文档介绍：王振福
解放军总医院老年神经科
11 22, 2014 北京
帕金森病与运动
2011年12月上海WFN第19届国际帕金森病大会 报告题目:太极与帕金森病
Conclutions on tai chi and PD in 2011
The evidence is insufficient to suggest tai chi is an effective intervention for PD. Further research is required to investigate whether there are specific benefits of tai chi for people with PD, such as its potential effect on balance and on the frequency of falls.
MS, Lee, et al. Parkinsonism and Related Disorders 14 (2008) 589-594
新进展
Tomlinson CL, et al. Cochrane Database Syst Rev 2013; 9:CD002817.
In the paper, 39 exercise trials conducted in 1827 Parkinson's disease patients at various stages of the disease were reviewed.
Tomlinson CL, et al. Cochrane Database Syst Rev 2013; 9:CD002817.
The review was demonstrated that most studies reported short-term benefits from exercise, particularly for gait, balance, and disability based on UPDRS scores. It was also noted that there is no definitive evidence that one form of exercise is more beneficial than another.
In a randomized, delayed-start study of 31 Parkinson's disease patients ranging from newly diagnosed to disease duration of 10 years, patients who started a structured exercise program 6 months prior to the delayed-start group did not show improvements in UPDRS motor scores; however, the early-start group had significant improvements in pared with the delayed-start group.
Park A, et al. Parkinsonism Relat Disord 2014; 20:106–111.
Park A, et al. Parkinsonism Relat Disord 2014; 20:106–111.
In another study of Parkinson's disease patients at various disease stages, tai chi, resistance training, and stretching pared in a randomized, controlled, 6-month study with exercise sessions every 2 weeks.
Li F, et al. N Engl J Med 2012; 366:511–519.
Improvements in gait, balance, and motor function were seen with both tai chi and resistance pared with stretching.
Tai chi improved postural instability, stride length, and functional reach to a significantly greater pared with resistance tra