The Effects Of Zhan Zhuang On Upper Limb Static Tremor And Aerobic Exercise Capacity In Patients With Mild To Moderate Parkinson’s Disease

Objective:To investigate the effects of 6-week standing pile training on upper limb static tremor and aerobic exercise ability in patients with mild and moderate Parkinson’s disease,and to add new therapy and evidence for rehabilitation of patients with Parkinson’s disease.Methods:Using randomized,parallel,and controlled methods,68Parkinson’s disease patients were enrolled in the trial and randomly assigned to the intervention group or control group.The control group was given conventional medicine and vigorous walking,while the intervention group was given conventional medicine and station pile Qigong training.6weeks,5 times per week,30 minutes each time（5 minutes warm up,20 minutes training,5 minutes relax）.Primary and secondary outcome indicators were evaluated before and after intervention.Tremor amplitude,VO₂peak,and AT as measured by the cardiopulmonary exercise test were the primary outcome indicators,and the secondary outcome indicators were the modified Unified Parkinson’s Disease Rating Scale（MDS-UPDRS）Part Ⅲ and modified Hoehn-Yahr Rating Scale.Outcomes:（1）spss 26.0 was used to compare groups as well as before and after.At baseline,there were no significant differences in gender,age,disease course,or H-Y stage between the two groups（P>0.05）.（2）There were no significant differences in tremor amplitude at baseline,VO2peak measured by cardiopulmonary exercise combined test,the Unified Parkinson’s Disease Rating Scale Part Ⅲ,or the revised Hoehn-Yahr rating scale between the two groups（P>0.05）;（3）Following intervention,the effectiveness of primary and secondary outcome indicators was compared between the two groups:1.Tremor:Following intervention,there was a significant difference in tremor amplitude between the experimental and control groups（P<0.05）,indicating that the experimental group’s intervention effect was significantly better than the control group’s.2.VO₂peak:A significant difference in VO₂peak between the experimental and control groups（P<0.05）was observed post-intervention,suggesting that the experimental group’s intervention had a significantly more pronounced effect than the control group’s.AT:The experimental group’s intervention effect was significantly more successful than that of the control group,as evidenced by a significant difference between the two（P<0.05）after the intervention.MDS-UPDRS-Ⅲ:The experimental group’s UPDRS-Ⅲeffect was superior to that of the control group after intervention,yet the difference was not statistically significant（P>0.05）,implying that the effect in the experimental group was superior to that in the control group,but not significantly.（4）Control before and after the two groups:1.Tremor:A statistically significant difference was observed between the tremor amplitude of both groups post-intervention and before（P<0.05）.2.VO₂peak:Intervention caused a marked reduction in VO₂peak in both groups,as evidenced by a（P<0.05）and a statistically significant difference.3.AT:The difference between the two groups in AT was significantly reduced post-intervention,with a P value of less than0.05,and this was statistically significant.4.MDS-UPDRS-Ⅲ:Intervention caused a marked decrease in MDS-UPDRS-Ⅲbetween the two groups,with a statistically significant difference（P<0.05）compared to before.Conclusion:Both standing and piling can significantly reduce the amplitude of upper limb static tremor,increase VO₂peak and AT,improve aerobic exercise capacity and motor function in patients with mild and moderate Parkinson’s disease.