中医康复2025，Vol.2Issue(4)：18-23,6.DOI:10.19787/j.issn.2097-3128.2025.04.004
呼吸功能训练对帕金森病患者膈肌及姿势稳定性的影响
The Effects of Respiratory Training on Diaphragm and Postural Stability in Patients with Parkinson's Disease
摘要
Abstract
Objective:To investigate the effects of respiratory training on diaphragm and postural stability of patients with Parkinson's disease.Methods:60 patients with idiopathic Parkinson's disease who met the inclusion criteria were included and randomly divided into the control group(n=30)and the treatment group(n=30).Both groups received routine drugs and rehabilitation training,includ-ing core control training,balance training,aerobic training,and gait training.While the treatment group was additionally given respi-ratory function training,including abdominal breathing training and inspiratory muscle training.Diaphragm movement(DD,DTei,DTee and DTF),respiratory function(FEV1,FVC and FEV1%),and postural stability(UPDRS Ⅲ scores)were assessed before treat-ment,3 months and 6 months after treatment respectively.Results:At 12 weeks of treatment,the diaphragm mobility,diaphragm thickness rate,FEV1,FVC,FEV1%and UPDRS Ⅲ scale scores in both groups of patients showed significant improvement com-pared to those before treatment(P<0.05).Moreover,when comparing these indicators between the treatment group and the control group at the same time point,the treatment group exhibited more significant improvements(P<0.05).After 24 weeks of treatment,the aforementioned indicators in both the treatment and control groups further improved compared to before treatment(P<0.05).The treatment group showed more noticeable improvements in diaphragm mobility,diaphragm thickness rate,FEV1,FVC,FEV1%,and UPDRS Ⅲ scale scores(P<0.05),and there was also further improvement compared to the 12-week treatment results within the treatment group.Conclusion:Respiratory training can improve diaphragm movement and postural stability and respiratory function of patients with Parkinson's disease.关键词
帕金森病/呼吸功能训练/膈肌/姿势稳定Key words
Parkinson's disease/respiratory function training/diaphragm/postural stability分类
临床医学引用本文复制引用
范杰诚,王佳良,赵艳君,郭培武,张淑云,于海宁..呼吸功能训练对帕金森病患者膈肌及姿势稳定性的影响[J].中医康复,2025,2(4):18-23,6.基金项目
潍坊市卫健委科研项目(wfwsjk-2019-155) （wfwsjk-2019-155）
