Department of Rehabilitation Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan.
School of Medicine, College of Medicine, Tzu Chi University, Hualien 970, Taiwan.
Int J Environ Res Public Health. 2022 Aug 4;19(15):9614. doi: 10.3390/ijerph19159614.
The Community Care Station (CCS) service was initiated by the Taiwanese government as a part of its elderly social services programs. This study aimed to investigate the effects of using an inexpensive exercise toolkit, containing a stick, theraband, sandbag and a small ball, led by a physical therapist among community-dwelling older adults participating in CCS. A total of 90 participants (aged 77.0 ± 6.8 years) were recruited and divided into an intervention group (n = 45) and a comparison group (n = 45). The intervention group regularly participated in a health promotion program with the exercise toolkit for approximately 90 min per twice-weekly session for 3 months, and the comparison group maintained their usual CCS activity program. Both groups were assessed before and after the 3-month intervention period. Outcome measures included the Short Physical Performance Battery (SPPB), one-leg stance, functional reach (FR), Timed Up and Go (TUG), and 10 m walk tests; 83 participants completed the study. No significant between-group differences were found at baseline in general characteristics or outcome variables. After 3 months, the intervention group showed the significant group x time interaction effects in SPPB, one-leg stance, FR, TUG and 10 m walk tests compared to the comparison group (p < 0.05).; A structured group-based health promotion program using a low-cost exercise toolkit could be effective in improving the physical performances, balance, and walking ability of community-dwelling older adults receiving CCS program services. Furthermore, the comparison group maintained most of their physical performances, even showing significant progress on FR.
社区关怀站（CCS）服务是台湾政府作为其老年人社会服务计划的一部分而发起的。本研究旨在调查在参与 CCS 的社区居住的老年人中，由物理治疗师带领使用廉价的运动工具包（包含棒、弹性带、沙袋和小球）进行锻炼的效果。共有 90 名参与者（年龄 77.0 ± 6.8 岁）被招募并分为干预组（n = 45）和对照组（n = 45）。干预组定期参加健康促进计划，使用运动工具包，每两周两次，每次约 90 分钟，持续 3 个月，对照组保持其常规的 CCS 活动计划。两组均在 3 个月干预期前后进行评估。主要观察指标包括简短身体表现测试（SPPB）、单腿站立、功能伸展（FR）、起身和行走时间（TUG）以及 10 米步行测试；83 名参与者完成了研究。在基线时，两组在一般特征或结果变量方面没有显著的组间差异。3 个月后，与对照组相比，干预组在 SPPB、单腿站立、FR、TUG 和 10 米步行测试中表现出显著的组间时间交互效应（p < 0.05）。使用低成本运动工具包进行结构化的小组健康促进计划可能对改善接受 CCS 服务的社区居住的老年人的身体表现、平衡和步行能力有效。此外，对照组保持了他们的大部分身体表现，甚至在 FR 上显示出显著的进步。
