多元组件家庭干预对部骨折后肌肉组成,健康和骨密度的影响
Alice S Ryan1,2, Brock A Beamer1,2, Ann L Gruber-Baldini3
1Department of Medicine, Division of Gerontology, Geriatrics and Palliative Medicine, Baltimore VAMC, University of Maryland School of Medicine, Baltimore, Maryland, USA.
概括
与主动对照组相比,在关节骨折患者的家庭物理治疗没有显著改善肌肉组成,骨密度或有氧能力. 需要进一步的研究来优化老年人的康复策略.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 整形外科 整形外科 整形外科
背景情况:
- 关节骨折显著损害了老年人的运动能力.
- 多元组件家庭物理治疗旨在改善门诊功能.
- 恢复背后的机制和不同干预措施的影响仍然不清楚.
研究的目的:
- 研究两种不同的家庭物理治疗方案对关节骨折患者的下肢肌肉特征,骨矿物质密度 (BMD) 和有氧能力的影响.
- 为了比较一个强度,耐力,平衡和功能炼计划 (PUSH) 与一个坐着的活跃运动范围炼和穿皮电神经刺激 (PULSE) 计划.
主要方法:
- 一项随机对照试验涉及37名60岁以上的社区成年人,在关节骨折后26周内.
- 参与者被分配到PUSH (n=19) 或PULSE (n=18) 组进行16周的家庭干预.
- 结果措施包括下肢肌肉面积,肌肉衰减,BMD和有氧能力 (VO2峰值).
主要成果:
- 在基线时,骨折腿部显示肌肉面积和衰减减少,皮下脂肪增加,与非骨折腿部相比.
- 在16周后,与PULSE组相比,PUSH组的骨折腿部肌肉面积显著增加 (p=0.04).
- 在肌肉面积,骨质量或VO2峰值变化方面没有观察到显著的群体间差异,尽管PUSH组在VO2峰值测试中显示出更高的最大倾斜.
结论:
- 基于多组件的家庭物理治疗干预并没有在肌肉组成,骨质量或有氧能力方面产生显著不同的结果,而不是在老年人中从部骨折中恢复过来的活跃对照.
- 这些发现表明,目前的家庭干预措施可能对这些特定的生理测量有有限的差异性影响.
- 进一步研究优化康复策略的部骨折恢复是有必要的.
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