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头部旋转运动对老年女性姿势平衡、肌肉力量和步态的影响。

The effects of head rotation exercise on postural balance, muscle strength, and gait in older women.

作者信息

Choi Wonjae, Han Changmin, Lee Seungwon

机构信息

Physical Therapy, Institute of SMART Rehabilitation, Sahmyook University, Seoul, Korea (the Republic of).

Physical Therapy, Moon Rehab, New York, USA.

出版信息

Women Health. 2020 Apr;60(4):426-439. doi: 10.1080/03630242.2019.1662870. Epub 2019 Oct 6.

Abstract

This study aimed to evaluate the effects of resistive exercise (RE) with head rotation exercise (RE+HRE) on postural balance, lower limb muscle strength, and gait in older women. This study was conducted from December 7, 2015 to January 29, 2016 in Seoul, South Korea. Forty older women were recruited at welfare center and randomly allocated to RE+HRE (n = 20) or RE (n = 20) groups. The RE+HRE group performed RE+HRE for 60 min twice per week for 6 weeks, using an elastic band with variable resistance along the length. The HRE included horizontal or vertical head movement during the exercise. The RE group performed RE in a similar manner, but without head movements. The outcome measures were static postural balance (one-leg stance test, functional reach test, and postural sway), dynamic postural balance (timed up and go test, four square step test, and Mini-balance evaluation systems test), lower limb muscle strength (sit-to-stand test), and temporal gait parameters. In the RE+HRE group, all variables were significantly improved compared to baseline ( < .05), and postural balance and gait were significantly improved compared to those in the RE group ( < .05). These findings suggest that RE+HRE can improve dynamic postural balance, gait speed, and cadence in older women.

摘要

本研究旨在评估抗阻运动(RE)联合头部旋转运动(RE+HRE)对老年女性姿势平衡、下肢肌肉力量和步态的影响。本研究于2015年12月7日至2016年1月29日在韩国首尔进行。在福利中心招募了40名老年女性,并将她们随机分配到RE+HRE组(n = 20)或RE组(n = 20)。RE+HRE组每周进行两次60分钟的RE+HRE训练,共6周,使用一种沿长度方向具有可变阻力的弹力带。头部旋转运动包括运动过程中的水平或垂直头部移动。RE组以类似方式进行抗阻运动,但不进行头部移动。测量指标包括静态姿势平衡(单腿站立试验、功能性伸展试验和姿势摆动)、动态姿势平衡(计时起立行走试验、四方步试验和迷你平衡评估系统试验)、下肢肌肉力量(坐立试验)和步态时间参数。在RE+HRE组中,与基线相比所有变量均有显著改善(P<0.05),与RE组相比姿势平衡和步态有显著改善(P<0.05)。这些结果表明,RE+HRE可以改善老年女性的动态姿势平衡、步速和步频。

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