摘要
目的探讨言语联合强化下肢训练对帕金森病患者构音与下肢运动功能及生活质量的影响。方法选择2017年5月-2019年10月上海市精神卫生中心精神科收治的帕金森病患者120例,随机分为训练组和常规组各60例,常规组予以常规治疗,训练组在常规组治疗基础上予以言语联合强化下肢训练,对比两组患者下肢肌肉力量、肌张力、步行平衡能力、构音障碍情况及生活质量。结果经治疗后,两组患者5次坐起试验指标、痉挛(Ashworth)评分、39项帕金森病调查表(PDQ39)评分均较前下降,且训练组低于常规组,两组6 m步速指标、功能性步态评价量表(FGA评分)、a级项数均较前上升,且训练组高于常规组,差异具有统计学意义(P<0.05)。结论言语联合强化下肢训练可改善帕金森病患者构音与下肢运动功能及生活质量。
Objective To explore the effect of speech and lower extremity training on articulation,lower extremity motor function and quality of life in patients with Parkinson′s disease.MethodsA total of 120 patients with Parkinson′s disease(PD)admitted to the Department of from May 2017 to October 2019 were randomly divided into training group(n=60)and routine group(n=60),the patients in the training group were given speech and intensive lower limb training on the basis of routine treatment.The motor function,muscle tension,walking balance,dysarthria and quality of life of the patients in the two groups were compared.ResultsAfter treatment,five sit-up test indexes,Ashworth score and PDQ39 score of the two groups were all lower than those before the training,and those in the training group were lower than those in the routine group.Six-meter walking speed index,FGA score and a-grade items of the two groups were all higher than those before the training,and those in the training group were higher than those in the routine group.The differences were statistically significant(P<0.05).ConclusionSpeech and lower extremity training can improve the articulation,lower extremity motor function and quality of life in patients with Parkinson′s disease.
作者
张乐萍
李倩倩
褚爱琼
ZHANG Leping;LI Qianqian;CHU Aiqiong(Department of Psychiatry, Shanghai Mental Health Center, Shanghai 201108, China)
出处
《新疆医科大学学报》
CAS
2020年第4期480-483,共4页
Journal of Xinjiang Medical University
基金
上海市卫生健康委科研项目(201640208)。
关键词
言语训练
强化下肢训练
帕金森病
生活质量
speech training
intensive lower extremity training
Parkinson′s disease
quality of life
