Functional-task exercise versus resistance strength exercise to improve daily function in older women: A randomized, controlled trial

Functional-task exercise versus resistance strength exercise to improve daily function in older women: A randomized, controlled trial
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DOI:
10.1111/j.1532-5415.2005.53003.x
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发表时间:
2005-01-01
影响因子:
6.3
通讯作者:
Verhaar, HJJ
Verhaar, HJJ
中科院分区:
医学1区
文献类型:
--
作者:
de Vreede, PL;Samson, MM;Verhaar, HJJ

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目的:确定功能任务锻炼计划和阻力锻炼计划是否对社区老年人执行日常任务的能力有不同的影响。设计:一项随机、对照、单盲试验。设置:荷兰乌得勒支社区休闲中心。对象:98名70岁及以上的健康女性被随机分配到功能任务锻炼计划(功能组,n=33)、阻力锻炼计划(阻力组,n=34)和对照组(n=31)。方法:在训练前、训练结束时(3个月)、训练结束后6个月(9个月)分别测量功能作业成绩(ADAP)、等长伸膝力量(IKES)、握力、肘屈肌力(IEFS)和伸腿力量(9个月)。结果:功能组ADAP总分(平均变化量6.8,95%可信区间=5.2~8.4)明显高于阻力组(3.2,95%可信区间=5.2~8.4)。95%CI=1.3~5.0;P=0.007)或对照组(0.3,95%CI=-1.3-1.9;P
OBJECTIVES: To determine whether a functional-task exercise program and a resistance exercise program have different effects on the ability of community-living older people to perform daily tasks.DESIGN: A randomized, controlled, single-blind trial.SETTING: Community leisure center in Utrecht, the Netherlands.PARTICIPANTS: Ninety-eight healthy women aged 70 and older were randomly assigned to the functional-task exercise program (function group, n=33), a resistance exercise program (resistance group, n=34), or a control group (n=31). Participants attended exercise classes three times a week for 12 weeks.MEASUREMENTS: Functional task performance (Assessment of Daily Activity Performance (ADAP)), isometric knee extensor strength (IKES), handgrip strength, isometric elbow flexor strength (IEFS), and leg extension power were measured at baseline, at the end of training (at 3 months), and 6 months after the end of training (at 9 months).RESULTS: The ADAP total score of the function group (mean change 6.8, 95% confidence interval (CI)=5.2-8.4) increased significantly more than that of the resistance group (3.2, 95% CI=1.3-5.0; P=.007) or the control group (0.3, 95% CI=-1.3-1.9; P