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在农村医疗保健机构的肌少症老年人中使用基于虚拟现实的康复——一项准实验研究。

Using Virtual Reality-Based Rehabilitation in Sarcopenic Older Adults in Rural Health Care Facilities-A Quasi-Experimental Study.

作者信息

Chen Guan-Bo, Lin Che-Wei, Huang Hung-Ya, Wu Yi-Jhen, Su Hung-Tzu, Sun Shu-Fen, Tuan Sheng-Hui

出版信息

J Aging Phys Act. 2021 Oct 1;29(5):866-877. doi: 10.1123/japa.2020-0222. Epub 2021 Feb 16.

DOI:10.1123/japa.2020-0222
PMID:33596540
Abstract

Because of a shortage of health care providers, providing rehabilitation in health care facilities is difficult. Virtual reality-based rehabilitation is effective in older populations. There are only a few studies among patients with sarcopenia. This is a quasi-experimental, single-group, pretest-posttest design evaluating the clinical effectiveness of virtual reality-based progressive resistance training among residents aged over 60 years with sarcopenia in rural care facilities. The authors used Oculus Rift with headsets to provide the virtual reality-based progressive resistance training. The authors administered the program twice per week, 30 min per session, for 12 weeks. The primary outcomes were dominant handgrip strength, walking speed, and appendicular skeletal muscle mass index. Data from 30 participants were analyzed. Significant improvements in handgrip strength and walking speed were observed. Although an increasing trend in appendicular skeletal muscle mass index was observed, it did not reach statistical significance. The authors concluded that the virtual reality-based progressive resistance training is partially effective in older sarcopenic adults in health care facilities.

摘要

由于医疗保健提供者短缺,在医疗保健机构提供康复治疗很困难。基于虚拟现实的康复对老年人群有效。在肌肉减少症患者中仅有少数研究。这是一项准实验性、单组、前后测设计,评估基于虚拟现实的渐进性抗阻训练对农村护理机构中60岁以上患有肌肉减少症的居民的临床效果。作者使用带耳机的Oculus Rift提供基于虚拟现实的渐进性抗阻训练。作者每周进行该训练项目两次,每次30分钟,共12周。主要结局指标为优势手握力、步行速度和四肢骨骼肌质量指数。对30名参与者的数据进行了分析。观察到握力和步行速度有显著改善。尽管观察到四肢骨骼肌质量指数有上升趋势,但未达到统计学显著性。作者得出结论,基于虚拟现实的渐进性抗阻训练对医疗保健机构中患有肌肉减少症的老年成年人有部分效果。

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