Differential effects of power rehabilitation on physical performance and higher-level functional capacity among community-dwelling older adults with a slight degree of frailty.
Differential effects of power rehabilitation on physical performance and higher-level functional capacity among community-dwelling older adults with a slight degree of frailty.
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DOI：
10.2188/jea.17.61
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发表时间：
2007-03
影响因子：
4.7
通讯作者：
Ohara H
中科院分区：
文献类型：
--
作者：
Ota A;Yasuda N;Horikawa S;Fujimura T;Ohara H
关于力量康复（PR）对社区虚弱老年人的身体表现和高级功能能力的影响，证据仍然不足。这项非随机对照干预试验由 46 名长期护理需求较轻的社区老年人组成。他们被分配到干预组（I 组，n = 24）和对照组（C 组，n = 22）。其中，32 人（L 组 17 人；C 组 15 人）（中位年龄 77 岁；性别，28% 男性）完成了研究。 L组受试者每周接受两次PR，持续12周。结果是由东京都老年学研究所能力指数（TMIG-IC）评估的身体表现（肌肉力量、平衡性、灵活性和活动性）和更高水平的功能能力，以及由公共长期护理保险认证的长期护理需求水平。与 C 组相比，L 组在定时起立测试（中值变化，减少 4.4 秒与减少 0.2 秒，p = 0.033）和定时 10 米步行（减少 3.0 秒与增加 0.2 秒，p = 0.007）的测量值上有显着改善。 l 组的 TMIG-IC 评分或长期护理需求水平没有观察到显着变化。 PR 改善了社区居住的体弱老年人的活动能力；然而，这种改进并没有转化为更高级别的职能能力。我们的研究结果表明，将与公关相关的积极影响转化为更高水平功能能力的改善是困难的。
Evidence is still insufficient regarding the effects of Power Rehabilitation (PR) on physical performance and higher-level functional capacity of community-dwelling frail elderly people. This nonrandomized controlled interventional trial consisted of 46 community-dwelling elderly individuals with light levels of long-term care needs. They were allocated to the intervention (I-group, n = 24) and control (C-group, n = 22) groups. Of them, 32 persons (17 in the l-group; 15 in the C-group) (median age, 77 years; sex, 28% male) completed the study. The l-group subjects underwent PR twice a week for 12 weeks. The outcomes were physical performance (muscle strength, balance, flexibility, and mobility) and higher-level functional capacity as evaluated by the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) and the level of long-term care need as certified by the public long-term care insurance. The l-group demonstrated a significant improvement in the measured value of the timed up-and-go test (median change, a decrease of 4.4 seconds versus a decrease of 0.2 seconds, p = 0.033) and the timed 10-meter walk (a decrease of 3.0 seconds versus an increase of 0.2 seconds, p = 0.007) in comparison with the C-group. No significant change was observed in the TMIG-IC scores or in the level of long-term care need in the l-group. PR improved mobility of community-dwelling frail elderly people; however, such improvement did not translate into higher-level functional capacity. Our findings demonstrate the difficulty in transferring the positive effects associated with PR into an improvement in higher-level functional capacity.
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DOI：
10.1249/00005768-198205000-00012
发表时间：
1982-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
BORG, GAV
通讯作者：
BORG, GAV
DOI：
10.1111/j.1532-5415.1996.tb01444.x
发表时间：
1996-05-01
影响因子：
6.3
作者：
Okumiya, K;Matsubayashi, K;Ozawa, T
通讯作者：
Ozawa, T
DOI：
10.1111/j.1532-5415.1991.tb01616.x
发表时间：
1991-02-01
影响因子：
6.3
作者：
PODSIADLO, D;RICHARDSON, S
通讯作者：
RICHARDSON, S
DOI：
10.1093/gerona/56.7.m412
发表时间：
2001-07-01
影响因子：
5.1
作者：
Keysor, JJ;Jette, AM
通讯作者：
Jette, AM
DOI：
10.1093/geronj/45.6.m192
发表时间：
1990-11-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
DUNCAN, PW;WEINER, DK;STUDENSKI, S
通讯作者：
STUDENSKI, S