检查与心力衰竭和身体功能低下的老年人身体功能改善相关的功能特征
Shuntaro Tamura1, Masami Inokuma2, Masaya Hattori2
1Department of Physical Therapy, Ota College of Medical Technology, Ota, Japan.
Physiotherapy theory and practice
|October 30, 2025
概括
老年心力衰竭患者具有更好的基线平衡和腿部力量,在住院心脏康复中表现出更大的功能收益. 早期关注这些领域是改善该人口恢复的关键.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
背景情况:
- 心力衰竭 (HF) 通常影响老年人,导致身体功能减弱.
- 患有HF的老年人身体功能低下与预后和生活质量不佳有关.
- 心脏康复对于改善HF患者的治疗结果至关重要.
研究的目的:
- 确定与心脏康复治疗中老年人患有HF和低身体功能的功能改善相关的身体特征.
- 检查基线功能状态和住院心脏康复后康复之间的关系.
主要方法:
- 对257名老年人 (≥60岁) 的回顾性观察性研究,HF和低短物理性能电池 (SPPB) 评分 (≤6).
- 修改Poisson回归分析了功能改善 (离院时SPPB ≥9) 和基线SPPB子项分数 (平衡,步行速度,坐立) 之间的关联.
主要成果:
- 平均年龄为85.2岁,平均基线SPPB得分为3.7.
- 在29.6%的参与者中观察到功能性改善.
- 较高的基线平衡得分 (RR: 1.34) 和五次坐立测试 (RR: 1.47) 与功能改善有显著的关联.
结论:
- 在入院时保持平衡和下肢强度预测,在接受住院心脏康复的HF老年人中,功能恢复更大.
- 这些发现强调了评估和准平衡和力量在早期心脏康复计划中对这一人口群体的重要性.
- 早期干预侧重于平衡和力量训练可以优化心力衰竭的老年人的功能结果.
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