Terzis Nikolaos, Salonikidis Konstantinos, Apostolara Paraskevi, Roussos Nikolaos, Karzis Konstantinos, Ververidis Athanasios, Drosos Georgios
Medical School, Department of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.
Laboratory of Neuromechanics, Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Serres, Greece.
J Frailty Sarcopenia Falls. 2021 Jun 1;6(2):57-65. doi: 10.22540/JFSF-06-057. eCollection 2021 Jun.
The effects of a rehabilitation program on static balance, mobility, and strength of lower limbs in elderly fallers operated after a hip fracture and non-operated were studied.
Ninety-one elderly (>65 years) were divided in two groups, the Operated Group (OG, 43 fallers) and the Non-Operated Group (NOG, 48 fallers). Posture during bipedal stance (30s), mobility (Up-and-Go, Falls Efficacy Scale, Berg Balance Scale) and isokinetic strength of several muscular groups in both limbs were evaluated before and after a rehabilitation intervention, consisting in 20 sessions (3 sessions/week) including kinesiotherapy and occupational therapy.
After intervention, the average velocity of Center of Pressure displacement decreased significantly for OG and NOG (p<0.005). Similarly, all other variables describing static balance, mobility (p<0.05) and isokinetic strength (p<0.005) were improved significantly for both groups.
The applied intervention led to improvement in static balance, mobility, and strength of lower limbs after hip fracture. Physical and Rehabilitation Medicine physicians should prescribe evidence-based rehabilitation protocols in elderly fallers because they could show just as remarkable improvements as non-operated patients when the program is carefully designed.
研究康复计划对髋部骨折手术后和未手术的老年跌倒者静态平衡、活动能力及下肢力量的影响。
91名老年人（年龄>65岁）被分为两组，手术组（OG，43名跌倒者）和非手术组（NOG，48名跌倒者）。在进行为期20节（每周3节）包括运动疗法和作业疗法的康复干预前后，评估双足站立（30秒）时的姿势、活动能力（起身行走测试、跌倒效能量表、伯格平衡量表）以及双下肢多个肌肉群的等速肌力。
干预后，手术组和非手术组的压力中心位移平均速度均显著降低（p<0.005）。同样，两组中描述静态平衡、活动能力（p<0.05）和等速肌力（p<0.005）的所有其他变量均显著改善。
所应用的干预措施使髋部骨折后的静态平衡、活动能力及下肢力量得到改善。物理医学与康复科医生应为老年跌倒者开具循证康复方案，因为精心设计的方案能使他们与未手术患者一样取得显著改善。
