背景:患有帕金森病(PD)的人受益于拳击运动。向拳击添加踢腿变化可以提供额外的益处以改善平衡。然而,这种培训的好处和坚持是未知的。
目的:探索可行性,安全,与不踢PD的拳击相比,拳击训练与踢技术的平衡都有好处。
方法:参与者被随机分为基于小组的拳击训练和踢腿技术(BK)或基于小组的单纯拳击训练(BO)。两组都训练了一个小时,一周一次,为期10周。参与者在基线和干预后十周进行平衡差异评估,害怕跌倒,平衡信心,行走能力,和生活质量。
结果:有29名PD患者(中位年龄64岁;中位病程5年)参加。两种干预措施对所有参与者都是可行和可接受的。无不良事件发生。大多数参与者(BK80%;BO75%)对培训感到满意。我们发现两组之间在主要结果(Mini-BEST)或次要结果上均无显著差异。组内比较显示,干预后两组的平衡均得到改善(BK22.60(2.7)至25.33(2.64)p=0.02;BO23.09(3.44)至25.80(2.39);MiniBEST检验p=0.01)。
结论:两种类型的拳击似乎都是可行且安全的。在拳击中加入踢技术并不能比单纯拳击更能改善平衡。踢腿的结合可能是运动疗法的有价值的补充。
People with Parkinson\'s disease (PD) benefit from
boxing exercise. Adding kicking variations to the boxing may provide additional benefit to improve balance. However, the benefits and adherence to such trainings is unknown.
To explore the feasibility, safety, and benefits on balance of boxing training combined with kicking techniques in comparison to
boxing without kicking in PD.
Participants were randomized to group-based boxing training with kicking techniques (BK) or to group-based
boxing alone training (BO). Both groups trained for one hour, once a week, for a period of 10 weeks. Participants were assessed at baseline and ten weeks post-intervention for difference in balance, fear of falling, balance confidence, walking ability, and quality of life.
Twenty-nine people with PD (median age 64 years; median disease duration 5 years) participated. Both interventions were feasible and acceptable for all participants. No adverse events occurred. Most participants (BK 80%; BO 75%) were satisfied with the training. We found no significant between group difference on either the primary (Mini-BEST) or secondary outcomes. The within group comparison showed that balance improved in both groups after the intervention (BK 22.60 (2.7) to 25.33 (2.64) p = 0.02; BO 23.09 (3.44) to 25.80 (2.39); p = 0.01 on the Mini BEST test).
Both types of boxing seem to be feasible and safe. Adding kicking techniques to
boxing does not improve balance significantly more than
boxing alone. Incorporation of kicking may be a valuable addition to the exercise therapy repertoire.
Boxing appears to be an effective treatment for persons with Parkinson’s disease. Thus far, studies mostly looked at punching movements of the arms, but this new research examined whether adding additional kicking movements with the legs would add further benefits. The researchers were also interested whether the addition of kicking movements would make the exercise program more palatable for the participants, leading to a better compliance. Twentynine persons with Parkinson’s disease participated in boxing classes for a total duration of 10 weeks, and they were divided into two groups: punching with the arms only; or punching combined with kicking of the legs. Both types of boxing were feasible and acceptable for all participants. No adverse events occurred. Balance improved in both groups after the boxing classes, but the benefits were equal for both types of
boxing. It is therefore not necessary to include kicking movements to gain greater clinical benefits from boxing, but incorporating such kicking movements remains potentially valuable as a way to make the exercise repertoire more versatile for participants.