Coleman Sinéad A, Cunningham Conal J, Murphy Niamh, Feaheny Jean, Robinson David, Lannon Rosaleen, McCarroll Kevin, Casey Miriam, Harbison Joseph, Horgan N Frances
Physiotherapy Department, St James's Hospital, Ireland.
MedEl Directorate, St James's Hospital, Ireland.
J Frailty Sarcopenia Falls. 2021 Mar 1;6(1):14-24. doi: 10.22540/JFSF-06-014. eCollection 2021 Mar.
Progressive resistance training can successfully target functional decline in healthy older community-dwelling adults. There are concerns about the safety and acceptance of its use in frail older populations. The aim of this study was to evaluate the feasibility of using progressive resistance training in an older, post-acute, inpatient setting.
A randomised controlled feasibility study was conducted. Appropriate older inpatients undergoing post-acute rehabilitation were recruited. Feasibility measures examined were safety, recruitment, outcome measurement, adherence and retention rates and satisfaction. A range of clinical measures were used to capture changes in body structure and function, activity and participation. Assessments were performed on admission to the study and six weeks later.
A sample of 33 patients were included and randomised to the treatment group (n=16) or the control group (n=17). There were no serious adverse events, adherence rates were 63% and retention rates were 82%. While both groups improved between time 1 and 2, there were no significant differences in clinical measures between the groups.
Progressive resistance training is a safe and acceptable intervention for use with this population. Further work on the effectiveness of progressive resistance training in this setting is now required.
渐进性抗阻训练能够成功针对健康的社区居住老年人的功能衰退问题。对于在体弱的老年人群中使用该训练的安全性和接受度存在担忧。本研究的目的是评估在老年急性后期住院环境中使用渐进性抗阻训练的可行性。
进行了一项随机对照可行性研究。招募了接受急性后期康复治疗的合适老年住院患者。所考察的可行性指标包括安全性、招募情况、结局测量、依从率和保留率以及满意度。使用一系列临床指标来记录身体结构和功能、活动及参与方面的变化。在研究入组时和六周后进行评估。
纳入了33例患者样本，并随机分为治疗组（n = 16）或对照组（n = 17）。未发生严重不良事件，依从率为63%，保留率为82%。虽然两组在第1次和第2次评估之间均有改善，但两组在临床指标方面无显著差异。
渐进性抗阻训练是针对该人群的一种安全且可接受的干预措施。现在需要进一步研究渐进性抗阻训练在该环境中的有效性。
