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下肢肌肉的局部机械刺激是否能改善老年人的姿势控制和从坐到站的运动?

Does focal mechanical stimulation of the lower limb muscles improve postural control and sit to stand movement in elderly?

机构信息

Head and Neck Dept, ENT Clinic, Umberto I University Polyclinic of Rome, Rome, Italy.

Physical Medicine and Rehabilitation Division, Umberto I University Polyclinic of Rome, Rome, Italy.

出版信息

Aging Clin Exp Res. 2018 Oct;30(10):1161-1166. doi: 10.1007/s40520-018-0909-x. Epub 2018 Feb 21.

Abstract

BACKGROUNDS

Imbalance in elderly is a common problem strictly related to fall.

AIMS

This study investigates the possibility that a new protocol based on the focal mechanical muscle vibration may improve balance and stability in elderly.

METHODS

Pre-post non-randomized clinical trial has been used. Patients referring postural disequilibrium with negative vestibular bed-side examinations have been treated with focal muscle vibration applied to quadriceps muscles and evaluated before and immediately after therapy and after 1 week and after 1 month with postural stabilometric examination and with an inertial measurement units during the time up and go test.

RESULTS

Stabilometric analysis showed statistically significant differences in both the area (p = 0.01) and sway (p < 0.01) of the center of pressure during the close eyes tests. Moreover, the global time of the time up and go test was reduced (p < 0.05) and the rotation velocity was increased (p < 0.01).

CONCLUSIONS

The findings confirm the beneficial role of focal muscle vibration in elderly patients improve postural stability and mobility.

摘要

背景

老年人平衡失衡是一个与跌倒密切相关的常见问题。

目的

本研究旨在探讨一种新的基于局部机械肌肉振动的方案是否可以改善老年人的平衡和稳定性。

方法

采用前后非随机临床试验。对有姿势不平衡且前庭床旁检查阴性的患者进行局部肌肉振动治疗,应用于股四头肌,在治疗前、治疗后即刻以及治疗后 1 周和 1 个月进行姿势稳定测量检查和惯性测量单元测试,以评估时间起立行走测试的时间。

结果

在闭眼测试中,压力中心的面积(p=0.01)和摆动(p<0.01)的稳定性分析显示出统计学上的显著差异。此外,时间起立行走测试的总时间减少(p<0.05),旋转速度增加(p<0.01)。

结论

这些发现证实了局部肌肉振动对改善老年患者的姿势稳定性和活动能力的有益作用。

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