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首页> 外文期刊>Hong Kong Physiotherapy Journal >Effect of home-based Tai Chi, Yoga or conventional balance exercise on functional balance and mobility among persons with idiopathic Parkinson’s disease: An experimental study
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Effect of home-based Tai Chi, Yoga or conventional balance exercise on functional balance and mobility among persons with idiopathic Parkinson’s disease: An experimental study

机译：家庭太极，瑜伽或常规平衡运动对特发性帕金森病的函数平衡和流动性的影响：实验研究

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Background: Individuals with Parkinson’s disease (PD) invariably experience functional decline in a number of motor and non-motor domains affecting posture, balance and gait. Numerous clinical studies have examined effects of various types of exercise on motor and non-motor problems. But still much gap remains in our understanding of various therapies and their effect on delaying or slowing the dopamine neuron degeneration. Recently, Tai Chi and Yoga both have gained popularity as complementary therapies, since both have components for mind and body control. Objective: The aim of this study was to determine whether eight weeks of home-based Tai Chi or Yoga was more effective than regular balance exercises on functional balance and mobility. Methods: Twenty-seven individuals with Idiopathic PD (Modified Hoehn and Yahr stages 2.5–3) were randomly assigned to either Tai Chi, Yoga or Conventional exercise group. All the participants were evaluated for Functional Balance and Mobility using Berg Balance Scale, Timed 10 m Walk test and Timed Up and Go test before and after eight weeks of training. Results: The results were analyzed using two-way mixed ANOVA which showed that there was a significant main effect for time as F (1, 24) = 74.18, p = 0 . 000 , η p 2 = 0 . 76 for overall balance in Berg Balance Scale. There was also significant main effect of time on mobility overall as F(1, 24) = 77 . 78 , p = 0 . 000 , η p 2 = 0 . 76 in Timed up and Go test and F(1, 24) = 48 . 24 , p = 0 . 000 , η p 2 = 0 . 67 for 10 m Walk test. There was a significant interaction effect for time × group with F(2, 24) = 8 . 67 , p = 0 . 001 , η p 2 = 0 . 420 for balance. With respect to mobility, the values F(2, 24) = 5 . 92 , p = 0 . 008 , η p 2 = 0 . 330 in Timed Up and Go test and F(2, 24) = 10 . 40 , p = 0 . 001 , η p 2 = 0 . 464 in 10 m Walk test showed a significant interaction. But there was no significant main effect between the groups for both balance and mobility. Conclusion: The findings of this study suggest that Tai Chi as well as Yoga are well adhered and are attractive options for a home-based setting. As any form of physical activity is considered beneficial for individuals with PD either Tai Chi, Yoga or conventional balance exercises could be used as therapeutic intervention to optimize balance and mobility. Further studies are necessary to understand the mind–body benefits of Tai Chi and Yoga either as multicomponent physical activities or as individual therapies in various stages of PD.
机译：背景：帕金森病（PD）的个人在影响姿势，平衡和步态的多个电机和非运动域中的功能下降。许多临床研究检测了各种类型运动对电动机和非运动问题的影响。但是，我们对各种疗法的理解以及对延迟或减缓多巴胺神经元变性的影响仍然存在多大差距。最近，太极和瑜伽都掌握了互补疗法，因为两者都有思想和身体控制的组成部分。目的：本研究的目的是确定八周的家庭太极或瑜伽是否比常规平衡对功能平衡和流动性更有效。方法：随机分配二十七种具有特发性PD（改进的Hoehn和Yahr阶段2.5-3）的个体，分配给太极，瑜伽或常规运动组。所有参与者都是使用BERG平衡规模进行功能平衡和移动性的，定时10米步行测试和定时，在训练后8周之前和之后进行测试。结果：使用双向混合Anova分析结果，该结果表明，随着F（1,24）= 74.18，P = 0的时间有显着的主要效果。 000，ηp2 = 0。 76在Berg平衡规模中总体平衡。随着F（1,24）= 77，流动性的时间也存在显着的主要影响。 78，p = 0。 000，ηp2 = 0。 76在定时和去测试，F（1,24）= 48。 24，p = 0。 000，ηp2 = 0。 67个步行测试。具有F（2,24）= 8的时间×组存在显着的相互作用效果。 67，p = 0。 001，ηp2 = 0。 420余额。关于移动性，值F（2,24）= 5。 92，p = 0。 008，ηp2 = 0。 330在定时和去测试，F（2,24）= 10。 40，p = 0。 001，ηp2 = 0。 464在​​10米的步行试验中显示出显着的相互作用。但余额和流动性之间没有显着的主要效果。结论：本研究的调查结果表明，太极拳以及瑜伽符合良好，是家庭环境的有吸引力的选择。由于任何形式的身体活动被认为有利于具有PD的个体，瑜伽或常规平衡锻炼可以用作治疗干预以优化平衡和流动性。进一步的研究是为了了解太极和瑜伽的思想身体益处，也可以作为多组分的物理活动或作为PD各个阶段的个体疗法。

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