Therapeutic resistance training:proposal for an algorithm-based approach  

作　　者：Frank Weber Christina Stark Wilhelm Bloch Jonas Böcker Michael Drey Sebastian Gehlert Björn Maier Kirsten Peters Ludwig Sachs Benedikt Schoser Eckhard Schönau Rolf Schröder Henning Wackerhage Peter Young Jörn Rittweger 

机构地区：[1]German Air Force Center of Aerospace Medicine,Cologne,Germany [2]Department of Neurology,Medical Faculty and University Hospital,University of Cologne,Cologne,Germany [3]Section Molecular and Cellular Sports Medicine,German Sports University Cologne,Cologne,Germany [4]Institute of Aerospace Medicine,German Aerospace Center,Cologne,Germany,Linder Höhe,51147 [5]Department of Internal Medicine IV,Ludwig-Maximilians-University of Munich,Munich,Germany [6]Department for Biosciences of Sports,Institute of Sports Science,University of Hildesheim,Hildesheim,Germany [7]Duale Hochschule Baden Württemberg,Mannheim,Germany [8]Rijnstate Hospital,Arnhem,the Netherlands [9]Psychotherapie Praxis Sachs,Prien a.Chiemsee,Germany [10]Friedrich-Baur-Institute,Ludwig-Maximilians-University,Munich,Germany [11]Department of Pediatrics,Medical Faculty and University Hospital,University of Cologne,Cologne,Germany,D-50937 [12]Institute of Neuropathology,Friedrich-Alexander University,Erlangen,Germany [13]Department of Sport and Health Sciences,Technical University Munich,Munich,Germany [14]Medical Park Bad Feilnbach,Bad Feilnbach,Germany

出　　处：《Translational Exercise Biomedicine》2024年第1期89-101,共13页运动转化生物医学（英文）

摘　　要：Background Ageing,immobilization,sepsis or cachexia reduce muscle mass and function.The age-related loss,i.e.sarcopenia,contributes to frailty and results in a loss of mobility and autonomy in aging and disease.Affected individuals are often socially isolated,have a greater risk of metabolic disorders and psychosomatic problems.As a result,quality of life and life expectancy are affected.Immobilization and lack of adequate stimuli to the skeletal muscle seem to play a central part in these problems.To overcome them,resistance training(i.e.,weightlifting)is an effective intervention.Statement of the problem Despite the efficacy of resistance training for increasing muscle mass and function,this treatment is underused in clinical practice.We argue that this is due to a lack of a generally applicable methodology.Methods and framework To address this and related problems,we have formed the Network of Expertise for Immobilization-induced Muscle Disorders(KNIMS)to develop a potential algorithm for treating sarcopenia and other immobilization-related muscle disorders.An important aspect of the proposed method is that it is defined as a formal algorithm that consists of two stages.Stage A aims to recover bed-ridden patients’ability to stand by applying vibration-tilt table technology.Stage B aims at rehabilitating compromised gait,using a combination of squats,lunges and single leg raises.It is anticipated that this algorithm-based approach will enhance the ability for standardization and documentation,whilst reducing resource efforts at the same time,which will be equally useful to clinical practice and to clinical research.

关 键 词：muscle training SARCOPENIA FALLS mobility IMMOBILIZATION PHYSIOTHERAPY MUSCLE 

分 类 号：TG1[金属学及工艺—金属学]