全身振动训练应用于肌肉骨骼减少症老年女性患者的临床观察  

Clinical observation of whole-body vibration training applied to elderly female patientswith osteosarcopenia

作　　者：赵天舒 刘杨晓雪 耿雨涵 张佳丽 辛敏 李霞[2] Zhao Tianshu;Liu Yangxiaoxue;Geng Yuhan(School of Sport Medicine and Rehabilitation,Beijing Sport University,Beijing 100084,China)

机构地区：[1]北京体育大学运动医学与康复学院,北京100084 [2]解放军总医院第一医学中心康复医学科

出　　处：《中华保健医学杂志》2024年第3期327-331,共5页Chinese Journal of Health Care and Medicine

基　　金：国家重点研发计划(2022YFB4703204-ZKT2)。

摘　　要：目的 探讨全身振动训练对肌肉骨骼减少症老年女性患者的康复效果。方法 选取2021年8月~2023年8月解放军总医院第一医学中心跌倒门诊收治的27例老年女性肌肉骨骼减少症患者,采用信封法随机数表法分为观察组(13例)和对照组(14例)。对照组进行常规康复训练,观察组在对照组基础上应用全身振动训练仪进行训练,两组干预时长均为12周。比较两组患者干预前后骨密度、骨骼肌质量、握力、6 m直线步行速度、平衡功能等指标。结果 观察组患者握力、6 m直线步行速度、平衡均高于干预前及对照组干预后,且比较差异有统计学意义(t=-7.528、-4.644、-3.248,P<0.05)。观察组骨骼肌质量和骨密度有改善,与对照组相比存在差异趋势,但差异无统计学意义(t=-1.863、-1.374,P> 0.05)。结论 全身振动训练可以有效改善肌肉骨骼减少症老年女性患者握力、6 m直线步行速度、平衡功能。Objective To investigate the rehabilitation effect of whole-body vibration training on elderly female patients with musculoskeletal reduction disorder.Methods 27 elderly female patients with musculoskeletal disorders were randomly divided into an intervention group(13 cases)and a control group(14 cases)using the envelope method.Conventional rehabilitation training was conducted in the control group,while whole-body vibration trainer was added to the intervention group′s regimen for 12 weeks.Bone density,body weight and body composition,grip strength,6 m straight-line walking speed,balance function and other indicators were compared between the two groups before and after treatment.Results Before treatment,grip strength,6-meter straight-line walking test speed,and balance were higher in the intervention group than in the control group,with statistically significant difference(t=-7.528,-4.644,-3.248,P<0.05).The skeletal muscle mass index and bone mineral density improved,and compared with the control group.control group there was a trend of difference but not statistically significant(t=-1.863,-1.374,P>0.05).Conclusion Whole-body vibration training can effectively improve grip strength,6-meter straight-line walking speed,and balance function in elderly female patients with musculoskeletal reduction disorder.

关 键 词：全身振动训练 肌肉骨骼减少症 肌少症 骨质疏松症 

分 类 号：R592[医药卫生—老年医学]