PD与运动.pptVIP

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 Parkinsons 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. Park A, et al. Parkinsonism Relat Disord 2014; 20:106–111. In another study of Parkinsons disease patients at various disease stages, tai chi, resistance training, and stretching were compared 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 training compared with stretching. Tai chi improved postural instability, stride length, and functional reach to a significantly greater degree compared with resistance training. Li F, et al. N Engl J Med 2012; 366:511–519. A follow-up study found significant improvements in quality of life with tai chi compared with both resistance training and stretching. Li F, et al. Mov Disord 2014; 29:539–545. A randomized, 16-month study compared balance, physical function, UPDRS, quality of life and walking economy after supervised flexibility/balance