Raab D M, Agre J C, McAdam M, Smith E L
Department of Preventive Medicine, University of Wisconsin, Madison 53705.
Arch Phys Med Rehabil. 1988 Apr;69(4):268-72.
Decreased range of motion (ROM) due to disuse limits the older adult's ability to perform daily activities. The flexibility of five joints of 46 women (aged 65 to 89 years) was measured by goniometer before and after a 25-week exercise program. Three groups were formed: a control group who did no exercise (C) (n = 13), a group who exercised with light weights (EW) (n = 17), and a group who exercised with no weights (EN) (n = 16). Subjects who exercised (EN and EW) gained significantly greater ROM in ankle plantar flexion, shoulder flexion, shoulder abduction, and left neck rotation than C subjects. No significant differences were found between groups in hip flexion, right neck rotation, wrist flexion or extension, or ankle dorsiflexion. The only difference between exercise treatments was that the EN group gained significantly more ROM in shoulder abduction than the EW. The use of arm weights may have limited shoulder ROM during exercise, resulting in less improvement for shoulder abduction. Comparison with data from other studies suggests age-related loss in flexibility at the shoulder joint. Exercise generally increased shoulder ROM and may be capable of reversing loss in flexibility due to disuse.
因废用导致的活动范围(ROM)减小限制了老年人进行日常活动的能力。在一项为期25周的锻炼计划前后,用角度计测量了46名65至89岁女性五个关节的灵活性。分为三组:不锻炼的对照组(C组)(n = 13)、进行轻重量锻炼的组(EW组)(n = 17)和不使用重量锻炼的组(EN组)(n = 16)。进行锻炼的受试者(EN组和EW组)在踝跖屈、肩屈曲、肩外展和左颈旋转方面获得的ROM显著大于C组受试者。在髋屈曲、右颈旋转、腕屈曲或伸展或踝背屈方面,各组之间未发现显著差异。锻炼方式之间的唯一差异是,EN组在肩外展方面获得的ROM比EW组显著更多。锻炼期间使用臂部重量可能限制了肩部的ROM,导致肩外展的改善较少。与其他研究数据的比较表明肩关节灵活性存在与年龄相关的丧失。锻炼通常会增加肩部的ROM,并且可能能够逆转因废用导致的灵活性丧失。