平衡训练对老年性骨质疏松症身体活动的影响

发布时间：2018-03-08 04:32

  本文选题：骨质疏松症　切入点：平衡训练　出处：《广东医学》2017年01期 　论文类型：期刊论文

【摘要】：目的通过测量客观指标评估平衡训练对老年骨质疏松患者近期和远期健康质量的影响,并分析活动量是否与健康质量、步态速度、平衡训练性能等方面的变化有关。方法采用随机对照的方法分析91例老年性骨质疏松患者并随访15个月以上,根据是否给予平衡训练分为干预组和对照组。平衡训练包括单脚支撑、平衡球等,通过计步器和计速器评估活动量,使用GAITRite便携式步态分析仪分析步态,运用健康调查简表(SF-36)、国际版跌倒效能感量表(FES-I)和下肢功能评价量表(LEFS)评估健康质量以及对后期生活进行评估。结果68例患者完成了3个月的短期随访,53例患者完成了15个月的长期随访。统计分析显示干预组和对照组相比每日步数≥5 000步在3个月的OR为3.41(95%置信区间1.2~9.5)(P=0.017)。干预组和对照组相比每日步数≥5 000步在15个月的OR为3.3(95%置信区间1.08~10.64)(P=0.042)。干预组3、9、15个月的SF-36精神部分得分显著改善。两组的身体状况得分均有改善,两组间其他变量差异无明显统计学意义且与活动量之间无关联性。结论短期和长期评估显示平衡训练可以增加老年骨质疏松症患者的活动量。干预组达到5 000步/d的比例明显增高。长期随访后发现活动量的改变与健康质量、步态速度、平衡训练性能等方面无关联。要完成持久的活动量变化,需要给予长时间的干预和支持。
[Abstract]:Objective to evaluate the effects of balance training on the short-term and long-term health quality of elderly patients with osteoporosis by measuring objective indicators, and to analyze whether the activity quantity is related to health quality and gait speed. Methods 91 patients with senile osteoporosis were analyzed by randomized control and followed up for more than 15 months. According to whether or not balance training was given, it was divided into intervention group and control group. Balance training included one foot support, balance ball, etc. The activity was evaluated by pedometer and speed meter, and gait was analyzed by GAITRite portable gait analyzer. SF-36, FES-I and LEFSs were used to evaluate health quality and later life. Results Sixty-eight patients completed a 3-month follow-up of 53 patients. Statistical analysis showed that the OR of the intervention group 鈮，

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