Timonen Leena, Rantanen Taina, Mäkinen Erkki, Timonen Tero E, Törmäkangas Timo, Sulkava Raimo
Health Center of the City of Joensuu, FIN-80130 Joensuu, Finland.
Aging Clin Exp Res. 2006 Feb;18(1):50-6. doi: 10.1007/BF03324640.
An acute illness may place older frail people at increased risk of losing independence in functional abilities. Physical exercise may reduce the risk by improving muscle strength and balance. However, the effects of physical training on functional abilities have not been studied among frail, very old people recovering from an acute illness. The aim of this study was to determine the effects of a group-based exercise program on their ability to carry out self-care (ADL) and instrumental activities (IADL) relevant to daily life after discharge from hospital.
This randomized controlled trial examined 68 community-dwelling women aged 75 years or older (mean age 83.0, SD 3.9) who were hospitalized due to an acute illness, and were mobility-impaired at admission. Participants were recruited from the geriatric ward of a primary-care health-center hospital, and were randomized into group-based strength training (n=34) and control (n=34) groups. The 10-week group-based intervention included strength training and functional exercises. The control group received instructions for a home exercise training program, including functional exercises but no further encouragement to exercise. The level of independence in ADL and IADL was evaluated, using a 13-item scale with stepwise grading from fully independent to fully dependent. Measurements took place immediately before and after the intervention, and three and nine months later.
The intervention did not have any significant main effect (p = 0.407), nor was there any significant interaction between follow-up time and intervention (p = 0.854).
The multicomponent outpatient strength training program did not improve autonomy in expert-evaluated ADL/IADL functions.
急性疾病可能会使体弱的老年人失去功能独立性的风险增加。体育锻炼可以通过增强肌肉力量和平衡能力来降低这种风险。然而，对于从急性疾病中康复的体弱高龄老人，体育锻炼对其功能能力的影响尚未得到研究。本研究的目的是确定一项基于小组的锻炼计划对他们出院后进行与日常生活相关的自我护理（ADL）和工具性活动（IADL）能力的影响。
这项随机对照试验研究了68名75岁及以上的社区居住女性（平均年龄83.0岁，标准差3.9），她们因急性疾病住院，入院时行动不便。参与者从一家初级保健健康中心医院的老年病房招募，并随机分为基于小组的力量训练组（n = 34）和对照组（n = 34）。为期10周的基于小组的干预包括力量训练和功能锻炼。对照组接受家庭锻炼训练计划的指导，包括功能锻炼，但没有进一步鼓励锻炼。使用一个13项量表评估ADL和IADL的独立水平，从完全独立到完全依赖进行逐步分级。在干预前后、干预后三个月和九个月进行测量。
干预没有任何显著的主效应（p = 0.407），随访时间与干预之间也没有任何显著的交互作用（p = 0.854）。
多成分门诊力量训练计划并未改善专家评估的ADL/IADL功能中的自主性。
