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吴 含,王 彤,徐 蓉,张 勤,周 莉,吴 婷,王石艳,王 蔚,朱 奕.有氧舞蹈对轻度认知障碍患者认知和运动功能的影响[J].中国康复医学杂志,2019,(12):1438~1443
有氧舞蹈对轻度认知障碍患者认知和运动功能的影响    点此下载全文
吴 含  王 彤  徐 蓉  张 勤  周 莉  吴 婷  王石艳  王 蔚  朱 奕
南京大学医学院附属鼓楼医院康复医学科,江苏省南京市,210008
基金项目:国家自然科学基金青年科学基金资助项目(81802244);江苏省科技支撑计划(社会发展)项目(BE2013724);江苏省科技厅临床前沿技术项目(BE2017734)
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摘要:
      摘要 目的:探讨自主设计的有氧舞蹈对轻度认知障碍(MCI)患者认知和运动功能的干预作用。 方法:将MCI患者随机分为运动组和对照组,运动组接受35min/次、3次/周、为期3个月的有氧舞蹈,对照组仅接受健康宣教。所有受试者在干预前、干预3月后、入组6个月随访时接受认知功能和运动功能评估。 结果:干预前,两组的基线评估结果无显著性差异(P>0.05)。3个月有氧舞蹈干预后,运动组简易精神状态评分(mini-mental state examination, MMSE)、蒙特利尔认知评估(Montreal cognitive assessment,MoCA)评分、韦氏逻辑记忆测试评分、连线测试-A所需时间和连线测试-B所需时间与干预前比较均有显著性差异(P<0.05);韦氏逻辑记忆量表评分,连线测试-B所需时间与对照组比较有显著性差异(P<0.01,P<0.05)。随访时运动组MoCA评分,韦氏逻辑记忆测试评分、连线测试-A与干预前比较有显著性差异(P<0.05)。3个月干预后,运动组Berg平衡量表评分与干预前和对照组比较差异均有显著性意义(P<0.05)。 结论:有氧舞蹈能够改善MCI患者的认知功能和运动功能。
关键词:轻度认知障碍  有氧舞蹈  认知功能
Effects of aerobic dance on cognitive and motor functions in patients with mild cognitive impairment    Download Fulltext
Rehabilitation Department, Nanjing Drum Tower Hospital, The Affiliated Hospital of the Medical School at Nanjing University, Nanjing, Jiangsu,210008
Fund Project:
Abstract:
      Abstract Objective:To investigate the effects of aerobic dance on cognitive and motor functions in patients with mild cognitive impairment. Method:Sixty patients were randomized into treatment group and the control group in the single-blinded design. The treatment group accepted aerobic dance for 35 minutes a session with 3 times a week for 3 months. Mini-mental state examination (MMSE), Montreal cognitive assessment (MoCA), Wechsler memory scale-revised (WMS-R), and trail making test (TMT)-A and TMT-B were used to assess the cognitive function and rate pressure product(RPP), metabolic equivalent(METs), max heart rate(HRmax) and Berg balance scale(BBS) were used to assess the motor function of each patient at baseline, 3 months, and 6 months of follow-up. Result: The characteristics of patients in the aerobic dance group and control group were similar at baseline .Fifty-four patients completed the intervention and follow-up. The scores of MMSE,MoCA,WMS-R, TMT-A and TMT-B in treatment group significantly improved after 3 months’ aerobic dance compared with the baseline(P<0.05). The scores of WMS-R, TMT-B in treatment group significantly improved after 3 months’ aerobic dance compared with the control group(P<0.05). The scores of WMS-R, TMT-A significantly improved in treatment group at 6 months of follow-up compared with the baseline. The score of BBS improved in treatment group at 6 months of follow-up compared with the baseline and the control group. Conclusion:Aerobic dance improves the cognitive and motor function in patients with MCI.
Keywords:mild cognitive impairment, aerobic dance, cognitive function
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