Background

Turns are often cited as a difficult task for individuals with Parkinson's disease and often lead to falls, however targeted exercise interventions may help to reduce this problem. This study examined the effects of a 10-week home-based exercise program focusing on turns which may be an exercise approach for improving mobility and reducing falls in individuals with Parkinson's disease.

Methods

Turning and stepping characteristics were recorded using Inertial Measurement Units while participants performed a 180° standing turn. Eye movements were measured using a BlueGain electrooculography system. Clinical outcomes were assessed using the Movement Disorders Society-Unified Parkinson's Disease Rating Scale, Functional axial rotation-physical score and the Falls Efficacy Scale International.

Findings

Twenty individuals with Parkinson's disease were matched by severity using the Modified Hoehn and Yahr scale and were randomly allocated to an exercise (n = 10) or control group (n = 10). Significant improvements were seen after 10 weeks in the exercise group only for; onset latency of body segments, step size, number of fast phase eye movements, the Movement Disorders Society-Unified Parkinson's Disease Rating Scale in motor and rigidity scores, Functional axial rotation-physical score and the Falls Efficacy Scale International.

Interpretation

These results indicate that the home-based exercise programme targeting turning characteristics had positive effects on turning performance and clinical outcomes associated with falls in individuals with Parkinson's disease. These preliminary results support the notion that targeted home-based exercises may provide an effective intervention in this population.

中文翻译：

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有针对性的家庭锻炼计划能否改善帕金森病患者的转向特征？

背景

对于患有帕金森病的人来说，转弯通常被认为是一项艰巨的任务，并且经常导致跌倒，但是有针对性的运动干预可能有助于减少这个问题。这项研究检查了一项为期 10 周的家庭锻炼计划的效果，重点是转弯，这可能是一种锻炼方法，可以提高帕金森病患者的活动能力和减少跌倒。

方法

当参与者进行 180° 站立转弯时，使用惯性测量单元记录转弯和步进特性。使用 BlueGain 眼电图系统测量眼球运动。使用运动障碍协会-统一帕金森病评定量表、功能性轴向旋转-身体评分和国际跌倒疗效量表评估临床结果。

发现

使用改良的 Hoehn 和 Yahr 量表对 20 名帕金森病患者进行严重程度匹配，并随机分配到锻炼组 ( n  = 10) 或对照组 ( n  = 10)。仅在运动组 10 周后看到显着改善；身体节段的发病潜伏期、步长、快速阶段眼球运动的次数、运动障碍协会-统一帕金森病运动和僵硬评分量表、功能性轴向旋转-身体评分和国际瀑布疗效量表。

解释

这些结果表明，针对转向特征的家庭锻炼计划对帕金森病患者的转向表现和与跌倒相关的临床结果具有积极影响。这些初步结果支持这样一种观点，即有针对性的家庭锻炼可以为这一人群提供有效的干预。