双任务训练对帕金森病患者步态变化的影响:一项随机对照试验
Jun-Hong Zhou1, Ray-Yau Wang1, Yo-Tsen Liu2
1Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taiwan.
Journal of science and medicine in sport
|July 3, 2025
概括
双重任务训练显著改善了帕金森病患者的步行稳定性,减少了步骤长度的变化,提高了支时间. 这些好处在受影响较大的一方最为明显.
科学领域:
- 神经学 神经学
- 康复科学 康复科学 康复科学
- 运动障碍 运动障碍
背景情况:
- 帕金森病 (PD) 是一种神经退行性疾病,影响运动控制,导致步态障碍.
- 步态变化是PD中运动控制缺陷的关键指标.
- 双任务训练是一种潜在的干预措施,可以改善PD的步态.
研究的目的:
- 研究双重任务训练对帕金森病患者步态变化的影响.
- 将双重任务训练与传统跑步机训练进行比较.
主要方法:
- 一个单盲,随机对照试验,涉及28名患有特异性帕金森病的人.
- 参与者被分配到双重任务训练或跑步机训练中,共进行16次8周的训练.
- 主要结局包括两个下肢的时空步态变化,在基线和干预后测量.
主要成果:
- 双任务训练导致了认知和运动双任务行走期间步骤长度变化的显著改善.
- 在双任务和单步行条件下,在步骤长度,单支时间和双支时间方面观察到改善.
- 实验组显示出增强的步行稳定性,特别是在受影响较大的侧面.
结论:
- 双重任务训练比单独跑步机训练更有效,可以提高帕金森病患者的步行稳定性.
- 改进包括减少步骤长度变化和在双重任务行走时优化支时间.
- 益处在空间步行参数和受影响较多的肢体中最为显著.
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