基于音乐节律性刺激疗法联合动静态平衡训练对帕金森病患者平衡及步行功能影响的临床观察

关键词：帕金森病  基于音乐节律性刺激疗法  动静态平衡仪训练  平衡功能  步行功能

Keywords:music-based rhythmic stimulation therapy  Parkinson's disease  dynamic and static balance training  balance function  walking function

摘要：

      摘要 目的：观察基于音乐节律性刺激疗法联合动静态平衡仪训练对帕金森病患者平衡功能及步行功能的影响。 方法：筛选2020年1月—2022年12月于我院治疗的符合纳入标准的66例帕金森病患者随机分为试验组（33例）和对照组（33例）。对照组接受常规的康复训练及动静态平衡仪训练，试验组在对照组的基础上给予基于音乐的节律性刺激治疗，共治疗8周。两组在治疗前、治疗8周后均进行Berg平衡量表（BBS）、计时起立-行走测试（TUGT）、改良Barthel指数（MBI）、帕金森病生活质量问卷（PDQ-39）评定及满意度调查，以组内和组间比较治疗前后平衡功能、步行功能及PDQ-39的变化，并对两组患者的康复训练满意度进行分析比较。 结果：与治疗前比较，经过8周治疗后试验组和对照组的BBS、TUGT、MBI、PDQ-39及满意度均有所改善（P＜0.05），而试验组的BBS、TUGT、MBI、PDQ-39及满意度均显著优于对照组（P＜0.05）。 结论：基于音乐节律性刺激疗法联合动静态平衡训练能够提高帕金森病患者的平衡功能及步行功能，具有一定的临床推广价值。

Abstract:

      Abstract Objective：To observe the effect of music-based rhythmic stimulation therapy combined with dynamic and static balance training on balance function and walking function in patients with Parkinson's disease. Method：eSixty-six patients with Parkinson's disease who met the inclusion criteria were randomly divided into trial group （n=33） and control group （n=33） from January 2020 to December 2022 in our hospital. Both groups received routine rehabilitation training and dynamic and static balance training， while the trial group received music-based rhythmic stimulation therapy on the basis of the control group. The course of intervention was 8 weeks. Before and after 8 weeks treatment， the two groups were assessed with Berg Balance Scale （BBS）， Timed "Up and Go" Test （TUGT）， Modified Barthel Index （MBI）， Parkinson's disease quality of life questionnaire（PDQ-39） and degree of rehabilitation training satisfaction. The balance function， walking function and PDQ-39 were compared within and between the two groups， and the degree of rehabilitation training satisfaction was also analyzed and compared between the two groups. Result：The scores of BBS， TUGT， MBI and PDQ-39 improved in trial group and control group after 8 weeks training（P<0.05）. The BBS， TUGT， MBI， PDQ-39 and degree of rehabilitation training satisfaction in the trail group were significantly better than those in the control group （P<0.05）. Conclusion：Music-based rhythmic stimulation therapy combined with dynamic and static balance training can improve the balance function and walking function of patients with Parkinson's disease， which has a certain clinical value.