高速动力训练对老年人功能表现的效果类似于传统的抵抗训练:系统性审查
Robert T Morrison1, Sue Taylor1, John Buckley2
1Chester Medical School, Faculty of Health, Medicine and Society, University of Chester, University Centre Shrewsbury, Shrewsbury, UK.
Journal of physiotherapy
|June 16, 2023
概括
高速动力训练 (HVPT) 在老年人中显示出与传统抵抗训练 (TRT) 相似的功能性表现益处. 虽然HVPT在特定测试中表现出轻微的优势,但临床意义仍然不确定.
科学领域:
- 老年学是指老年学的学科.
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
背景情况:
- 随着年龄的增长,功能表现下降,降落风险增加,独立性减少.
- 传统的抵抗训练 (TRT) 被广泛用于提高老年人的力量和功能.
- 高速动力训练 (HVPT) 可能通过增强肌肉力量和神经肌肉控制来提供卓越的益处.
研究的目的:
- 为了比较HVPT与TRT对老年人功能表现的影响.
- 评估相关随机对照试验中干预报告的质量.
主要方法:
- 随机对照试验的系统审查和元分析.
- 包括19项试验,包括1,055名老年人 (年龄>60岁).
- 评估的功能结果 (SPPB,TUG,步行速度,平衡等) 和干预报告使用CERT (Consensus on Exercise Reporting Template) 评分. 在实践报告模板上的共识.
主要成果:
- 与TRT (低质量证据) 相比,HVPT在短物理性能电池 (SPPB) 和定时升级和启动 (TUG) 测试上显示了微弱至中度的影响.
- 对其他功能结果的影响是不确定的.
- 平均干预报告质量 (CERT评分) 为53%,很少有试验被评为高质量或中等质量.
结论:
- 在老年人中,HVPT和TRT似乎对整体功能表现具有相似的影响.
- 虽然HVPT可能为SPPB和TUG提供轻微的优势,但临床意义尚不清楚.
- 在这个领域,需要提高干预报告的质量.
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