脆弱な介護老人ホームの住人の機能的パフォーマンスの強化トレーニング介入の比較
Helena Vila1, Carmen Ferragut2, Luis Javier Chirosa3
1Department of Specific Didactics, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain.
Healthcare (Basel, Switzerland)
|February 13, 2026
まとめ
機能電気力学ダイナモメーター (FEMD) 訓練は,弱い高齢者の強さと歩行速度を改善しました. 両方の介入はいくつかの利点を示しましたが,FEMDトレーニングは,このパイロット研究でより重要な神経筋肉のパフォーマンスの向上を示しました.
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- 運動生理学 運動生理学
- リハビリテーション・サイエンス・サイエンス
背景:
- 脆弱性と機能的低下は,高齢者集団,特に施設の高齢者における重要な問題です.
- 機能能力の維持は,高齢者の自律性,移動性,生活の質に不可欠です.
- 筋力トレーニングの介入は,これらの減少を緩和するために調査されています.
研究 の 目的:
- 機能電気機械ダイナモメーター (FEMD) トレーニングと重量化ベストのトレーニングが弱い介護施設の住人の強さ,機能性能,体調に与える影響を比較する.
- 座りから立ち上がる作業中にピークの同心力と偏心力を評価する.
- 機能的パフォーマンスの指標と体組成の変化を評価する.
主な方法:
- 19人の弱体高齢者 (平均年齢86.3歳) を対象とした非ランダム化対照群による準実験試験.
- 参加者はFEMDトレーニング (n=6),加重ベストトレーニング (n=6),またはコントロールグループ (n=7) に8週間割り当てられ,週2回トレーニングを受けました.
- 評価には,体組成,握り力,30秒間の椅子スタンドテスト,3メートルの歩行速度,座り立つのピーク力 (同心,偏心) が含まれていた.
主要な成果:
- FEMDグループは,座りから立ち上がる時の椅子スタンドの性能,歩行速度,および同心的および偏心的なピーク力において,グループ内での有意な改善を示しました.
- 重量のあるベスト群は,特異的なピーク力の有意な増加を示しましたが,機能的な改善はありませんでした.
- 介入グループごとに有意な相互作用は見つかりませんでしたが,この2つのトレーニング方法の間の明確な差異的な効果はないことを示唆しています.
結論:
- 機能電気機械ダイナモメーター (FEMD) ベースのトレーニングは,神経筋肉のパフォーマンス,特に集中ピークフォースの改善の可能性を脆弱な施設の高齢者に示しました.
- 有望ではあるが,観察された機能的改善は,試験的な性質と重要なグループ相互作用の欠如のために慎重に解釈する必要があります.
- この集団に対するFEMDベースのトレーニングの有効性と特定の利点を確認するために,十分なパワーを持つさらなるランダム化対照試験が必要です.
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