Journal of Society of Preventive Korean Medicine (대한예방한의학회지)

Society of Preventive Korean Medicine (대한예방한의학회)
권호 표지

Tai-Chi for Patients with Parkinson's Disease -the problem and improvement demand of clinical study experience-

파킨슨병 환자를 대상으로 한 태극권 요법 -임상 연구 경험을 통해 본 문제점과 개선 방안-

  • Hwang, Eui-Hyoung (School of Korean Medicine, Pusan National University) ;
  • Lee, Jae-Hyeok (Department of Neurology, Pusan National University YangSan Hospital) ;
  • Lee, Sang-Jae (School of Korean Medicine, Pusan National University) ;
  • Heo, Kwang-Ho (Department. of Oriental Rehabilitation Medicine, Pusan National University Korean Medicine Hospital) ;
  • Cho, Hyun-Woo (School of Korean Medicine, Pusan National University)
  • 황의형 (부산대학교한의학전문대학원) ;
  • 이재혁 (양산부산대학교병원 신경과) ;
  • 이상재 (부산대학교한의학전문대학원) ;
  • 허광호 (부산대학교한방병원 한방재활의학과) ;
  • 조현우 (부산대학교한의학전문대학원)
  • Received : 2012.07.13
  • Accepted : 2012.08.22
  • Published : 2012.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study was to analyse the reasons for the early termination of our clinical trials that were to know the influences of Tai-chi on non-motor symptoms of Parkinson's disease. Methods : We stopped the primary study of Tai-chi to observe the changes of non-motor symptoms of Parkinson's disease. So we carried out the survey to our participants of clinical trials. We conducted the survey about the patient's characteristics of usual exercise, experience of Tai-chi, appropriate time allocation, difficulties of proceeding the program and patient's opinion for the improvement of education. And the 4 questions about the contributiveness of Tai-chi for the Parkinson's disease, usability of supplied references, difficulties and time allocation of education were using the questionaries form of 5-point scale(Likert scale). Results : The results of survey showed that the benefits of Tai-chi program for the improvement of symptoms was $3.15{\pm}0.89$ and difficulty of lecture was $3.76{\pm}1.09$. 41% of participants answered that the motions of the Tai-chi is difficult to follow and 17% of participants felt the imbalance during the motion of Tai-chi. Conclusions : Participants replied that the Tai-chi is hard for the patients of Parkinson's disease and the time for the education was too short to keep doing exercise. Thus we have plan to educate the patients of Parkinson's disease with Tai-chi program consists of easier motion by developing ourselves or searching previous studies.

Keywords

References

  1. Martin M., Shinberg M., Kuchibhatla M., Ray L., Carollo JJ., Schenkman, ML. Gait initiation in community dwelling adults with Parkinson disease : comparison with older and younger adults without the disease. Phy Ther. 2002 ; 82(6) : 566-77.
  2. Lippa CF. Review of Issue : Cognitive Impairment in Parkinson's Disease. Am J Alzheimers Dis Other Demen. 2010 ; 25 : 387-8. https://doi.org/10.1177/1533317510374052
  3. 성혜련, 양점홍, 강문선. 태극권 운동이 파킨슨병 환자의 운동기능.기능적 체력.우울 및 삶의 질에 미치는 영향. 한국체육학회지. 2006 ; 45(6) : 583-90.
  4. 최동원, 송경애. 태극권 프로그램이 파킨슨병 환자의 하지근력, 관절의 유연성, 균형감 및 인지기능에 미치는 효과. 기본간호학회지. 2011 ; 18(2) : 177-85.
  5. Kuroda K., Tatara K., Takatorige T., Shinsho F. Effects of physical exercise on mortality in patients with Parkinson's disease. Acta Neurol Scandinavia. 1992 ; 86 : 55-9. https://doi.org/10.1111/j.1600-0404.1992.tb08054.x
  6. 원장원, 김병성, 최원림. 노인에서 태극운동(9개 기본형)이 균형 능력에 미치는 영향- 낙상의 위험요인을 중심으로. 가정의학회지. 2001 ; 22(5) : 664-73.
  7. 이은남. 태극권운동 프로그램이 본태성 고혈압 환자의 혈압, 총 콜레스테롤 및 코티졸에 미치는 효과. 대한간호학회지. 2004 ; 34(5) : 829-37.
  8. 최정현. 태극운동이 낙상 위험 노인의 신체적, 심리적 기능 및 낙상에 미치는 효과. 카톨릭대학교대학원. 2002.
  9. Fuzhong Li, Peter H, Kathleen F, Elizabeth E, Ronald S, Johnny G, Gianni M, Sara SB. Tai Chi and Postrural Stability in Patients with Parkinson's Disease. N Engl J Med. 2012 ; 366 : 511-9. https://doi.org/10.1056/NEJMoa1107911
  10. Tao Liu, Lixing Lao. Tai Chi for Patients with Parkinson's Disease. N Engl J Med. 2012 ; 366 : 18. https://doi.org/10.1056/NEJMicm1101534
  11. 최동원, 송경애. 태극권이 파킨슨병 환자의 우울, 자기효능감 및 삶의 질에 미치는 효과. 기본간호학회지. 2008 ; 15 : 467-74.
  12. 황의형, 김정환, 장인수, 양창섭, 강준원. 만성 관절 통증 여성 노인환자에 있어 관절염 태극권의 효과에 대한 pilot study. 한방재활의학과학회지. 2010 ; 20(1) : 79-90.
  13. 황의형, 양창섭 저, 류승권 감수. 의료기공입문 - 기공과 태극권의 이해 및 실습-. 부산: 부산대학교출판부. 2012 ; 106-30.
  14. Song R, Lee EO, Lam P, Bae SC. Effects of tai chi exercise on pain, balance, muscle strength and perceived difficulties in physical functioning in older women with osteoarthritis : a randomized clinical trail. J Rheumatol. 2003 ; 30(9) : 2039-44.
  15. 류명인, 소희영. 타이치 운동프로그램이 시설노인의 체력, 낙상관련 지각 및 건강상태에 미치는 효과. 대한간호학회지. 2008 ; 38(4) : 620-8.
  16. Chen KM., Chen WT., Huang MF. Development of the simplified Tai Chi exercise program(STEP) for frail older adults. Complement Ther Med. 2006 ; 14 : 200-6. https://doi.org/10.1016/j.ctim.2006.05.002