| Objective: To investigate the effects of rehabilitation training on gait disorders and pain in Parkinson's disease, as well as to explore the correlation between gait improvement and pain. Methods: Fifty-five patients with Parkinson's disease were randomly divided into experimental group (27 cases) and control group (28 cases). Both groups were treated with routine medication, and the experimental group received rehabilitation training including bedside rehabilitation training such as Bobath and indoor rehabilitation training such as gait training following audio visual stimulation. UPDRS III score, Berg balance scale (BBS), gait analysis and visual analogue scale (VAS) were assessed before and after treatment. Results: After training, the UPDRSIII score, BBS score, VAS scores and walking speed, step length, hip flexion angle were significantly improved in the experimental group (P<0.05). When compared with the control group, the experimental group performed better in the walking speed, hip flexion angle and double support phase, BBS and VAS (P<0.05). Furthermore, the maximum flexion angle of hip joint was related to VAS pain score and balance ability (r=-0.61, 0.53, P<0.01) and there was a correlation between walking pace and VAS pain score, balance ability (r=-0.48, 0.69; P<0.05, P<0.01), and a correlation between double support phase and balance ability (r=-0.71, P<0.01). However, there was no correlation between the dual support phase and the VAS pain score (r=0.37, P>0.05). Conclusion: Effective rehabilitation training can alleviate pain, and improve the postural and gait abnormalities in Parkinson's disease. At the same time, there is a certain correlation between gait improvement and pain relief. |
