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弹力带训练结合功能性电刺激可改善老年人的力量控制能力:一项初步研究。

Resistance band training with functional electrical stimulation improves force control capabilities in older adults: a preliminary study.

作者信息

Lee Joon Ho, Lee Hanall, Kim HyunJoon, Kim Rye-Kyeong, Lee Tae Lee, Ko Do-Kyung, Lee Hajun, Kang Nyeonju

机构信息

Department of Human Movement Science, Incheon National University, Incheon, South Korea.

Division of Sport Science, Sport Science Institute, & Health Promotion Center, Incheon National University, Incheon, South Korea.

出版信息

EXCLI J. 2024 Jan 26;23:130-142. doi: 10.17179/excli2023-6777. eCollection 2024.

Abstract

Resistance band training (RBT) with functional electrical stimulation (FES) may be an effective exercise regimen for improving age-related motor impairments. This preliminary study investigated the potential effects of bimanual RBT with FES on upper limb motor functions in older adults. This study randomly assigned 22 elderly people to the bimanual RBT with FES (Bi-RBT+FES) group and the RBT without FES (Bi-RBT) group. All participants performed isometric hand-grip force control tasks in unimanual (dominant and non-dominant) and bimanual conditions before and after four weeks of exercise for each group. We quantified the mean force, force accuracy, force variability, and force regularity at two targeted force levels (i.e., 10 % and 40 % of maximum voluntary contraction; MVC) to estimate changes in force control capabilities. The results revealed that the Bi-RBT+FES group demonstrated a greater force accuracy in the dominant hand at 10 % of MVC after training. Non-dominant hands in the Bi-RBT+FES group increased force accuracy at 40 % of MVC and reduced force variability collapsed across two targeted force levels. Both groups showed a decrease in force regularity after training. These preliminary results indicate that Bi-RBT+FES may be a viable option to facilitate functional recovery of the upper limbs in older adults.

摘要

抗阻带训练(RBT)结合功能性电刺激(FES)可能是一种改善与年龄相关的运动障碍的有效锻炼方案。这项初步研究调查了双手RBT结合FES对老年人上肢运动功能的潜在影响。本研究将22名老年人随机分为双手RBT结合FES(Bi-RBT+FES)组和无FES的RBT(Bi-RBT)组。每组在进行四周运动前后,所有参与者均在单手(优势手和非优势手)和双手条件下执行等长握力控制任务。我们在两个目标力水平(即最大自主收缩的10%和40%;MVC)下量化了平均力、力准确性、力变异性和力规律性,以估计力控制能力的变化。结果显示,训练后,Bi-RBT+FES组在MVC的10%时优势手的力准确性更高。Bi-RBT+FES组的非优势手在MVC的40%时力准确性提高,并且在两个目标力水平上力变异性降低。两组训练后力规律性均下降。这些初步结果表明,Bi-RBT+FES可能是促进老年人上肢功能恢复的可行选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a354/10938250/a0239e0d8e15/EXCLI-23-130-t-001.jpg

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