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12周普拉提启发式运动训练对老年女性功能表现的影响:一项随机临床试验。

The effects of 12 weeks Pilates-inspired exercise training on functional performance in older women: A randomized clinical trial.

作者信息

Vieira Natália Donzeli, Testa Daniela, Ruas Paula Cristine, Salvini Tânia de Fátima, Catai Aparecida Maria, de Melo Ruth Caldeira

机构信息

School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, SP, Brazil.

Department of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.

出版信息

J Bodyw Mov Ther. 2017 Apr;21(2):251-258. doi: 10.1016/j.jbmt.2016.06.010. Epub 2016 Jun 21.

DOI:10.1016/j.jbmt.2016.06.010
PMID:28532866
Abstract

BACKGROUND

Recent scientific evidence supports the benefits of Pilates exercises on postural balance and muscle strength of older persons. However, their effects on other aspects of physical fitness, which are also important for independent living in older age, are still unknown.

OBJECTIVE

To investigate the effects of a 12-week Pilates-inspired exercise program on the functional performance of community-dwelling older women.

METHODS

Forty community-dwelling older women were randomly enrolled in a Pilates-inspired exercise training (2 times/week, 60 min/session) (PG, n = 21, 66.0 ± 1.4yrs) or kept in the control group (CG; n = 19, 63.3 ± 0.9yrs). The Pilates exercises were conducted in small groups and performed on mats (using accessories such as exercise rubber bands, swiss and exercise balls). The functional performance on one-leg stance (OLS), timed up and go (TUG), five-times-sit-to-stand (STS) and 6-min walk (6 MW) tests was evaluated before and after the 12-week Pilates training or control follow-up period.

RESULTS

After 12 weeks, time effects were observed for STS (p = 0.03) and 6 MW tests (p < 0.01). Only among PG subjects did the time spent to rise from a chair and return to a seated position decrease significantly (2.0 s faster, p = 0.02) and the distance walked in 6 min increase (∼30 m, p < 0.01). OLS and TUG performance remained unaltered in both groups.

CONCLUSION

Pilates-inspired exercises improved dynamic balance, lower-extremity strength and aerobic resistance in community-dwelling older women. Therefore, it may be a potentially effective exercise regimen to maintain physical fitness in old age.

摘要

背景

近期科学证据表明,普拉提运动对老年人的姿势平衡和肌肉力量有益。然而,其对老年人独立生活同样重要的其他身体素质方面的影响仍不明确。

目的

探讨一项为期12周的受普拉提启发的运动计划对社区居住老年女性功能表现的影响。

方法

40名社区居住老年女性被随机分为受普拉提启发的运动训练组(每周2次,每次60分钟)(PG组,n = 21,66.0 ± 1.4岁)或对照组(CG组;n = 19,63.3 ± 0.9岁)。普拉提运动以小组形式进行,在垫子上进行(使用运动橡皮筋、瑞士球和健身球等辅助器材)。在为期12周的普拉提训练或对照随访期前后,评估单腿站立(OLS)、计时起立行走(TUG)、五次坐立试验(STS)和6分钟步行试验(6MW)的功能表现。

结果

12周后,STS试验(p = 0.03)和6MW试验(p < 0.01)观察到时间效应。仅在PG组受试者中,从椅子上起身并回到坐姿的时间显著减少(快2.0秒,p = 0.02),6分钟内行走的距离增加(约30米,p < 0.01)。两组的OLS和TUG表现均未改变。

结论

受普拉提启发的运动改善了社区居住老年女性的动态平衡、下肢力量和有氧耐力。因此,它可能是一种维持老年人体质的潜在有效运动方案。

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