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Effect of Music Therapy Combined with Rehabilitation Training on Reducing the Fall Risk in Elderly Patients with Multimorbidity 音乐疗法与康复训练相结合对降低多病老年患者跌倒风险的影响
Pub Date : 2024-02-01 DOI: 10.3724/sp.j.1329.2024.01002
Xiaoya Chen, Nannan Yu, Jiajia Ding, Shanshan Guo, Hongsheng Dong, Yuqing Ding, Na Zhong
Objective To explore the effect of music therapy combined with rehabilitation training on reducing the fall risk in elderly patients with multimorbidity. Methods A total of 72 elderly patients with chronic multimorbidity hospitalized in the Depart‐ ment of Rehabilitation Medicine of Shanghai Jiahua Hospital from October 2021 to October 2022 were selected. The subjects were randomly assigned to the treatment group and the control group, with 36 cases in each group. In the course of the study, there was one case of urinary system infection, one case discharged for home care, and one case where the evaluation could not be completed in the control group, and one case died of pulmonary infection in the treatment group. Finally, 33 cases were included in the control group and 35 cases in the treatment group. The control group received low intensity aerobic training (30 min a time, once a day, five times per week) and dynamic and static balance training (20 min a time, once a day, five times per week) for a total of 12 weeks. In addition to the treatment plan of the control group, the treatment group received music therapy (30 min a time, once a day, five times per week) for 12 weeks. Berg balance scale (BBS) was used to evaluate balance function, 10-meter walking test (10MWT) was use to to assess walking speed, average electromyography (AEMG) and integrated electromyography (iEMG) values of tibialis anterior muscle were collected to evaluate muscle function before and after 12 weeks of intervention, and adverse events were recorded. Results Compared with those before treatment, the EMG values (AEMG and iEMG) of bilateral tibialis anterior muscle in both groups were significantly higher ( P <0.05). Compared with the control group, the EMG values (AEMG and iEMG) of bilateral tibia‐ lis anterior muscle in the treatment group were significantly higher ( P <0.05). The BBS score of both groups were significantly higher than those before treatment ( P <0.05). However, when compared to the control group, the treatment group did not show a significant increase in BBS score, and the difference was not statistically significant ( P >0.05). Compared with that before treatment, the result of the 10MWT in the treatment group increased significantly ( P <0.05). Compared with the control group, the 10MWT result of the treatment group was significantly better ( P <0.05). No adverse events were recorded indicating a high level of safety. Conclusion Music therapy combined with rehabilitation training can better improve the lower limb muscle function and walking speed of elderly patients with multimorbidity, and can improve the balance function to some extent. The overall fall prevention effect is better than rehabilitation training alone.
摘要] 目的 探讨音乐治疗结合康复训练对降低老年多发病患者跌倒风险的效果。方法 选取 2021 年 10 月至 2022 年 10 月在上海嘉华医院康复医学科住院治疗的 72 例老年慢性多发病患者。研究对象被随机分配到治疗组和对照组,每组 36 例。在研究过程中,对照组有1例泌尿系统感染、1例出院回家护理、1例无法完成评估,治疗组有1例因肺部感染死亡。最后,对照组有 33 例,治疗组有 35 例。对照组接受低强度有氧训练(每次 30 分钟,每天一次,每周五次)以及动态和静态平衡训练(每次 20 分钟,每天一次,每周五次),共 12 周。除对照组的治疗方案外,治疗组还接受了音乐治疗(每次 30 分钟,每天一次,每周五次),共 12 周。采用 Berg 平衡量表(BBS)评估平衡功能,采用 10 米步行测试(10MWT)评估步行速度,收集干预前后胫骨前肌平均肌电图(AEMG)和综合肌电图(iEMG)值评估肌肉功能,并记录不良反应。结果 与治疗前相比,两组患者双侧胫骨前肌的肌电图(AEMG 和 iEMG)值均明显升高(P 0.05)。与治疗前相比,治疗组的 10MWT 成绩明显提高(P <0.05)。与对照组相比,治疗组的 10MWT 结果明显更好(P <0.05)。无不良反应记录,安全性高。结论 音乐疗法结合康复训练能更好地改善多病老年患者的下肢肌肉功能和行走速度,并能在一定程度上改善平衡功能。整体预防跌倒效果优于单独康复训练。
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引用次数: 0
Jiangu Granules Regulates Endoplasmic Reticulum Stress-Induced Apoptosis in UMR-106 Cells by Modulating the PERK/eIF2α/ATF4/CHOP Pathway 建谷颗粒通过调节 PERK/eIF2α/ATF4/CHOP 通路调控内质网应激诱导的 UMR-106 细胞凋亡
Pub Date : 2024-02-01 DOI: 10.3724/sp.j.1329.2024.01006
Sainan Chen, Fen Zhou, Yunmei Huang, Yanping Lin
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引用次数: 0
Effect of Extracorporeal Diaphragmatic Pacing Combined with Four-Point Kneeling Position Training on Pulmonary Function in Patients with Ischemic Stroke 体外膈肌起搏结合四点跪姿训练对缺血性脑卒中患者肺功能的影响
Pub Date : 2024-02-01 DOI: 10.3724/sp.j.1329.2024.01004
Wei Lu, Pengxia Dong, Tianpei Xie, Yingjie Fan, Hao Qiu, Haoyu Liu, Min Su
Objective To observe the clinical effect of extracorporeal diaphragmatic pacing combined with four-point knee-ling position training on pulmonary function in patients with ischemic stroke. Methods A total of 60 patients with ischemic stroke admitted to the Rehabilitation Department of the Fourth Affiliated Hospital of Soochow University from January 1, 2023 to June 30, 2023 were enrolled and randomly divided into control group and treatment group, with 30 cases in each group. Both groups received
摘要] 目的 观察体外膈肌起搏联合四点膝灵位训练对缺血性脑卒中患者肺功能的临床效果。方法 选取 2023 年 1 月 1 日至 2023 年 6 月 30 日苏州大学附属第四医院康复科收治的缺血性脑卒中患者 60 例,随机分为对照组和治疗组,每组 30 例。两组均接受
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引用次数: 0
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Rehabilitation Medicine
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