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体弱老年人的步态速度与躯干肌肉之间的关系。

Relationship between gait speed and trunk muscles in frail elderly individuals.

作者信息

Noguchi Shinichi, Jiroumaru Takumi, Michio Wachi, Suzuki Mika, Bunki Hitomi, Ikeya Masae, Fujitani Ryo, Kida Noriyuki, Nomura Teruo

机构信息

Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasaka-cho, Higashiomi City, Shiga 527-0145, Japan.

Department of Applied Biology, Kyoto Institute of Technology, Japan.

出版信息

J Phys Ther Sci. 2021 May;33(5):384-387. doi: 10.1589/jpts.33.384. Epub 2021 May 15.

Abstract

[Purpose] The external and internal abdominal muscles may be related to gait speed; however, this has not yet been elucidated. In this study, we aimed to clarify the relationship between gait speed and trunk muscle thickness in elderly individuals. [Participants and Methods] The participants were 12 elderly individuals (4 males and 8 females, mean age 83.4 years old, SD ± 0.5) that attend a day service center. We measured the 5 m free gait speed, the 5 m fastest gait speed, and the thickness of five trunk muscles (the rectus abdominis [divided into three parts: upper, central, and lower], external oblique, internal oblique, transverse abdominis, and iliopsoas muscles). [Results] There were positive correlations between the free gait speed and the thickness of the lower rectus abdominis, internal oblique, and transverse abdominis muscles. There were also positive correlations between the fastest gait speed and the thickness of the lower rectus abdominis, internal oblique, and transverse abdominis muscles. [Conclusion] Incorporating muscle strength training of the lower rectus abdominis, internal oblique, and transverse abdominis muscles into existing lower limb muscle training protocols is important to effectively maintain the gait speed of elderly individuals.

摘要

[目的] 腹部的外在和内在肌肉可能与步速有关;然而,这一点尚未得到阐明。在本研究中,我们旨在明确老年个体步速与躯干肌肉厚度之间的关系。[参与者与方法] 参与者为12名在日间服务中心活动的老年人(4名男性和8名女性,平均年龄83.4岁,标准差±0.5)。我们测量了5米自由步速、5米最快步速以及五块躯干肌肉(腹直肌[分为上、中、下三部分]、腹外斜肌、腹内斜肌、腹横肌和髂腰肌)的厚度。[结果] 自由步速与下腹直肌、腹内斜肌和腹横肌的厚度之间存在正相关。最快步速与下腹直肌、腹内斜肌和腹横肌的厚度之间也存在正相关。[结论] 将下腹直肌、腹内斜肌和腹横肌的肌肉力量训练纳入现有的下肢肌肉训练方案中,对于有效维持老年人的步速非常重要。

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