八段锦对视神经脊髓炎谱系疾病恢复情况的研究

Research of Baduanjin on the recovery of neuromyelitis optica spectrum disorders

关键词:  视神经脊髓炎谱系疾病  八段锦  残疾状态  日常生活能力

Key words:  neuromyelitis optica spectrum disorder  Baduanjin  disability status  activity of daily living

摘要:

[目的] 评估规律性八段锦运动对视神经脊髓炎谱系疾病患者残疾状态及日常生活能力恢复情况的影响。[方法] 选取视神经脊髓炎谱系疾病患者58例，随机分成试验组和对照组，每组29例，分别给予常规药物治疗+基础训练+八段锦干预、常规药物治疗+基础训练，疗程12周。比较两组扩展残疾状态量表（EDSS）评分、Barthel指数、Ashworth评分和疲劳严重度量表（FSS）评分的变化情况。[结果] 试验组中，患者的EDSS评分、Barthel指数、Ashworth评分和FSS评分较干预前明显改善，差异具有统计学意义（P<0.05）；与对照组比较，EDSS评分和Barthel指数改善具有统计学意义（P<0.05）。对照组中，患者Barthel指数、Ashworth评分和FSS评分较干预前明显改善（P<0.05）。两组这4项指标的改善程度比较中，与对照组比较，试验组在EDSS评分、Barthel指数、Ashworth评分和FSS评分的改善程度更明显（P<0.05）。[结论] 规律的八段锦干预能明显改善视神经脊髓炎谱系疾病患者残疾状态、日常生活能力、肢体痉挛程度和疲劳状态，适合临床推广应用。

Abstract:

[Objective] Toevaluate the effect of regular Baduanjin exercise on recovery of disability status and activities of daily living in patients with neuromyelitis optica spectrum disorders (NMOSD).[Methods] Fifty-eight patients with NMOSD were recruited and they were randomly divided into experimental group and control group,with 29 patients in each group. The experimental group was given conventional medication+basic training+Baduanjin intervention,and the control group was given conventional medication+basic training. The course of treatment was 12 weeks. The changes of expanded disability status scale (EDSS) score,Barthel index,Ashworth score and fatigue severity scale (FSS) score were compared between two groups.[Results] In the experimental group,the patients' EDSS score,Barthel index,Ashworth score,and FSS score were significantly improved compared with those before intervention,and the differences were statistically significant (P<0.05). Compared with the control group,the improvement of EDSS score and Barthel index were statistically significant (P<0.05). In the control group,the Barthel index,Ashworth score,and FSS score of the patients were significantly improved compared with those before intervention (P<0.05). Compared with the control group,the improvementdegreeof EDSS score,Barthel index,Ashworth score,and FSS score in the experimental group were more significant,all in line with P<0.05.[Conclusion] Regular Baduanjin intervention can significantly improve the disabilitystatus,activities of daily living,limb spasm degreeand fatigue state of patients with NMOSD,which is suitable for clinical application.