前庭平衡训练对帕金森病患者体位控制及跌倒风险的影响

IF 1.7 Q4 NEUROSCIENCES
Neurology Research International Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI:10.1155/nri/6846267
Mohamed Khallaf, Hatem Jaber, Mansoor Alameri, Dina Magdy, Hend Kamal, Mohamed Hassanin, Mohamed Mousa, Eman Fayed
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引用次数: 0

摘要

背景:帕金森病是一种神经退行性疾病,通过损害前庭信号处理来影响平衡并增加跌倒的风险。目的:本研究旨在评估前庭平衡训练对PD中期患者姿势控制和跌倒风险的影响。方法:将40例中期PD患者分为前庭平衡训练组(研究组)和传统平衡训练组(对照组)。结果测量包括功能步态评估(FGA)和使用Biodex平衡系统改进的感觉相互作用平衡临床测试(mCTSIB)在治疗前,治疗后立即和治疗后4周进行测量。结果:所有结果测量值均存在显著的组间时间相互作用(p < 0.001)。结果显示,两组在所有时间点的FGA和mCTSIB评分与基线相比差异均显著(p < 0.001)。研究组在FGA评分上表现出显著的持续改善,而对照组在第8周有显著的改善,但没有持续到第12周。在mCTSIB中,研究组在所有测试条件下均有显著改善(p < 0.001),而对照组仅在条件1和条件2中有显著改善,在第12周无持续效果(p < 0.05)。结论:研究结果表明,在PD中期实施前庭平衡训练可能对姿势控制和跌倒风险都有显著而持久的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Vestibular-Oriented Balance Training on Postural Control and Risk of Fall in Patients With Parkinson's Disease.

Background: Parkinson's disease is a neurodegenerative disorder that affects balance and increases the risk of falling by compromising vestibular signal processing. Objectives: This study aims to assess the impact of vestibular-oriented balance training on postural control and fall risk among people in the middle stages of PD. Methods: Forty middle-stage individuals with PD were assigned to the vestibular-oriented balance training (study group) or the traditional balance training (control group). Outcome measures including Functional Gait Assessment (FGA) and modified Clinical Test of Sensory Interaction on Balance (mCTSIB) using the Biodex Balance System were measured before, immediately after and 4 weeks after treatment. Results: There was a significant group interaction by time for all outcome measures (p < 0.001). The results showed that the difference in the FGA and mCTSIB scores from baseline was significant between the two groups at all time points (p < 0.001). The study group showed significant sustained improvements in the FGA score overtime, while the control group had a significant improvement at Week 8 but that did not last to Week 12. In mCTSIB, the study group improved significantly in all test conditions (p < 0.001), while the control group showed significant improvement only in Conditions 1 and 2, without lasting effects at Week 12 (p > 0.05). Conclusions: The findings indicate that the implementation of vestibular-oriented balance training during the middle stage of PD might have a notable and lasting impact on both postural control and the risk of falls.

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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
10
审稿时长
17 weeks
期刊介绍: Neurology Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies focusing on diseases of the nervous system, as well as normal neurological functioning. The journal will consider basic, translational, and clinical research, including animal models and clinical trials.
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