| 林玲,姜爱华.双重任务训练对帕金森病轻度认知障碍患者的临床疗效分析[J].中国康复,2022,37(3):162-165 |
| 双重任务训练对帕金森病轻度认知障碍患者的临床疗效分析 |
| Clinical efficacy of dual task training in patients with mild cognitive impairment in Parkinson’s disease |
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| DOI： |
| 中文关键词: 双重任务训练 帕金森病 轻度认知障碍 跌倒 |
| 英文关键词: dual task training Parkinson’s disease mild cognitive impairment falls |
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| 中文摘要: |
| 目的：观察双重任务训练对于帕金森病轻度认知障碍（PD-MCI）患者的临床疗效。方法：选取符合标准的PD-MCI患者40例，随机分为对照组20例和研究组20例。2组患者均给予健康宣教，对照组在健康宣教基础上增加运动训练，研究组在健康宣教基础上增加双重任务训练（即运动训练同时执行认知任务）。在训练前和训练12周后，采用蒙特利尔认知评估量表（MoCA）、修订版跌倒效能量表（MFES）、单任务和双任务下TUG测试以评估PD-MCI患者认知功能、步行功能和跌倒效能。结果：训练12周后，研究组MoCA评分较训练前升高（P<0.05），2组MFES评分较训练前均显著升高（P<0.05），且研究组MoCA评分和MFES评分均显著高于对照组（P<0.05）。训练12周后，2组单任务及双任务TUG较训练前均显著降低（P<0.05），且研究组单任务及双任务TUG均低于对照组（P<0.05）。结论：双重任务训练能够改善早期PD-MCI患者认知功能，提高步行功能和平衡能力，增强患者活动时不发生跌倒的自信程度，从而降低其跌倒风险程度。 |
| 英文摘要: |
| Objective: To investigate the clinical efficacy of dual task training in patients with mild cognitive impairment in Parkinson’s disease (PD-MCI). Method: A total of 40 cases of PD-MCI were selected and randomly divided into two groups: the control group (20 cases) and the experimental group (20 cases). Both groups received health education. The control group was given exercise training, and the treatment group received dual task training, additionally. Montreal Cognitive Assessment (MoCA), modified falls efficacy scale (MFES) and timed up and go test (TUG) under single task and dual task were applied to evaluate the cognitive function, walking function and falls efficacy with PD-MCI before treatment and 12 weeks after treatment. Results: After 12 weeks of treatment, the MoCA scores in the control group were not statistically different from those before training (P>0.05), and those in the experimental group were significantly higher than those before training (P<0.05). After treatment, the MFES scores in the two groups were significantly higher than those before training (P<0.05), and the MoCA score and MFES score in the experimental group were significantly higher than those in the control group (P<0.05). After 12 weeks of treatment, the single-task and dual-task TUG score in the two groups was significantly lower than that before training (P<0.05), and the single-task and dual-task TUG score in the experimental group were significantly lower than that in the control group (P<0.05). Conclusion: Dual task training can improve the cognitive function of early PD-MCI, improve walking function and balance ability, and enhance the patient’s confidence that they will not fall during activities, thereby reducing their risk of falling. |
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