一项关于居家进行针对驼背的特定锻炼以减少老年人胸椎后凸的可行性研究。
A feasibility study on home-based kyphosis-specific exercises on reducing thoracic hyperkyphosis in older adults.
作者信息
Li Wei Ying, Lu Jinling, Dai Yong, Tiwari Agnes, Chau Pui Hing
机构信息
School of Nursing, Nanjing Medical University, Nanjing, China.
School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
出版信息
Int J Nurs Sci. 2023 Mar 21;10(2):133-141. doi: 10.1016/j.ijnss.2023.03.007. eCollection 2023 Apr.
OBJECTIVES
This study aimed to assess the feasibility of the home-based kyphosis-specific exercises among Chinese older adults with different exercise habits and explore its potential effects on reducing the kyphosis angle and improving physical performance.
METHODS
A single-group, pre-and post-test design was conducted according to CONSORT 2010 statement: extension for pilot and feasibility trials. A total of 20 participants aged ≥60 with thoracic hyperkyphosis and rehabilitation potential were recruited from four local communities in Wuhan, China. Participants underwent a six-week home-based kyphosis-specific exercises intervention that included warm-up, muscle strengthens, spinal alignment, spinal mobility and flexibility, and cool down five sections (22 exercises). The intervention involved seven 1-h group classes and 35 times daily home practice with identical content. At pre- and post-intervention, the participants' kyphosis angle in two standing postures, static balance, dynamic balance, cardiopulmonary function, dynamic gait assessment, pain, and self-image were assessed and compared. Feasibility was assessed by group class attendance, home practice adherence, and participant evaluations.
RESULTS
All participants completed group classes and >75% home practice. Post-intervention, the participant's kyphosis angle in relaxed and best-standing postures was changed by -12.0° (-15.5°, -4.0°) ( = - 3.98, < 0.001）and -10.0° (-14.0°, -5.3°) ( = -3.79, < 0.001), respectively. In addition, participants had significantly less pain ( < 0.001), better self-image ( < 0.001), and improved performance in five physical assessments ( < 0.01). Different pre-intervention hyperkyphosis angle and daily physical activity did not affect intervention effects. Most participants considered the interventional exercise as moderate intensity and satisfactory.
CONCLUSIONS
Home-based kyphosis-specific exercises showed the possibility of being a feasible intervention. And it was advantageous to reducing the kyphosis angle and improving physical performance.
目的
本研究旨在评估针对不同运动习惯的中国老年人进行居家脊柱后凸特定锻炼的可行性，并探讨其对减小脊柱后凸角度和改善身体机能的潜在效果。
方法
根据CONSORT 2010声明（针对试点和可行性试验的扩展）进行单组前后测试设计。从中国武汉的四个当地社区招募了20名年龄≥60岁、患有胸椎后凸且具有康复潜力的参与者。参与者接受了为期六周的居家脊柱后凸特定锻炼干预，包括热身、肌肉强化、脊柱 alignment、脊柱活动度和灵活性以及放松五个部分（22项锻炼）。干预包括七节1小时的小组课程和每天35次内容相同的家庭练习。在干预前后，对参与者在两种站立姿势下的脊柱后凸角度、静态平衡、动态平衡、心肺功能、动态步态评估、疼痛和自我形象进行评估和比较。通过小组课程出勤情况、家庭练习依从性和参与者评价来评估可行性。
结果
所有参与者都完成了小组课程且家庭练习完成率>75%。干预后，参与者在放松和最佳站立姿势下的脊柱后凸角度分别改变了-12.0°（-15.5°，-4.0°）（= -3.98，<0.001）和-10.0°（-14.0°，-5.3°）（= -3.79，<0.001）。此外，参与者的疼痛明显减轻（<0.001），自我形象更好（<0.001），并且在五项身体评估中的表现有所改善（<0.01）。干预前不同的脊柱后凸角度和日常身体活动并未影响干预效果。大多数参与者认为干预性锻炼强度适中且令人满意。
结论
居家脊柱后凸特定锻炼显示出成为一种可行干预措施的可能性。并且它有利于减小脊柱后凸角度和改善身体机能。
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