Hashimoto Mari, Yasumura Seiji, Nakano Kyoko, Kimura Midori, Nakamura Kozo, Fujino Keiji, Ito Hiromoto
Department of Public Health, Fukushima Medical University School of Medicine, Japan.
Nihon Ronen Igakkai Zasshi. 2012;49(4):476-82. doi: 10.3143/geriatrics.49.476.
To evaluate the feasibility of locomotion training (single-leg standing and squats) in a home-visit preventive care program for the elderly.
We invited 246 people who were not attending any preventive care programs within the long-term care insurance system. Among these, 60 participated in the current program. We administered a hearing survey, measured the single-leg stance time with eyes open, and subjects underwent locomotion training. Each participant was asked to repeat 1 set of training exercises 3 times per day at home. One set consists of standing on each leg for 1 minute and squatting 5 to 6 times. We telephoned the participants regularly during the 3 month program (locomo call). At the end of the program, we visited the participants and measured the single-leg stance time with eyes open.
A total of 60 elderly adults participated in the program (15 men, 45 women). Among subjects secondary prevention of musculoskeletal (n=313), 67 were participating in site-visit preventive care programs conducted by the local authorities (21.4%). Among these 313, 127 were participating in site-visit preventive care programs or locomotion training (40.6%). It shows the increasing of the participation rate 21.4% to 40.6%. The continuance rate was 91.7%. The single-leg stance time improved for both men (16.2±17.7 sec, p<0.05) and women (57.2±79.7 sec, p<0.01) compared to the baseline. Similarly, improvement was observed in the single-leg stance time for both the young-old (62.2±67.9 sec, p<0.01) and the old-old (39.2±73.8 sec, p<0.01).
We consider that the locomotion training program which we introduced in the current home-visit preventive care program was effective and highly feasible for the elderly who have not previously responded conventional site-visit preventive care programs.
评估在针对老年人的家访预防保健项目中进行运动训练（单腿站立和深蹲）的可行性。
我们邀请了246名未参加长期护理保险系统内任何预防保健项目的人。其中，60人参加了当前项目。我们进行了听力调查，测量了睁眼单腿站立时间，并让受试者接受运动训练。要求每位参与者在家中每天重复1组训练练习3次。1组包括每条腿站立1分钟和深蹲5至6次。在为期3个月的项目期间（运动训练随访），我们定期给参与者打电话。在项目结束时，我们拜访参与者并测量睁眼单腿站立时间。
共有60名老年人参加了该项目（15名男性，45名女性）。在肌肉骨骼二级预防的受试者（n = 313）中，67人参加了当地政府开展的上门预防保健项目（21.4%）。在这313人中，127人参加了上门预防保健项目或运动训练（40.6%）。这表明参与率从21.4%提高到了40.6%。持续率为91.7%。与基线相比，男性（16.2±17.7秒，p<0.05）和女性（57.2±79.7秒，p<0.01）的单腿站立时间均有所改善。同样，年轻老年人（62.2±67.9秒，p<0.01）和高龄老年人（39.2±73.8秒，p<0.01）的单腿站立时间也有改善。
我们认为，我们在当前家访预防保健项目中引入的运动训练项目对以前未响应传统上门预防保健项目的老年人有效且高度可行。
