Rehabilitation effect of cueing strategies on balance function and gait in patients with Parkinson's disease

oleh: Li-ling CUI, Yang YU, Zhi-zhong ZHU, Ya-qing LI, Wei-jia HOU, Li-qun WANG, Rong-jie CHEN

Format: Article
Diterbitkan: Tianjin Huanhu Hospital 2017-06-01

Deskripsi

<p><strong>Objective </strong> To explore the effect of cueing strategies on balance function and gait in patients with Parkinson's disease (PD).  <strong>Methods </strong> A total of 40 PD patients were randomly divided into control group (N = 20) and observation group (N = 20). The patients in control group received routine drug treatment and rehabilitation therapy according to the disease. The patients in observation group received rhythmic recurring cues and one - off cues on the basis of routine treatment. All patients were given rehabilitation therapy for 4 weeks (30 minutes, 5 times a week). Berg Balance Scale (BBS), 10-Meter Walk Test (10MWT), Timed Up and Go Test (TUGT) and Freezing of Gait Questionnaire (FOGQ) were used to evaluate balance function and gait of patients before and after 4 - week training. 10MWT was used to calculate step length and velocity.  <strong>Results</strong> After 4-week training, BBS score (P = 0.000), step length (<em>P</em> = 0.000) and velocity (<em>P</em> = 0.000) of 10MWT were significantly increased, while TUGT time (<em>P</em> = 0.000) and FOGQ score (<em>P</em> = 0.000) were significantly reduced in both groups. Compared with control group, step length (<em>P</em> = 0.048) and velocity (<em>P</em> = 0.025) of 10MWT were significantly increased, while TUGT time (<em>P</em> =0.023) and FOGQ score (<em>P </em>= 0.034) had a significant decrease in observation group.  <strong>Conclusions </strong>Both routine rehabilitation therapy and cueing strategies can improve the balance function and gait of PD patients, but cueing strategies had better effect on gait than routine rehabilitation therapy.</p><p> </p><p><strong>DOI: </strong>10.3969/j.issn.1672-6731.2017.06.007</p>