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亞歷山大技巧對於源發性帕金森氏症之隨機控制實驗
Randomized controlled trial of the Alexander Technique for idiopathic Parkinson's disease

本文發表於臨床復健期刊(2002) 16 pp.705-pp.718 (Clinical Rehabilitation)

研究學者: C Stallibrass, 英國威斯特敏斯大學整體醫學院(School of Integrated Medicine, University of Westminster);
P Sissons, Peta Sissons Consultancy;
C Chalmers, 倫敦經濟學院統計學系(Department of Statistics, London School of Economics)

研究目的：
確認亞歷山大技巧偕同一般治療方式，對於因源發性帕金森氏症而導致行動不便之病患是否有幫助。

研究設計：
將受測者隨機分為三組，在一般治療之外，一組額外接受亞歷山大技巧課程；一組接受按摩；一組沒有接受額外的課程。在治療方式介入前後皆進行測試，治療後的測試於六個月後進行。
To determine whether the Alexander Technique, alongside normal treatment, is of benefit to people disabled by idiopathic Parkinson's disease. Design: A randomized controlled trial with three groups, one receiving lessons in the Alexander Technique, another receiving massage and one with no additional treatment. Measures were taken pre- and post-intervention, and at follow-up, six months later.

研究地點：英國威斯特敏斯大學綜合醫院倫敦中心(The Polyclinic at the University of Westminster, Central London)

參與研究對象：93位臨床確認為源發性帕金森氏症病患患者。

介入治療方式：
亞歷山大技巧組接受24次亞歷山大技巧課程；按摩組接受24次按摩課程；控制組則沒有接受額外的課程。主要結果評估是以帕金森氏症生活功能自我評估量表(SPDDS)評估一天當中狀況最佳及最差的時段。次要的評估方式包含Beck Depression Inventory以及自我意見量表。
The Alexander Technique group received 24 lessons in the Alexander Technique and the massage group received 24 sessions of massage. Main outcome measures: The main outcome measures were the Self-assessment Parkinson's Disease Disability Scale (SPDDS) at best and at worst times of day. Secondary measures included the Beck Depression Inventory and an Attitudes to Self Scale.

實驗結果：
亞歷山大技巧組相對其他兩組的結果，在所有評估指標中皆呈現顯著的進步。
The Alexander Technique group improved compared with the no additional treatment group, pre-intervention to post-intervention, both on the SPDDS at best, p = 0.04 (confidence interval (CI) -6.4 to 0.0) and on the SPDDS at worst, p = 0.01 (CI -11.5 to -1.8). The comparative improvement was maintained at six-month follow-up: on the SPDDS at best, p = 0.04 (CI -7.7 to 0.0) and on the SPDDS at worst, p = 0.01 (CI -11.8 to -0.9). The Alexander Technique group were comparatively less depressed post-intervention, p = 0.03 (CI -3.8 to 0.0) on the Beck Depression Inventory, and at six-month follow-up had improved on the Attitudes to Self Scale, p = 0.04 (CI -13.9 to 0.0).

結論：
亞歷山大技巧課程對於帕金森氏症患者很可能帶來持久的益處。
There is evidence that lessons in the Alexander Technique are likely to lead to sustained benefit for people with Parkinson's disease.

本研究內容參考自英國亞歷山大技巧教師協會網站http://www.stat.org.uk/pages/presentpage.htm。
亞歷山大技巧對於源發性帕金森氏症之隨機控制實驗
Randomized controlled trial of the Alexander Technique for idiopathic Parkinson's disease

本文發表於臨床復健期刊(2002) 16 pp.705-pp.718 (Clinical Rehabilitation)

研究學者: C Stallibrass, 英國威斯特敏斯大學整體醫學院(School of Integrated Medicine, University of Westminster);
P Sissons, Peta Sissons Consultancy;
C Chalmers, 倫敦經濟學院統計學系(Department of Statistics, London School of Economics)

研究目的：
確認亞歷山大技巧偕同一般治療方式，對於因源發性帕金森氏症而導致行動不便之病患是否有幫助。

研究設計：
將受測者隨機分為三組，在一般治療之外，一組額外接受亞歷山大技巧課程；一組接受按摩；一組沒有接受額外的課程。在治療方式介入前後皆進行測試，治療後的測試於六個月後進行。
To determine whether the Alexander Technique, alongside normal treatment, is of benefit to people disabled by idiopathic Parkinson's disease. Design: A randomized controlled trial with three groups, one receiving lessons in the Alexander Technique, another receiving massage and one with no additional treatment. Measures were taken pre- and post-intervention, and at follow-up, six months later.

研究地點：英國威斯特敏斯大學綜合醫院倫敦中心(The Polyclinic at the University of Westminster, Central London)

參與研究對象：93位臨床確認為源發性帕金森氏症病患患者。

介入治療方式：
亞歷山大技巧組接受24次亞歷山大技巧課程；按摩組接受24次按摩課程；控制組則沒有接受額外的課程。主要結果評估是以帕金森氏症生活功能自我評估量表(SPDDS)評估一天當中狀況最佳及最差的時段。次要的評估方式包含Beck Depression Inventory以及自我意見量表。
The Alexander Technique group received 24 lessons in the Alexander Technique and the massage group received 24 sessions of massage. Main outcome measures: The main outcome measures were the Self-assessment Parkinson's Disease Disability Scale (SPDDS) at best and at worst times of day. Secondary measures included the Beck Depression Inventory and an Attitudes to Self Scale.

實驗結果：
亞歷山大技巧組相對其他兩組的結果，在所有評估指標中皆呈現顯著的進步。
The Alexander Technique group improved compared with the no additional treatment group, pre-intervention to post-intervention, both on the SPDDS at best, p = 0.04 (confidence interval (CI) -6.4 to 0.0) and on the SPDDS at worst, p = 0.01 (CI -11.5 to -1.8). The comparative improvement was maintained at six-month follow-up: on the SPDDS at best, p = 0.04 (CI -7.7 to 0.0) and on the SPDDS at worst, p = 0.01 (CI -11.8 to -0.9). The Alexander Technique group were comparatively less depressed post-intervention, p = 0.03 (CI -3.8 to 0.0) on the Beck Depression Inventory, and at six-month follow-up had improved on the Attitudes to Self Scale, p = 0.04 (CI -13.9 to 0.0).

結論：
亞歷山大技巧課程對於帕金森氏症患者很可能帶來持久的益處。
There is evidence that lessons in the Alexander Technique are likely to lead to sustained benefit for people with Parkinson's disease.

本研究內容參考自英國亞歷山大技巧教師協會網站http://www.stat.org.uk/pages/presentpage.htm。


What is Parkinson's disease?
帕金森氏症是一種老年發生的經神退化疾病，平均發病年齡以五十至七十九歲最多。
帕金森氏症的名稱來自一位叫做詹姆士‧帕金森的英國醫生，他在西元一八一七年首先描述此病，後人將他當時所發表的「震顫麻痺」稱作帕金森氏症。此病主要的臨床症狀包括肢體僵硬，動作緩慢，顫抖及步伐不穩。病人自覺四肢僵硬沈重，甚至酸痛無力，尤其下肢更有行動不便的感覺。
病人的表情看起來較呆滯，眼睛眨動減少；整個人的動作會變得緩慢，如洗澡、吃飯的時間漸漸延長。走路時速度緩慢，身體常常向前傾，有時會有小碎步及向前衝的情形。我們也可觀察到走路時的上肢的擺動減少。病人也常自述會有步伐不穩，易跌倒的情形。巴病的顫抖以手腳為主，一般而言在靜止狀態較明顯，但有些人在做某些動作；如拿杯子喝水，用筷子挾菜時會較厲害。其他症狀還包括寫字退步，字體變小，臉上出油，自律神經失調等。