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多组分运动训练干预对长期护理机构老年居民血液动力学和身体功能的影响:一项多中心随机临床对照试验。

Effects of multicomponent exercise training intervention on hemodynamic and physical function in older residents of long-term care facilities: A multicenter randomized clinical controlled trial.

机构信息

Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, 3rd km of Old National Road, GR-35100 Lamia, Greece.

Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, 3rd km of Old National Road, GR-35100 Lamia, Greece.

出版信息

J Bodyw Mov Ther. 2021 Oct;28:231-237. doi: 10.1016/j.jbmt.2021.07.009. Epub 2021 Jul 24.

Abstract

OBJECTIVES

To assess hemodynamic and physical function responses during a two-month multicomponent group exercise program (MCEP) in residents of long-term care facilities.

METHODS

40 older long-term care residents were randomly allocated equally to an intervention (IG; n = 20; 80 ± 7 years) and control group (CG; n = 20; 79 ± 7 years); they all submitted to hemodynamic (blood pressure and heart rate) and functional assessments before and after the MCEP. The IG performed a twice-weekly, two-months multicomponent exercise program composed of functional mobility, balance, muscle strength, and flexibility exercises; while the CG did not perform any exercise intervention.

RESULTS

There was a statistically significant decrease in systolic blood pressure (7.25 ± 14.64 mmHg; t = 2.2; effect size = 0.34; p < 0.05) following a two-month MCEP as compared with baseline. In all functional measurements (balance, mobility) were significantly improved after the MCEP (p < 0.05).

DISCUSSION

These data indicate that a two-month MCEP can improve systolic blood pressure and functionality in older residents of long-term care facilities.

摘要

目的

评估长期护理机构居民进行为期两个月的多组分团体运动方案(MCEP)期间的血液动力学和身体功能反应。

方法

40 名年长的长期护理居民被随机平均分配到干预组(IG;n=20;80±7 岁)和对照组(CG;n=20;79±7 岁);他们都在 MCEP 前后接受了血液动力学(血压和心率)和功能评估。IG 每周进行两次,为期两个月的多组分运动方案,包括功能性运动、平衡、肌肉力量和柔韧性练习;而 CG 则没有进行任何运动干预。

结果

与基线相比,MCEP 后收缩压(7.25±14.64mmHg;t=2.2;效应大小=0.34;p<0.05)有统计学显著下降。MCEP 后所有功能测量(平衡、移动性)均显著改善(p<0.05)。

讨论

这些数据表明,为期两个月的 MCEP 可以改善长期护理机构老年人的收缩压和功能。

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