ, Dean J, et al. The European physiotherapy guideline for Parkinson's disease: implications for neurologists[J]. J Parkinsons Dis, 2018, 8(4):499-502.
[6]	Morawietz C, Moffat F. Effects of locomotor training after incomplete spinal cord injury: a systematic review[J]. Arch Phys Med Rehabil, 2013, 94(11):2297-308.
[7]	Ganesan M, Sathyaprabha TN, Gupta A, et al. Effect of partial weight-supported treadmill gait training on balance in patients with Parkinson disease[J]. PMR, 2014, 6(1):22-33.
[8]	Miyai I, Fujimoto Y, Ueda Y, et al. Treadmill training with body weight support: its effect on Parkinson's disease[J]. Arch Phys Med Rehabil, 2000, 81(7):849-852.
[9]	Toole T, Maitland CG, Warren E, et al. The effects of loading and unloading treadmill walking on balance, gait, fall risk, and daily function in Parkinsonism[J]. Neuro Rehabilitation, 2005, 20(4):307-22.
[10]	Platz T, Brown RG, Marsden CD. Training improves the speed of aimed movements 353 in Parkinson's disease[J]. Brain, 1998, 121(3):505-514.
[11]	Ditor DS, Macdonald MJ, Kamath MV, et al. The effects of body-weight supported treadmill training on cardiovascular regulation in individuals with motor-complete SCI[J]. Spinal Cord, 2005, 43(11):664-673.
[12]	Toole T, Hirsch MA, Forkink A, et al. The effects of a balance and strength training program on equilibrium in Parkinsonism: A preliminary study[J]. Neuro Rehabilitation, 2000, 14(3):165-174.
[13]	Mehrholz J, Thomas S, Elsner B. Treadmill training and body weight support for walking after stroke[J]. Cochrane Database Syst Rev, 2017, 8:CD002840.
[14]	Atan T,Özyemişci TaşkıranÖ, et al. Effects of different percentages of body weight-supported treadmill training in Parkinson's disease: a double-blind randomized controlled trial[J].Turkish J Med Sic, 2019, 49(4):999-1007.

组别	例数	性别（男/女，例）	年龄（岁）	病程（年）	MMSE评分
对照组	38	12/7	68.2±5.3	4.34±0.66	25.26±2.84
观察组	36	10/7	67.5±5.5	5.09±0.57	26.54±3.45
检验值	?	χ²=0.076	t=0.657	t=0.815	t=0.438
P值	?	>0.05	>0.05	>0.05	>0.05

组别	例数	性别（男/女，例）	年龄（岁）	病程（年）	MMSE评分
对照组	38	12/7	68.2±5.3	4.34±0.66	25.26±2.84
观察组	36	10/7	67.5±5.5	5.09±0.57	26.54±3.45
检验值	?	χ²=0.076	t=0.657	t=0.815	t=0.438
P值	?	>0.05	>0.05	>0.05	>0.05

组别	例数	UPDRSⅢ评分		BBS评分		FIM评分
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
观察组	38	8.76±1.55	12.63±1.78	37.57±4.14	43.08±3.58	62.35±5.24	80.86±5.13
对照组	36	8.64±1.27	10.75±1.52	36.56±3.12	41.04±4.25	64.38±4.65	76.40±5.40
t值	?	0.975	2.346	0.784	2.035	0.539	3.014
P值	?	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05

组别	例数	UPDRSⅢ评分		BBS评分		FIM评分
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
观察组	38	8.76±1.55	12.63±1.78	37.57±4.14	43.08±3.58	62.35±5.24	80.86±5.13
对照组	36	8.64±1.27	10.75±1.52	36.56±3.12	41.04±4.25	64.38±4.65	76.40±5.40
t值	?	0.975	2.346	0.784	2.035	0.539	3.014
P值	?	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05

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