Comparative trial of the effects of continuous locomotion training provided at pharmacies: a pilot study.
Comparative trial of the effects of continuous locomotion training provided at pharmacies: a pilot study.
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DOI：
10.1186/s40780-020-00182-8
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发表时间：
2020-11-23
影响因子：
1
通讯作者：
Suzuki T
中科院分区：
文献类型：
--
作者：
Kikuchi C;Yamaguchi K;Kojima M;Asai H;Nakao R;Otake Y;Nagata J;Matsunami S;Horiba A;Suzuki T
虽然世界人口正在老龄化，但健康的预期寿命并没有增加。日本整形外科协会提出了“运动综合症”的概念，表现为行动能力下降，并引入了一种短测试电池来评估这种综合症的风险。测试单元包括站立测试、两步测试和25题老年机车功能量表(25题GLFS)。运动训练的目的是改善和维持站立和步态功能。然而，在哪里可以提供运动训练并进行随访尚未确定。因此，本研究旨在探讨社区药房持续运动训练对改善运动综合征的效果。本研究的目的是评估药剂师的指导和随访对运动训练的依从性和有效性的影响。纳入标准为1)年龄 ≥ 65 和2)活动功能下降。药房的一名药剂师提供了如何进行运动训练的指导。参与者在家中进行运动训练。他们每月在药房接受一次测试和指导，为期3个 月。主要的结果衡量标准是测试结果和能够在家中进行培训的参与者的天数百分比。对11名参与者进行了分析。最低执行率为78%。在25个问题的GLFS、肌肉力量和单腿站立时间方面都观察到了改善。三名参与者不再表现出明显的行动能力下降。在药店提供持续的运动训练有助于预防机车综合征。这项研究已在大学医院医学信息网临床试验注册登记(UMIN-CTR；识别号。UMIN000027963。2017年6月28日注册)。
While the world’s population is growing older, healthy life expectancy is not increasing. The Japanese Orthopedic Association proposed the concept of ‘locomotive syndrome,’ manifested as a decline in mobility functions, and introduced a short test battery for assessing the risk of this syndrome. The test battery includes the ‘stand-up test,’ ‘two-step test,’ and ‘25-question Geriatric Locomotive Function Scale’ (25-question GLFS). The purpose of locomotion training is to improve and sustain standing and gait functions. However, the place where locomotion training can be provided and followed up has not been decided upon. Therefore, a study was conducted to explore the effect of locomotive syndrome improvement by continuous locomotion training provided at community pharmacies. The objective of this study was to evaluate the effect of pharmacists’ instructions and follow-up on the compliance and effectiveness of locomotion training. The inclusion criteria were 1) age ≥ 65 years and 2) decline in mobility functions. Guidance on how to perform locomotion training was provided by a pharmacist at the pharmacy. The participants performed locomotion training at home. They were tested and instructed at the pharmacy once a month for 3 months. The main outcome measures were test battery results and the percentage of number of days participants who were able to do the training at home. Eleven participants were analysed. The minimum implementation percentage was 78%. Improvements were observed in 25-question GLFS, muscle strength, and standing time on one leg. Three participants no longer showed a noticeable decline in mobility function. Continuous locomotion training provided at pharmacies could contribute to locomotive syndrome prevention. This study was registered with the University hospital Medical Information Network Clinical Trials Registry (UMIN-CTR; identification No. UMIN000027963. Registered 28 June 2017).