PD-WEBB训练对帕金森病平衡障碍和跌倒的影响

目的：评价PD-WEBB训练对帕金森病（Parkinson’s disease，PD）患者平衡障碍和跌倒的影响。方法：采用随机、单盲、对照设计分析PD-WEBB训练8周前后PD-WEBB组与对照组PD患者跌倒功效量表（falls effcacy scale，FES）评分、帕金森病综合评分量表（UPDRS）评分和Mini-Balance Evaluation Systems Test （Mini-BESTest）评分的变化。结果：8周后PD-WEBB组FES评分、UPDRS-2评分、UPDRS-3评分和Mini-BESTest评分较对照组有明显变化（P〈0.05），而两组间UPDRS-1评分变化不明显。结论：PD-WEBB训练可以明显改善PD患者的平衡障碍，提高患者日常生活质量，预防跌倒。PD-WEBB训练适合中国PD患者，是一种合理有效的可持续的家庭训练模式。

Effect of PD-WEBB training on balance impairment and falls in people with Parkinson’s disease

Objective：To determine the effect of Parkinson’s disease-weight bearing exercise for better balance （PD-WEBB） exercise on balance impairment and falls in people with Parkinson＇s disease （PD）.Methods：A single-blind, randomized controlled clinical trial was conducted. The falls efficacy scale score, unified Parkinson disease rating scale （UPDRS） score and Mini-BESTest score were measured and compared between a PD-WEBB group and a control group. Results：hTe falls effcacy scale score, UPDRS-2 score, UPDRS-3 score and Mini-BESTest score were improved in the PD-WEBB group compared with the control group （P Conclusion：PD-WEBB training can significantly improve the balance impairment and quality of life to prevent falls. PD-WEBB training is suitable for PD patients in China, and is a reasonable, effective and sustainable training of family and community assessment model.