改良强制性运动对老年帕金森病患者运动功能的影响

目的探讨改良强制性运动对于老年帕金森病患者运动功能的影响。方法将39例原发性帕金森病老年患者随机分为治疗组（20例）和对照组（19例），均按常规神经内科治疗，并接受试验前、后两次康复讲座和咨询，治疗组进行8W的改良强制性运动训练。试验前后对两组患者进行简易上肢机能检查和Berg平衡量表评价。结果两组患者简易上肢机能检查评分均有改善，治疗组评分提高（20．7±15．17），对照组评分提高（6．69±9．99），差异有统计学意义沪〈0．01）。Berg平衡量表评分两组均有改善，治疗组评分提高（5．7±4．5）分，对照组提高（2．1±2．5）分，差异有统计学意义（P〈0．05）。结论改良强制性运动对帕金森病患者上肢运动功能和下肢平衡协调能力提高有较好的疗效。

Effect of modified constraint-induced movement therapy on movement function for Parkinson's disease

Objective To explore the effect of modified constraint-induced movement therapy on motor function for Parkinson＇ s disease. Methods 39 elderly patients with primary Parkinson＇s disease in Yahr Stage II-III were randomly di- vided into the treatment group （n=20） and the control group （n= 19 ） and studied by Using a single-blind, controlled clinical trial. Both two groups were treated with the same medication and two health education, meanwhile the patients in the treatment group were received modified constraint-induced movement therapy for 8 weeks. The two groups were assessed with simple test for evaluating hand function （STEF） and Berg Balance Scale （BBS）. The effectiveness was compared between the two groups. Results After treatment for 8 weeks, the upper limb＇ s motor function, Balance and coordination were significantly improved in the treatment group as compared with the control group （P〈0.05）. Conclusion The modified constraint-induced movement therapy can improve motor function of the patients with primary Parkinson＇s disease.