Agostini Francesco, Bernetti Andrea, Di Giacomo Giorgio, Viva Mattia G, Paoloni Marco, Mangone Massimiliano, Santilli Valter, Masiero Stefano
From the Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy (FA, AB, GDG, MGV, MP, MM, VS); and Department of Neuroscience, University of Padua, Padua, Italy (SM).
Am J Phys Med Rehabil. 2021 Mar 1;100(3):280-287. doi: 10.1097/PHM.0000000000001572.
To date, rehabilitative good practices that analyze all aspects of the rehabilitation management of the patient with sarcopenia are absent in the literature. The purpose of this article is to carry out research and evaluation of the evidence, good practice, and recommendations in the literature relating to the rehabilitative treatment of disabilities associated with sarcopenia. Bibliographic research was conducted on Medline, PEDro, Cochrane Database, and Google Scholar. All articles published in the last 10 yrs were analyzed. The results of this research generated three guidelines, eight meta-analyses, five systematic reviews, a Cochrane review, 17 reviews, and seven consensus conferences. From the analysis of the literature, it seems that most of the works agree in affirming that exercise and diet supplementation are the cornerstones of rehabilitation treatment of patients with sarcopenia. The practice of an adequate lifestyle received numerous high-grade recommendations in the included guidelines. Based on the data obtained, the rehabilitation management of the patient with sarcopenia must be personalized and must include exercise and nutritional supplementation. These factors are important in increasing the autonomy of the elderly essential for safe walking without neglecting stretching exercises that are important for flexibility and balance and coordination exercises.
迄今为止,文献中尚无对肌少症患者康复管理各方面进行分析的康复良好实践。本文的目的是对文献中与肌少症相关残疾的康复治疗的证据、良好实践及建议进行研究和评估。在Medline、PEDro、Cochrane数据库和谷歌学术上进行了文献研究。分析了过去10年发表的所有文章。该研究结果产生了三项指南、八项荟萃分析、五项系统评价、一项Cochrane评价、17项综述和七次共识会议。从文献分析来看,似乎大多数研究都一致认为运动和饮食补充是肌少症患者康复治疗的基石。在纳入的指南中,适当生活方式的实践获得了众多高级别推荐。根据所获得的数据,肌少症患者的康复管理必须个性化,且必须包括运动和营养补充。这些因素对于提高老年人安全行走所需的自主性很重要,同时也不能忽视对灵活性、平衡和协调至关重要的伸展运动。
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