不同频率全身振动训练仪治疗老年肌少症的康复效果研究.pdf
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1、学术论著ZHONGGUOYIXUEZHUANGBEI 101中国医学装备2023年8月第20卷第8期 China Medical Equipment 2023 August Vol.20 No.8*基金项目:首都卫生发展科研专项(首发2018-4-2075)“全身振动康复训练对老年肌少症康复的效果研究”首都医科大学附属北京康复医院老年康复中心 北京 100069*通信作者:作者简介:张新峰,男,(1981-),本科学历,主治医师,从事老年重症疾病诊疗及研究工作。文章编号 1672-8270(2023)08-0101-05 中图分类号 R685 文献标识码 AStudy on the effec
2、t of whole-body vibration training instrument with different frequency on rehabilitation of senile sarcopenia/ZHANG Xin-feng,WEI Li,LIU Fang-fang,et al/China Medical Equipment,2023,20(8):101-105.Abstract Objective:To explore the effect of whole-body vibration training instrument with different frequ
3、ency on the rehabilitation of senile sarcopenia.Methods:A total of 70 patients with senile sarcopenia who admitted to hospital were selected as the research objects.All patients were divided into group 15Hz(23 cases),group 30Hz(23 cases)and group 45Hz(24 cases)according to the differences of the set
4、 therapeutic frequency of vibration training instrument.All patients underwent routine training and whole-body vibration treatment.The clinical treatment effects,the indicators of muscle attenuation and motor function among three groups were compared.Berg balance scale(BBS)score and activity of dail
5、y living(ADL)scale score were adopted to analyze the physical balances and daily living abilities of patients.Results:The total effective rate of group 45Hz and group 30Hz were significantly higher than that of group 15Hz(Hc=12.480,P0.05),but there was no significant difference in the total effectiv
6、e rate between group 30Hz and group 45Hz.Before treatment,there were no significant differences in 6-minute walking test(6 MWT),the power of gripping and relative appendicular skeletal muscle index(RASMI)among the three groups.The 6 MWT,the power of gripping and RASMI of three groups after treatment
7、 were significantly higher than those before treatment,and those of group 45Hz and group 30Hz were significantly higher than those of group 15Hz,and those of group 45Hz were significantly higher than those of group 30Hz(F=13.551,F=33.243,F=33.458,P0.05),respectively.There were no significant differe
8、nces in the BBS score and ADL score among the three groups before treatment.The BBS scores of the three groups after treatment were significantly higher than the BBS score of the three groups before treatment,and BBS scores of group 45Hz and group 30Hz were significantly higher than the BBS score of
9、 group 15Hz,respectively,and the BBS score of group 45Hz was significantly higher than that of group 30Hz(F=7.081,P0.05).The ADL scores of the three groups after treatment were lower than those before treatment,and the ADL scores of group 45Hz and group 30Hz were significantly lower than the ADL sco
10、re of group 15Hz,and the ADL score of group 45Hz was significantly lower than that of group 30Hz(F=19.170,P0.05).Conclusion:The treatment effect of whole-body vibration training of acoustic wave is significance on elderly patients with sarcopenia.The application frequencies of 30Hz and 45Hz can bett
11、er improve the treatment effect,and the application of treatment frequency 45Hz can more significantly reduce the muscle attenuation of patients,and improve the motor function and balance function,and further improve the ability of daily living of patients,which is worthy in clinical application.Key
12、 words Whole-body vibration training instrument;Frequency adjustment;Senile sarcopenia;Muscle failure;Motor function;Ability of daily livingFirst-authors address Department of Geriatric Rehabilitation Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100069,Chin
13、a.摘要 目的:探讨不同频率全身振动训练仪治疗老年肌少症的康复效果。方法:选取医院收治的70例老年肌少症患者,依据振动训练仪治疗频率设置的不同将其分为15 Hz组(23例)、30 Hz组(23例)和45 Hz组(24例)。所有患者均行常规训练+全身振动治疗,对比3组患者临床治疗效果,肌肉衰减指标与运动功能,应用Berg平衡量表(BBS)和日常生活能力量表(ADL)评分分析患者身体平衡情况及日常生活能力。结果:45 Hz组和30 Hz组治疗总有效率明显高于15 Hz组,差异有统计学意义(Hc=12.480,P0.05),但30 Hz组与45 Hz组总有效率对比差异无统计学意义;治疗前3组患者6分
14、钟步行试验(6 MWT)、握力及肌肉质量(RASMI)对比无明显差异,治疗后3组患者6 MWT、握力及RASMI均高于治疗前,且45 Hz组和30 Hz组明显高于15 Hz组,45 Hz组明显高于30 Hz组,3组比较差异有统计学意义(F=13.551,F=33.243,F=33.458;P0.05);治疗前3组患者BBS评分与ADL评分对比无明显差异,治疗后3组患者BBS评分均高于治疗前,且45 Hz组和30 Hz组明显高于15 Hz组,45 Hz组明显高于30 Hz组,3组比较差异有统计学意义(F=7.081,P0.05),治疗后3组患者ADL评分均低于治疗前,且45 Hz组和30 Hz组
15、明显低于15 Hz组,45 Hz组明显低于30 Hz组,3组比较差异有统计学意义(F=19.170,P0.05)。结论:老年肌少症患者应用全身振动训练仪治疗疗效显著,且应用频率为30 Hz和45 Hz能够更好地提升治疗效果,其中应用45 Hz的治疗频率能够更显著的降低患者肌肉衰减情况,提升运动功能与平衡功能,并可进一步提升患者的日常生活能力。关键词 全身振动训练仪;频率设置;老年肌少症;肌肉衰竭;运动功能;日常生活能力DOI:10.3969/J.ISSN.1672-8270.2023.08.022引用本文:张新峰,魏莉,刘芳芳,等.不同频率全身振动训练仪治疗老年肌少症的康复效果研究J.中国医学
16、装备,2023,20(8):101-105.张新峰 魏 莉 刘芳芳 陈珊珊 马小民 刘自双*不同频率全身振动训练仪治疗老年肌少症的康复效果研究*102 ZHONGGUOYIXUEZHUANGBEI学术论著中国医学装备2023年8月第20卷第8期 不同频率全身振动训练仪治疗老年肌少症的康复效果研究*-张新峰 等骨骼肌减少症也称肌少症,是指广泛性和与年龄增加相关的进行性骨骼肌量减少,同时伴随肌肉功能和肌肉力量减退的一种临床综合征1。当前,肌少症的发病机制尚无明确定论,且临床上并无根治方案2。有研究发现,65岁人群肌少症发病率为5%10%,而80岁人群却高达31.6%以上3。由于老年人身体机能减弱,
17、且伴随各种基础疾病,在患有肌少症之后明显增加了老年人骨折和跌倒发生率,降低其日常生活能力与生活质量。以往临床上针对老年肌少症患者多采取常规康复训练进行治疗,通过有氧运动和抗阻训练,循序渐进的改善患者肌肉力量,但由于改善效果有限,患者依从性较低,无法达到满意的治疗效果4。随着临床医学技术的发展,有研究发现,应用全身振动治疗能够改善脑卒中偏瘫患者的平衡能力和运动功能,但是对于治疗的频率却存在一定争议5。因此,为了提升老年肌少症患者的治疗效果,本研究探讨不同频率全身振动训练仪治疗对老年肌少症康复的影响。1 资料与方法1.1 一般资料选取2018年9月至2021年9月首都医科大学附属北京康复医院收治的
18、70例老年肌少症患者,依据全身振动训练仪治疗频率设置的不同将其分为15 Hz组(23例)、30 Hz组(23例)和45 Hz组(24例)。15 Hz组中男性12例,女性11例;年龄6584岁,平均年龄(74.213.21)岁;体重5878 kg,平均体重(64.213.24)kg;身高159183 cm,平均身高(167.2115.41)cm。30 Hz组中男性13例,女性10例;年龄6585岁,平均年龄(73.274.26)岁;体重5582 kg,平均体重(64.534.36)kg;身高154185 cm,平均身高(168.4721.16)cm。45 Hz组中男性13例,女性11例;年龄65
19、88岁,平均年龄(73.723.52)岁;体重5489 kg,平均体重(64.284.57)kg;身高151187 cm,平均身高(168.9419.52)cm。3组患者一般资料对比无明显差异,具有可比性。本研究经医院伦理委员会批准,所有患者均签署知情同意书。1.2 纳入与排除标准(1)纳入标准。确诊为肌少症6;年龄65岁;能够配合康复治疗。(2)排除标准。合并四肢、脊柱等骨关节疾病无法运动;合并认知功能障碍;合并外周动脉缺血;依从性较差或中途退出;合并恶性肿瘤;合并心脑、肝肾等重要脏器严重疾病。1.3 仪器设备采用Galileo Lying Models型(起立床式)全身振动训练仪(德国No
20、votec公司)。1.4 治疗方法(1)常规康复训练。所有患者均行常规康复训练:有氧运动每日3050 min,抗组运动30 min,每周3次,共治疗12周,主要为跑台训练,依照患者实际情况制定有氧运动强度;抗组运动主要结合手持负重和弹力带进行,依照循序渐进原则,进行核心肌群训练,每次810组,共循环1015次。(2)训练仪训练。所有患者行常规康复训练后应用全身振动训练仪进行康复训练。将仪器调整为全身振动模式,3组治疗频率分别设置为15 Hz、30 Hz和45 Hz,振幅均为5 mm。训练步骤:患者站立在振动仪上,双手扶住手栏,进行垂直振动训练,共2组,时间为10 min;患者蹲在振动仪上,将双
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- 不同 频率 全身 振动 训练 治疗 老年 肌少症 康复 效果 研究