推拿结合抗阻运动对骨骼肌衰减症患者日常生活活动能力的影响

被引:20
作者
赵永军 [1 ,2 ]
张育民 [2 ]
郭艳花 [2 ]
窦艳丽 [2 ]
赵娟 [3 ]
何玉秀 [1 ]
机构
[1] 河北师范大学人体运动生物信息省级重点实验室
[2] 吕梁学院体育系
[3] 太原市和平医院
关键词
推拿; 抗阻运动; 骨骼肌衰减症; 日常活动活动能力;
D O I
暂无
中图分类号
R244.1 [推拿、按摩、捏积];
学科分类号
100502 [中医临床基础];
摘要
目的:探讨推拿或/和抗阻运动对骨骼肌衰减症男性患者骨骼肌质量、肌力、步速及日常活动能力的影响,为推拿及运动防治老年人骨骼肌衰减症提供科学依据。方法:按照亚洲肌少症工作组确定的骨骼肌衰减症诊断标准筛选符合标准的骨骼肌衰减症老年男性志愿者24例,并随机平均分为4组:对照组(C)、推拿组(M)、抗阻运动组(R)、推拿结合抗阻运动组(MR)。M组受试者接受推拿功法易筋经(20min)和推拿手法(20min)干预;R组受试者分别进行60%—80%1RM、3组/次、组间歇3—5min的板凳深蹲(20min)和弹力带练习(20min);MR组受试者交替进行推拿干预和抗阻运动练习。干预频率为3次/周,为期8周,8周前后分别测量受试者四肢骨骼肌质量、肌力、步速及Barthel指数,并进行统计分析。结果:1组内比较发现:C组仅步速显著下降;M组和R组握力、步速和Barthel指数显著提高,四肢骨骼肌质量指数(appendicular skeletal muscle mass,ASMI)值小幅提升但无差异显著性;MR组四项测量指标均显著升高。2组间比较发现:与C组相比,M组仅步速显著提高,R组除ASMI值外均显著提高,MR组四项测量指标均显著升高;与M组相比,MR组四项测量指标均显著升高;与R组相比,MR组仅Barthel指数显著提高。结论:推拿结合抗阻运动能有效提升骨骼肌衰减症患者骨骼肌质量、肌力、步行能力及整体活动能力,且其改善效果优于单纯进行推拿或抗阻运动干预,是值得推荐的治疗骨骼肌衰减症的有效手段之一。
引用
收藏
页码:989 / 994
页数:6
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