老年人内在足部强化和电刺激-随机临床试验

Q4 Medicine Fisioterapia em Movimento Pub Date : 2023-08-04 DOI:10.1590/fm.2023.36127
Matheus Machado Rodrigues, Daniel Cirillo Borges Junior, Luan Veleda de Oliveira, Matheus Teixeira Cabreira, M. M. D. Silveira, V. Hentschke
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引用次数: 0

摘要

摘要:衰老降低了与足底屈曲强度降低相关的功能能力。加强足部内在肌肉的锻炼可以通过电刺激来优化。由于文献中关于这些方法的数据较少,需要进一步的研究。目的评价和比较足部内在肌肉强化训练对老年人跌倒风险的影响。方法19例老年患者随机分为3组:对照组(CG);n = 7),运动(EG;n = 6),运动+电刺激(EEG;n = 6)。EG组接受足部固有肌肉的运动方案,EEG组接受相同方案的神经肌肉电刺激(NMES), CG组接受有关预防跌倒的指导。干预前后分别采用单肢平衡测试(SLBT)、功能伸展测试(FRT)、计时起跑测试(TUG)和抓纸测试(PGT)对受试者进行评估。采用单因素和双因素方差分析进行统计分析。p < 0.05为差异有统计学意义。结果与EG相比,TUG测试有显著改善(9.64±1.78比8.20±1.94)。在脑电图上,TUG(12.68±4.01比10.61±3.70)和FRT(26.37±7.66比33.14±9.73)均有改善(p < 0.05)。结论:与电刺激相关的运动方案可改善老年人功能和动态平衡测试的表现。
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Intrinsic foot strengthening and electrostimulation in older adults - Randomized clinical trial
Abstract Introduction Aging reduces functional capacity related to reduced toe plantar flexion strength. The exercise for strengthening the foot’s intrinsic muscles can be optimized using electrostimulation. Due to the scarcity of data in the literature on these methods, further studies are necessary. Objective To evaluate and compare the effects of training to strengthen the foot’s intrinsic muscles on the risk of falls in older adults. Methods This is a randomized clinical trial with 19 older patients allocated into three groups: control (CG; n = 7), exercise (EG; n = 6), and exercise+electrostimulation (EEG; n = 6). The EG received an exercise protocol for the foot’s intrinsic muscles, the EEG received the same protocol with Neuromuscular electrical stimulation (NMES), and the CG received guidance regarding preventing falls. The individuals were evaluated before and after the intervention using the Single-Limb balance test (SLBT), Functional Reach Test (FRT), Timed Up and Go (TUG), and Paper Grip Test (PGT) tests. One and two-way ANOVA was used for the statistical analysis. Statistical significance was set at p < 0.05. Results There was a significant improvement in the TUG test (9.64 ± 1.78 vs. 8.20 ± 1.94) in relation to the EG. With the EEG, there was an improvement both in the TUG (12.68 ± 4.01 vs. 10.61 ± 3.70) and in the FRT (26.37 ± 7.66 vs. 33.14±9.73) with p < 0.05). Conclusion An exercise protocol associated with electrostimulation improves performance in func-tional and dynamic balance tests in older adults.
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来源期刊
Fisioterapia em Movimento
Fisioterapia em Movimento Health Professions-Complementary and Manual Therapy
CiteScore
0.40
自引率
0.00%
发文量
78
审稿时长
13 weeks
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