体感游戏对帕金森病患者认知、步态的影响

目的 研究体感游戏对帕金森病（Parkinson's disease, PD）患者认知、步态的影响。方法 2018年6月至2020年1月，35例PD患者随机分成对照组（n=17）和实验组（n=18），其中5例脱落，两组各剩15例。对照组接受传统的步态训练4周，实验组在接受传统的步态训练基础上的增加游戏训练4周，治疗前、后采用帕金森综合评分量表第三部分(Unified Parkinson's Disease Rating Scale Ⅲ, UPDRS Ⅲ）、Berg平衡量表（Berg Balance Scale, BBS）、蒙特利尔认知评估（Montreal Cognitive Assessment, MoCA）、双负荷计时“起立-行走”测试(double test the time up and go, TUGTDT)，10米步行测试对PD患者进行评分。30例患者完成了干预其中对照组15例，实验组15例。结果 实验组及对照组UPDRS Ⅲ、BBS、TUGTDT测试治疗后均较治疗前改善(P<0.05)，实验组优于对照组(P<0.05)；实验组10米步行测试、MoCA评分治疗后较治疗前改善(P<0.05)。结论 传统步态训练结合游戏较单纯传统步态训练更能改善帕金森患者的步态、平衡及认知。

Effect of somatosensory games on cognition and gait of patients with Parkinson's disease

Objective To investigate the effect of somatosensory games on the cognition and gait of patients with Parkinson's disease (PD). Methods From June 2018 to January 2020, 35 PD patients were randomly divided into control group (n=17) and experimental group (n=18), among which 5 cases fell out, leaving 15 patients in each of two groups. Control group received four weeks of traditional gait training, while experimental group received four weeks of additional game training on the basis of traditional gait training. Before and after treatment, Unified Parkinson's Disease Rating Scale Ⅲ (UPDRS Ⅲ), Berg Balance Scale (BBS), Montreal Cognitive Assessment MoCA, double test the time up and go TUGTDT, and 10 meter walking test were used to score PD patients. The intervention was completed in 30 patients, including 15 in control group and 15 in experimental group. Results The UPDRS Ⅲ, BBS and TUGTDT scores of experimental group and control group were improved after treatment compared with before treatment(P<0.05), and experimental group was better than control group (P<0.05); In experimental group, 10 meter walking test and MoCA score improved after treatment compared with before treatment (P<0.05). Conclusion Traditional gait training combined with games can improve the gait, balance and cognition of PD patients more than traditional gait training alone.