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抗阻训练对老年人步态和平衡参数的影响:系统评价。

Influence of Resistance Training on Gait & Balance Parameters in Older Adults: A Systematic Review.

机构信息

Department of Didactics of Music, Plastic and Corporal Expression, University of Jaén, 23071 Jaén, Spain.

Department of Physical Education and Sport, University of Granada, 18011 Granada, Spain.

出版信息

Int J Environ Res Public Health. 2021 Feb 11;18(4):1759. doi: 10.3390/ijerph18041759.

Abstract

In this work we aimed to perform a systematic review of randomized controlled trials within an aging population that investigated the general impacts of a resistance training (RT) protocol on key outcome measures relating to gait and/or balance. Following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement guidelines, two electronic databases (PubMed, and Scopus) were searched for randomized controlled trials that measured at least one key outcome measure focusing on gait and/or balance in older adults. 3794 studies were identified, and after duplicates were removed, 1913 studies remained. 1886 records were removed due to the abstract not meeting the inclusion criteria. 28 full-text articles were assessed further, and 20 of the articles were identified as meeting the criteria for inclusion. The remaining 20 studies were assessed for quality using the Physiotherapy Evidence Database (PEDro) scale; 12 studies remained and were included in this systematic review. Our review suggests that RT has a positive effect on both gait and balance in an elderly population. RT improves gait, specifically straight-line walking speed in older adults. RT is an adequate training method to improve balance in an aging population. Improvements in strength, attributed to RT, may allow for greater autonomy and independence to carry out activities of daily living as we age.

摘要

在这项工作中,我们旨在对针对老年人群体的随机对照试验进行系统评价,以研究阻力训练(RT)方案对与步态和/或平衡相关的关键结果测量的总体影响。根据系统评价和荟萃分析的首选报告项目(PRISMA)声明指南,我们在两个电子数据库(PubMed 和 Scopus)中搜索了至少测量了一项与老年人步态和/或平衡相关的关键结果测量的随机对照试验。确定了 3794 项研究,去除重复项后,仍有 1913 项研究。由于摘要不符合纳入标准,1886 条记录被删除。进一步评估了 28 篇全文文章,其中 20 篇文章被确定符合纳入标准。其余 20 项研究使用物理治疗证据数据库(PEDro)量表评估其质量;12 项研究仍然存在,并包含在本次系统评价中。我们的综述表明,RT 对老年人群体的步态和平衡都有积极影响。RT 可改善步态,特别是老年人的直线行走速度。RT 是一种改善老龄化人群平衡的适当训练方法。由于 RT 引起的力量增强,可能使我们在衰老过程中能够更好地独立完成日常生活活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f9/7918150/f5c232752ac8/ijerph-18-01759-g001.jpg

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