Khalil T M, Abdel-Moty E, Diaz E L, Steele-Rosomoff R, Rosomoff H L
Department of Industrial Engineering, South Shore Hospital and Medical Center, Miami Beach, FL 33139.
Exp Aging Res. 1994 Jul-Sep;20(3):189-99. doi: 10.1080/03610739408253965.
Studies of the effects of physical exercise programs have shown that such programs can improve older persons' functional capacity. Research was conducted to determine the efficacy of two different types of physical restoration regimens--active and passive--in improving the performance of elderly persons with chronic pain conditions. Data from elderly persons admitted for back and pain rehabilitation to the Comprehensive Pain and Rehabilitation Center (CPRC) at the University of Miami are presented. The active approach consisted of the aggressive rehabilitation program at the CPRC, a 4-week program of daily physical therapy, occupational therapy, behavioral modification, and counseling. Treatment goals were improved strength, flexibility, posture, balance, gait, and overall well-being. The passive approach was based on the use of functional electric stimulation (FES) as an adjunct treatment to strengthen lower extremity muscles weakened by disuse. To evaluate the effectiveness of these approaches to physical restoration, we performed ergonomic assessment of subjects' functional abilities, including static strength and range of motion. Findings indicated that both methods were valuable in physical restoration in the elderly. Specifically FES proved effective in strengthening weak muscles in the lower extremities and shows great potential for neuromuscular conditioning in older cohorts.
对体育锻炼项目效果的研究表明，此类项目能够提高老年人的功能能力。开展了一项研究，以确定两种不同类型的身体恢复方案——主动型和被动型——在改善患有慢性疼痛病症的老年人身体机能方面的功效。文中呈现了迈阿密大学综合疼痛与康复中心（CPRC）收治的因背部疼痛接受康复治疗的老年人的数据。主动型方案包括CPRC的积极康复项目，这是一个为期4周的项目，包括每日的物理治疗、职业治疗、行为矫正和咨询。治疗目标是增强力量、提高灵活性、改善姿势、平衡、步态以及整体健康状况。被动型方案基于使用功能性电刺激（FES）作为辅助治疗手段，以增强因废用而衰弱的下肢肌肉。为评估这些身体恢复方法的有效性，我们对受试者的功能能力进行了人体工程学评估，包括静态力量和活动范围。研究结果表明，这两种方法在老年人的身体恢复中都很有价值。具体而言，FES被证明在增强下肢虚弱肌肉方面有效，并且在老年人群体的神经肌肉调节方面显示出巨大潜力。
