关键词: Circuit-based exercise balance gait myofascial release parkinson’s disease

来  源:   DOI:10.1080/01616412.2024.2360860

Abstract:
UNASSIGNED: Task-oriented circuit training (TOCT) has been used to improve balance in people with Parkinson\'s disease (pwPD). To investigate the effectiveness of TOCT on balance, quality of life, and disease symptoms when combined with myofascial release in pwPD.
UNASSIGNED: Twenty-six pwPD were randomized into two groups for this randomized controlled study. The groups received TOCT three days a week for eight weeks. At the end of each session, the myofascial release was applied to the neck, trunk, and lumbar region with three sets of 60-s foam rolling body weight (Intervention group-IG) and perceived discomfort level 0/10 (Control group-CG) using a numeric rating scale. Primary outcome measures were measured by the Berg Balance Scale (BBS), Parkinson\'s Disease Questionnaire (PDQ-8), and Movement Disorder Society-Unified Parkinson\'s Disease Rating Scale (MDS-UPDRS). Secondary outcome measures included posturographic assessment, timed-up and go test (TUG), Trunk Impairment Scale (TIS), and rolling time.
UNASSIGNED: Data obtained from 26 pwPDs in equal numbers in both groups were analyzed. All groups reported a significant change in MDS-UPDRS, MDS-UPDRS-III, PDQ-8, TIS, and rolling time after treatment compared to pretreatment. Post-hoc analyses showed that IG significantly improved motor symptoms, TUG, and TIS dynamics compared to CG. The mediolateral limits of stability and anterioposterior limits of stability distances of IG increased (p < 0.05).
UNASSIGNED: Myofascial release, when combined with TOCT, may help to reduce disease-related motor symptoms and improve dynamic balance in pwPD. These findings suggest that myofascial release can be a beneficial addition to TOCT programs for pwPD.Clinical Trial Number: NCT05900934 (ClinicalTrials.gov).
摘要:
面向任务的电路训练(TOCT)已用于改善帕金森病(pwPD)患者的平衡。为了研究TOCT对平衡的有效性,生活质量,与pwPD中的肌筋膜释放相结合时的疾病症状。
本随机对照研究将26例pwPD随机分为两组。这些组每周三天接受TOCT,共八周。在每次会议结束时,肌筋膜松解术应用于颈部,树干,和腰椎区域,使用数字评分量表进行三组60s泡沫滚动体重(干预组-IG)和感知的不适水平0/10(对照组-CG)。主要结局指标通过Berg平衡量表(BBS)测量,帕金森病问卷(PDQ-8),运动障碍协会-帕金森病统一评定量表(MDS-UPDRS)。次要结果指标包括尿检后评估,定时和运行测试(TUG),行李箱减值量表(TIS),和滚动时间。
分析了从两组中相同数量的26个pwPD获得的数据。所有组都报告了MDS-UPDRS的显着变化,MDS-UPDRS-III,PDQ-8,TIS,处理后的滚动时间与预处理相比。事后分析表明,IG显着改善了运动症状,TUG,与CG相比,TIS动力学。IG稳定性的中外侧极限和稳定性距离的前后极限增加(p<0.05)。
肌筋膜释放,当与TOCT结合使用时,可能有助于减少与疾病相关的运动症状并改善pwPD的动态平衡。这些发现表明,肌筋膜释放可能是pwPDTOCT程序的有益补充。临床试验编号:NCT05900934(ClinicalTrials.gov)。
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