肌肉减少症患者中运动控制家庭人体工程学预防跌倒（McHeELP）计划的可行性：一项试点研究。
The Feasibilty of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Programme in Patients with Sarcopenia: A Pilot Study.
作者信息
Tsekoura Maria, Matzaroglou Charalampos, Xergia Sofia, Dionyssiotis Yannis, Tsepis Elias, Sakellari Vassiliki, Billis Evdokia
机构信息
Physiotherapy department, School of Health Rehabilitation Sciences, University of Patras, Greece.
2 Physical Medicine and Rehabilitation Department, National Rehabilitation Center EKA, Athens, Greece.
出版信息
J Frailty Sarcopenia Falls. 2024 Jun 1;9(2):89-95. doi: 10.22540/JFSF-09-089. eCollection 2024 Jun.
OBJECTIVES
The objective of this pilot study was to investigate the feasibility of a three month 'Motor control Home ergonomics Elderlies' Prevention of falls' (McHeELP) programme on muscle mass, muscle strength, functionality, balance and fear of falling among older adults with sarcopenia.
METHODS
A feasibility study of the McHeELP programme was performed in patients with sarcopenia. Primary outcome measures included number of participants; number of participants that showed engagement with the programme; adherence rates; data loss in questionnaires and secondary outcome measures; any adverse events, related or not to the intervention programme. All participants received a home-based motor control exercise programme combined with an ergonomic home modification for 12 weeks. Secondary outcome measures included Hand Grip Strength, Bioimpendance Analysis, Muscle Mass, Functionality and Fear of Falling.
RESULTS
Twelve participants, (74.9±5 years), completed the pilot study. Significant differences were recorded before and after the programme on participants' functionality ( < 0.001), balance ( < 0.05) and fear of falling ( < 0.001).
CONCLUSIONS
The present study revealed that the McHeELP programme is fesasible and that it is possible to implement the programme in clinical practice. The McHeELP programme positively affects functionality, balance and fear of falling. Thus, it seems feasible to conduct a full-scale randomised controlled trial.
目的
本试点研究的目的是调查一项为期三个月的“运动控制居家人体工程学老年人预防跌倒”（McHeELP）计划对肌肉减少症老年人的肌肉质量、肌肉力量、功能、平衡和跌倒恐惧的可行性。
方法
对McHeELP计划进行了一项针对肌肉减少症患者的可行性研究。主要结局指标包括参与者数量；参与该计划的参与者数量；依从率；问卷中的数据缺失情况以及次要结局指标；任何不良事件，无论是否与干预计划相关。所有参与者均接受了为期12周的居家运动控制锻炼计划，并结合了符合人体工程学的家居改造。次要结局指标包括握力、生物电阻抗分析、肌肉质量、功能和跌倒恐惧。
结果
12名参与者（74.9±5岁）完成了试点研究。在该计划前后，参与者的功能（<0.001）、平衡（<0.05）和跌倒恐惧（<0.001）方面记录到了显著差异。
结论
本研究表明McHeELP计划是可行的，并且有可能在临床实践中实施该计划。McHeELP计划对功能、平衡和跌倒恐惧有积极影响。因此，进行全面的随机对照试验似乎是可行的。
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