Effects Of Innovative Tai Chi Training On Motor Ability And Quality Of Life In Patients With Early Parkinson's Disease

Objectives:Parkinson's disease is a common chronic degenerative disease of the central nervous system in the elderly,which is still a progressive disease that can not be effectively cured.In this study,a new set of tai chi training was developed for early PD patients.Through 16 weeks of innovative tai chi training for early PD patients combined with mobile health application,to explore the impact of innovative tai chi training on the motor function,balance ability,posture control,upper and lower limb muscle strength and quality of life of PD patients.Methods:The subjects of this study were 30 patients with PD(males:14 patients,with stage 1-2.5 of Hoehn-Yahr),and they were randomly divided into experimental group(13 patients)and control group(13 patients).Both groups were given basic drug treatment.In the first 10 weeks,PD patients in the experimental group were given offline innovative tai chi training;in the next 6 weeks,PD patients used “Shou Pa” App to carry out innovative tai chi training at home.PD patients in the control group were given simple stretching training and walking exercise.The frequency and duration of exercise were 60 minutes three times a week.Exercise intensity is moderate intensity.Clinical data were collected at the beginning and the end.Experiments were measured in the two groups before and after the intervention in PD patients with third part integrated Unified Parkinson's Disease Rating Scale(UPDRS-III),Six-Minute Walk Test(6MWT),15-meter walking speed test,Timed Up and Go Test(TUGT),Berg Balance Scale(BBS),Limit of Stability(LOS),arms grip strength test,30 seconds to sit stand test(30-s STS),and 39 Parkinson's quality of life questionnaire(PDQ-39)score.Results:During the experiment,two PD patients in the experimental group dropped out due to poor physical condition and two PD patients(males:1 patient)in the control group could not exercise as planned because of unexpected conditions.Finally,the data of 13 PD patients in experimental group and 13 PD patients in control group,including 26 subjects,were analyzed statistically.1.Motor functionThrough 16-week innovative tai chi training,the UPDRS-III score of PD patients in the experimental group decreased,showing a very significant difference within the group(P<0.01).There was significant difference between the control group and the experimental group(P<0.01).Compared with that before intervention,the 6MWT of the experimental group increased,there was a very significant difference(P<0.01).The 6MWT of the control group shortened but the 6MWT of the experimental group increased,there was significant difference between the two groups(P<0.01).The 15-meter walking speed of the experimental group increased with a very significant difference within the group(P<0.01).The 15-meter walking speed of the control group decreased,there was significant difference between the two groups(P<0.01).The TUGT of the experimental group decreased with a significant difference within the group(P<0.05),The TUGT of the control group increased but the experimental group decreased.There was significant difference between the two groups(P<0.05).2.Balance ability and posture controlThrough 16-week innovative tai chi training,the experimental group BBS scores was increased before intervention,there is a significant difference(P<0.01).There was significant difference between the two groups(P<0.05).In the limit of stability test,after the intervention with the PD patients in the experimental group on the forward direction,there was a significant increase in the endpoint excursion(P<0.01)and a significant increase in the maximum excursion(P<0.05).Compared with the control group,there was a significant increase in endpoint excursion(P<0.05).After the intervention with the PD patients in the experimental group on the right forward direction,the endpoint excursion and maximum excursion were significantly improved(P<0.05).After the intervention with the PD patients in the experimental group on the right direction,the endpoint excursion and directional control were significantly improved(P<0.05).Compared with the control group,there was a significant increase in endpoint excursion(P<0.05).After the intervention with the PD patients in the experimental group on the left backward direction,the endpoint excursion was significantly improved(P<0.05).Compared with the control group,there was a significant increase in maximum excursion(P<0.05).After the intervention with the PD patients in the control group on the left forward direction,the endpoint excursion was significantly improved(P<0.05).The PD patients in the experimental group on the left forward direction,there was a very significant increase in endpoint excursion(P<0.01),and there was a significant increase in endpoint excursion between the two groups(P<0.05).3.Average arms grip strength and lower limb muscle strengthThrough 16-week innovative tai chi training,the average arms grip strength of the experimental group increased,showing a very significant difference(P<0.01).The 30-s STS of the experimental group increased,showing a very significant difference(P<0.01).The 30-s STS of the control group was decreased,while the 30-s STS of the experimental group was increased.There was significant difference between the two groups(P < 0.05).4.Quality of lifeThrough 16-week innovative tai chi training,in the control group,the PDQ-39 score increased,showing a significant difference(P<0.05).However,in the experimental group,the PDQ-39 score decreased,showing a very significant difference(P<0.01).There was significant difference between the two groups(P<0.01)).Conclusions:16-week innovative tai chi training has a positive effect on improving the exercise capacity of PD patients,especially in improving walking ability and balance function of PD patients,and can significantly improve the quality of life of PD patients.