Consequences of lower extremity and trunk muscle fatigue on balance and functional tasks in older people: a systematic literature review.
Consequences of lower extremity and trunk muscle fatigue on balance and functional tasks in older people: a systematic literature review.
复制标题
DOI：
10.1186/1471-2318-10-56
复制
发表时间：
2010-08-17
期刊：
影响因子：
4.1
通讯作者：
Pijnappels M
中科院分区：
文献类型：
--
作者：
Helbostad JL;Sturnieks DL;Menant J;Delbaere K;Lord SR;Pijnappels M
肌肉疲劳会降低年轻人的肌肉力量和平衡控制能力。目前尚不清楚老年人的抗疲劳能力是否会导致不同的效果。为了了解肌肉疲劳是否会增加老年人跌倒的风险，进行了一项系统性文献综述，旨在总结下肢和躯干肌肉疲劳对老年人平衡和功能任务影响的知识。通过检索PUBMED和SCOPUS数据库确定研究。纳入了描述下肢或躯干肌肉疲劳协议对老年人平衡或功能任务影响的论文。比较了研究人群特征、疲劳方案以及平衡和功能任务结局。266项研究中有7项符合纳入标准。主要结果为：通过下肢和躯干肌肉的阻力练习产生的疲劳会导致安静站立时的姿势不稳定;诱导的髋关节、膝关节和踝关节肌肉疲劳会损害功能性伸展，降低从坐到站重复的速度和力量，并产生不太稳定和更多变的行走模式;年龄对疲劳程度和疲劳恢复率的影响在各研究中不一致，这些差异可能是由于疲劳协议、研究人群和结果测量的差异。两者合计，研究结果表明，平衡和功能任务的表现与疲劳受损。未来的研究应该评估疲劳是否与跌倒风险增加有关，以及运动干预是否可以减少疲劳效应。
Muscle fatigue reduces muscle strength and balance control in young people. It is not clear whether fatigue resistance seen in older persons leads to different effects. In order to understand whether muscle fatigue may increase fall risk in older persons, a systematic literature review aimed to summarize knowledge on the effects of lower extremity and trunk muscle fatigue on balance and functional tasks in older people was performed. Studies were identified with searches of the PUBMED and SCOPUS data bases. Papers describing effects of lower extremity or trunk muscle fatigue protocols on balance or functional tasks in older people were included. Studies were compared with regards to study population characteristics, fatigue protocol, and balance and functional task outcomes. Seven out of 266 studies met the inclusion criteria. Primary findings were: fatigue via resistance exercises to lower limb and trunk muscles induces postural instability during quiet standing; induced hip, knee and ankle muscle fatigue impairs functional reach, reduces the speed and power of sit-to-stand repetitions, and produces less stable and more variable walking patterns; effects of age on degree of fatigue and rate of recovery from fatigue are inconsistent across studies, with these disparities likely due to differences in the fatigue protocols, study populations and outcome measures. Taken together, the findings suggest that balance and functional task performance are impaired with fatigue. Future studies should assess whether fatigue is related to increased risk of falling and whether exercise interventions may decrease fatigue effects.
登录
查看更多内容
DOI：
10.1093/gerona/62.9.1010
发表时间：
2007-09-01
影响因子：
5.1
作者：
Helbostad, Jorunn L.;Leirfall, Sara;Sletvold, Olav
通讯作者：
Sletvold, Olav
DOI：
10.1016/j.apmr.2006.08.020
发表时间：
2006-11-01
影响因子：
4.3
作者：
Bellew, James W.;Click Fenter, Paula
通讯作者：
Click Fenter, Paula
影响因子：
2.5
作者：
Pline, KM;Madigan, ML;Grange, RW
通讯作者：
Grange, RW
影响因子：
3.2
作者：
Stackhouse, SKS;Stevens, JE;Binder-Macleod, SA
通讯作者：
Binder-Macleod, SA
影响因子：
2.4
作者：
Parijat P;Lockhart TE
通讯作者：
Lockhart TE