针对长期护理老年人运动功能障碍和肌肉无力的感觉运动训练结合激励策略：一项单盲随机对照研究。
Sensory-motor training targeting motor dysfunction and muscle weakness in long-term care elderly combined with motivational strategies: a single blind randomized controlled study.
作者信息
Rogan Slavko, Radlinger Lorenz, Baur Heiner, Schmidtbleicher Dietmar, de Bie Rob A, de Bruin Eling D
机构信息
Discipline Physiotherapy, Health, Bern University of Applied Sciences, Bern, Switzerland ; Department of Epidemiology, Maastricht University, CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands.
Discipline Physiotherapy, Health, Bern University of Applied Sciences, Bern, Switzerland.
出版信息
Eur Rev Aging Phys Act. 2016 May 28;13:4. doi: 10.1186/s11556-016-0164-0. eCollection 2016.
BACKGROUND
This study evaluated the effects of a combined innovative training regime consisting of stochastic resonance whole-body vibration (SR-WBV) and a dance video game (DVG) on physical performance and muscle strength in long-term-care dwelling elderly.
METHODS
Thirthy long-term-care elderly were randomly allocated to an intervention group (IG; n = 16) receiving combined SR-WBV training and DVG, or a sham group (SG; n = 14). IG performed five sets one minute of SR-WBV, with one minute rest between sets (base frequency 3 Hz up to 6 Hz, Noise 4) during the first five weeks on three days per week. From week five to eight a DVG was added to SR-WBV for IG on three days per week. SG performed a five-set SR-WBV program (1 Hz, Noise 1) lasting five times one minute, with one minute rest in between, three days a week. From week five to eight stepping exercises on a trampoline were added on three days per week.
PRIMARY OUTCOME
Short physical performance battery (SPPB). Secondary outcome: isometric maximal voluntary contraction (IMVC), and sub phases of IMVC (Fsub), isometric rate of force development (IRFD) and sub time phases of IRFD (IRFDsub) were measured at baseline, after four and eight weeks. ANOVA with repeated measures was used for analyses of time and interaction effects and MANOVA determined between group intervention effects.
RESULTS
Between group effects revealed significant effects on the SPPB primary outcome after four weeks F(1, 27) = 6.17; p = 0.02) and after eight weeks F(1,27) = 11.8; p = 0.002). Secondary muscle function related outcome showed significant between group effects in IG on IRFD, Fsub 30 ms, 100 ms, 200 ms and IRFDsub 0-30 ms, 0-50 ms, 0-100 ms and 100-200 ms compared to SG (all p < 0.05).
CONCLUSIONS
Eight weeks SR-WBV and DVG intervention improved lower extremity physical function and muscle strength compared to a sham intervention in long-term-care elderly. SR-WBV and DVG seems to be effective as a training regime for skilling up in long-term-care elderly.
背景
本研究评估了由随机共振全身振动（SR-WBV）和舞蹈视频游戏（DVG）组成的联合创新训练方案对长期护理机构中老年人身体机能和肌肉力量的影响。
方法
30名长期护理机构中的老年人被随机分配到干预组（IG；n = 16），接受SR-WBV训练和DVG联合训练，或假手术组（SG；n = 14）。IG在前五周每周三天进行五组，每组一分钟的SR-WBV训练，组间休息一分钟（基频3Hz至6Hz，噪声4）。从第五周开始到第八周，IG在每周三天的SR-WBV训练基础上增加了DVG训练。SG进行五组SR-WBV训练（1Hz，噪声1），每组持续一分钟，组间休息一分钟，每周三天。从第五周开始到第八周，每周三天增加在蹦床上的踏步练习。
主要结局
简短身体机能量表（SPPB）。次要结局：在基线、四周和八周时测量等长最大自主收缩（IMVC）及其子阶段（Fsub）、等长力量发展速率（IRFD）及其子时间阶段（IRFDsub）。采用重复测量方差分析来分析时间和交互作用效应，并采用多变量方差分析来确定组间干预效应。
结果
组间效应显示，四周后F(1, 27) = 6.17；p = 0.02，对SPPB主要结局有显著影响；八周后F(1,27) = 11.8；p = 0.002。与SG相比，次要肌肉功能相关结局显示IG在IRFD、30ms、100ms、200ms时的Fsub以及0 - 30ms、0 - 50ms、0 - 100ms和100 - 200ms时的IRFDsub方面存在显著的组间效应（所有p < 0.05）。
结论
与假手术干预相比，为期八周的SR-WBV和DVG干预改善了长期护理机构中老年人的下肢身体功能和肌肉力量。SR-WBV和DVG似乎是一种有效的训练方案，可用于提高长期护理机构中老年人的技能。
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