太极拳训练对帕金森患者心理健康及平衡能力的影响

目的 探讨帕金森患者应用太极拳训练的干预效果。方法 选择2019年12月至2021年10月就诊于江西中医药大学附属医院的84例帕金森患者为研究对象，采用随机数字表法将其分为两组，每组各42例。对照组予以常规康复训练，观察组加用太极拳训练，均连续干预12周。采用症状自评量表、Berg平衡量表及跌倒效能量表评估两组患者的心理健康、平衡能力及跌倒效能，并采用步态分析仪进行步态分析。结果 干预12周后，两组患者的症状自评量表各因子评分及步频均低于干预前，且观察组低于对照组，差异均有统计学意义（P<0.05）；两组患者的Berg平衡量表、跌倒效能量表评分及步长、步速均高于干预前，且观察组高于对照组，差异均有统计学意义（P<0.05）。结论 太极拳训练有助于提高帕金森患者的心理健康水平及自信程度，有利于改善患者的步态和平衡力，降低跌倒风险。

Effects of Taijiquan training on mental health and balance ability of Parkinson's patients

Objective To explore the intervention effect of Tai Chi training in Parkinson''s patients. Methods A total of 84 PD patients admitted to our hospital from December 2019 to October 2021 were selected and divided into two groups by random number table method, with 42 cases in each group. The control group was given routine rehabilitation training, and the observation group was given Taijiquan training for 12 consecutive weeks. Mental health Self-Rating Symptom Scale (SCL-90)], balance ability Berg Balance Scale (BBS)], fall performance Fall Effectiveness Scale (MFES)], and gait were assessed in both groups. Results The scores of SCL-90 factors and stride frequency in the observation group were lower than those in the control group, while the BBS and MFES scores, stride length and stride speed were higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Taijiquan training can help improve the balance ability and fall self-efficacy of PD patients, improve the patient''s gait, and relieve the patient''s fear of falling.