The Effect Of Yoga Exercise In Early And Middle Aged Patients With Parkinson's Disease Fatigue

Objective:1.To construct a scientific,safe and feasible yoga exercise program for patients with Parkinson's disease in the early and middle aged.2.To evaluate the effects of yoga exercise program on fatigue,sleep,pain and muscle tone in elderly patients with early and middle stage Parkinson's disease fatigue.Method:1.After the consultation of the first round of expert meeting,according to the expert opinions,4 yoga moves were deleted,3 new yoga moves were added,and the text description and amount of yoga moves were adjusted.After the second round of expert consultation,the expert positive coefficient was 100% and the authority coefficient(Cr)was 0.85.Finally,a yoga exercise program for elderly patients with Parkinson's disease in the early and middle stages was formed,which consisted of 4 dimensions of upper limb training,lower limb training,trunk training and meditation,and a total of 15 yoga movements.2.Take the convenience sampling method,the selection of taiyuan city in December2018-June 2019 three community of middle old age 45 patients with Parkinson's disease fatigue as the research object,carries on the yoga intervention 6 months,using its own control design,respectively before the intervention,3 months and 6 months after intervention in three time points with fatigue scale for Parkinson's disease,Parkinson's disease patients with sleep and scale assessment of fatigue,sleep,pain and muscle tension.Result:1.After two rounds of expert consultation,the expert positive coefficient was 100%and the authority coefficient(Cr)was 0.85.First round expert meeting consultation according to the expert opinion,remove the four yoga movement,the new three yoga movements,and to adjust the text description of yoga poses and exercise,again through the enquiry for the second round of experts,finally formed by the upper limb training,training lower limbs,trunk and four dimensions,meditation,a total of 15 middle yoga movementsof elderly Parkinson's patients yoga exercise program.2.At the end of the 6-month intervention,a total of 43 patients had completed all data collection,with 2 cases missing.After 3 months exercise fatigue,pain and muscle tone scores are lower than before exercise,the difference was statistically significant(P < 0.05),six months after exercise fatigue,pain and muscle tone scores were lower than exercise after 3 months,the difference was statistically significant(P < 0.05),showed that patients with fatigue,to effectively alleviate pain and increased muscle tone are continuing;The sleep score after 6 months of exercise was higher than that after 3 months of exercise,and the difference was statistically significant(P < 0.05).There was no statistically significant difference between the sleep score before exercise and the sleep score after 3 months of exercise(P > 0.05),indicating that the patient's sleep was not relieved within 3 months,but it could be effectively relieved after 6 months of exercise.Conclusion:1.The yoga exercise program is scientific,safe and feasible for the elderly patients with early and middle stage Parkinson's disease,which provides a basis and reference for the exercise intervention of the elderly patients with early and middle stage Parkinson's disease.2.After 6 months of exercise,yoga exercise program can effectively relieve the pain and fatigue symptoms of fatigue patients with Parkinson's disease in the early and middle aged,improve their sleep and reduce their muscle tone.