不同运动干预措施对心脏开放手术后脆弱患者的跌倒风险和步行参数的影响:试点研究
Vitalija Stonkuvienė1, Raimondas Kubilius1, Eglė Lendraitienė1
1Department of Rehabilitation, Faculty of Nursing, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Medicina (Kaunas, Lithuania)
|February 26, 2025
概括
这项研究发现,互动性炼计划显著降低了跌倒风险,并在开放心脏手术后改善了脆弱患者的步态参数. 这些干预措施比单独的传统康复更有效.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 心血管外科 康复 恢复 心血管外科
背景情况:
- 有限的研究存在于心脏开放手术后脆弱的患者的摔倒风险和步态的运动干预措施.
- 接受心脏手术的脆弱患者面临着落和运动障碍的高风险.
- 住院康复是恢复和功能改善的关键时期.
研究的目的:
- 为了比较不同炼计划对心脏开放手术后脆弱患者的跌倒风险和步行参数的有效性.
- 评估多元组件动态平衡和力量训练与基于计算机的交互式程序之间的影响.
- 评估整体稳定性指数的变化,SPPB分数和详细的步态参数.
主要方法:
- 一项前性随机研究,涉及105名弱势和弱势患者.
- 三组:控制 (传统康复),干预1 (多组件动态平衡/力量) 和干预2 (基于计算机的交互式程序).
- 所有小组都接受了有氧训练;干预措施增加了每周三次的特定炼. 评估包括整体稳定性指数,SPPB和步态分析.
主要成果:
- 所有组都在整体稳定性指数,SPPB和步态参数方面都有所改善.
- 交互式运动干预 (IG-2) 与传统康复 (CG) 相比,降落风险 (整体稳定性指数) 的降低更大.
- 与CG和IG-1相比,IG-2在双重姿势阶段,步伐时间和步伐时间方面表现出显著的改善.
结论:
- 所有的运动干预措施都有效地降低了这种患者群体的跌倒风险.
- 基于计算机的交互式炼程序为改善特定的步态参数和降低心脏手术后跌倒风险提供了卓越的方法.
- 交互式干预增强双重姿势,步伐和步伐时间,但与其他方法相比,不会显著影响步行速度.
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