八段锦联合弹力带训练对老年肌少症康复效果研究  

Rehabilitation effect of Baduanjin exercises combined with stretch training with band for elderly patients with sarcopen

作　　者：李国庆 白晋锋[1] 刘芳芳 燕春花 王琪 魏莉 Li Guoqing;Bai Jinfeng;Liu Fangfang;Yan Chunhua;Wang Qi;Wei Li(Geriatric Rehabilitation Center,Beijing Rehabilitation Hospital of Capital Medical University,Beijing 100144,China)

机构地区：[1]首都医科大学附属北京康复医院老年康复中心,北京100144

出　　处：《国际中医中药杂志》2022年第2期164-168,共5页International Journal of Traditional Chinese Medicine

基　　金：北京市残联项目(GNOAFWGK0275);首都医科大学附属医院青年课题(2019-044)。

摘　　要：目的观察八段锦联合弹力带训练对老年肌少症患者的康复效果。方法将符合入选标准的2019年1月-2021年1月本院老年肌少症患者120例按随机数字表法分为2组,每组60例。对照组接受肌少症常规治疗,观察组在对照组基础上给予八段锦联合弹力带训练。2组均干预12周。采用四肢骨骼肌质量指数(Skeletal Muscle Index,SMI)、肌肉握力、简易躯体能力测试表(Short Physical Performance Battery,SPPB)、改良Barthel指数(Modified Barthel Index,MBI)依次对比分析干肌肉活动功能及日常生活能力。结果观察组干预后SMI指数[(6.77±1.03)kg/m^(2)比(6.35±1.12)kg/m2,t=2.14]、肌肉握力[(23.06±3.48)kg比(19.41±3.79)kg,t=5.50]、SPPB评分[(9.12±2.24)分比(7.85±2.13)分,t=3.18]及MBI评分[(82.43±20.75)分比(64.36±19.42)分,t=4.93]均高于对照组(P<0.05);肌肉活动功能等级的患者分布情况优于对照组干预后(Z=-2.28,P=0.023)。结论八段锦联合弹力带训练有助于提高老年肌少症患者的肌肉功能和日常活动质量。Objective To observe the rehabilitation effect of Baduanjin combined with elastic band training on elderly patients with sarcopenia.Methods From January 2019 to January 2021,120 elderly sarcopenia patients in our hospital who met the inclusion criteria were divided into two groups according to the random number table method,with 60 in each group.The control group was given conventional treatment intervention for sarcopenia,and the observation group was Baduanjin exercises combined with elastic band training on the basis of the control group.Both groups were intervened for 12 weeks.The skeletal muscle index(SMI),muscle grip strength,short physical performance battery(SPPB)and Modified Barthel Index(MBI)were used to compare between two groups before and after the intervention.Results After treatment,the SMIindex[(6.77±1.03)kg/m^(2) vs.(6.35±1.12)kg/m2,t=2.14],muscle grip strength[(23.06±3.48)kg vs.(19.41±3.79)kg,t=5.50],SPPB score[(9.12±2.24)vs.(7.85±2.13),t=3.18]and MBI score[(82.43±20.75)vs.(64.36±19.42),t=4.93]of the observation group were significantly higher than those in the control group(P<0.05).After treatment,the distribution of muscle activity function in the observation group was significantly better than that of the control group(Z=-2.28,P=0.023).Conclusion Baduanjin combined with elastic band training can improve the muscle function and quality of daily activities in elderly patients with sarcopenia.

关 键 词：肌肉衰减征 八段锦 弹力带训练 老年人 康复 

分 类 号：R685[医药卫生—骨科学] R493[医药卫生—外科学]