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振动平台训练对老年人呼吸肌力量、生活质量和吸气能力的影响:一项随机对照试验。

Vibrating Platform Training Improves Respiratory Muscle Strength, Quality of Life, and Inspiratory Capacity in the Elderly Adults: A Randomized Controlled Trial.

机构信息

Departamento de Fisioterapia, Universidade Federal de Pernambuco, Recife, Brazil.

出版信息

J Gerontol A Biol Sci Med Sci. 2017 May 1;72(5):683-688. doi: 10.1093/gerona/glw123.

Abstract

BACKGROUND

Aging affects respiratory strength that could cause reduction in functional capacity and quality of life, playing a fundamental role in healthy aging and survival. To prevent these declines, the whole body vibration (WBV) has been proposed to increase strength and functional capacity. The aim of the study was to evaluate the effects of WBV on respiratory muscle strength, thoracoabdominal ventilation, and quality of life in the elderly adults.

METHODS

This study was a controlled, randomized double-blind clinical trial. The study included 28 elderly adults randomized into three groups: Resistance (n = 9), WBV (n = 9), or WBV + resistance exercises (n = 10), performing training, sham, or double training for 3 months, twice per week. The variables of the study were as follows: maximal inspiratory and expiratory pressures (MIP and MEP), distribution of thoracoabdominal volumes variation in optoelectronic plethysmography (pulmonary rib cage-VRCp, abdominal rib cage-VRCa, and abdomen-VAB), and quality of life.

RESULTS

After training, WBV and WBV + resistance groups increased MIP and MEP (p < .001). During inspiratory capacity maneuver, WBV groups had incremental increases in chest wall total volume (p < .001), showing a rise in pulmonary rib cage (p = .03) and abdominal rib cage (p = .04). Furthermore, WBV groups improved SF-36 scores in functional capacity, physical aspects, energy, pain, and general heath domains.

CONCLUSIONS

The WBV is a training that could improve respiratory muscle strength and quality of life and promote different ventilatory strategies in chest wall and thoracoabdominal compartments in healthy elderly adults.

摘要

背景

衰老会影响呼吸力量,导致功能能力和生活质量下降,在健康衰老和生存中起着至关重要的作用。为了防止这些下降,全身振动(WBV)已被提议用于增加力量和功能能力。本研究的目的是评估 WBV 对老年人呼吸肌力量、胸腹部通气和生活质量的影响。

方法

这是一项对照、随机、双盲临床试验。研究纳入了 28 名老年人,随机分为三组:阻力组(n = 9)、WBV 组(n = 9)或 WBV + 阻力训练组(n = 10),进行 3 个月、每周两次的训练、假训练或双重训练。研究的变量如下:最大吸气和呼气压力(MIP 和 MEP)、光电体积描记法中胸腹部容积变化的分布(肺胸廓-VRCp、腹部胸廓-VRCa 和腹部-VAB)以及生活质量。

结果

训练后,WBV 和 WBV + 阻力组的 MIP 和 MEP 增加(p <.001)。在吸气容量操作期间,WBV 组的胸壁总容积增加(p <.001),显示肺胸廓(p =.03)和腹部胸廓(p =.04)上升。此外,WBV 组在功能能力、身体方面、能量、疼痛和一般健康领域的 SF-36 评分提高。

结论

WBV 是一种训练,可以提高呼吸肌力量和生活质量,并在健康老年人中促进胸壁和胸腹部的不同通气策略。

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