The feasibility of whole body vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility: A randomised controlled trial [ISRCTN62535013]

被引：172

作者：

Bautmans I. ^{[1
,2
]}

Van Hees E. ^{[3
]}

Lemper J.-C. ^{[4
,5
]}

Mets T. ^{[1
,4
]}

机构：

[1] Gerontology, Free University of Brussels (VUB), B-1090 Brussels

[2] Revalidation Sciences and Physical Therapy, Free University of Brussels (VUB), B-1090 Brussels

[3] Physical Therapy, Hogeschool Antwerpen, Antwerp

[4] Geriatrics, Academic Hospital, Free University of Brussels (AZ-VUB), B-1090 Brussels

[5] Foundation for Psychogeriatrics, Brussels

来源：

BMC Geriatrics | / 5卷 / 1期

关键词：

Nursing Home Resident; Muscle Performance; Whole Body Vibration; Last Observation Carry Forward; Skin Fold Thickness;

D O I：

10.1186/1471-2318-5-17

中图分类号：

学科分类号：

摘要：

Background: Fatigue or lack of interest can reduce the feasibility of intensive physical exercise in nursing home residents. Low-volume exercise interventions with similar training effects might be an alternative. The aim of this randomised controlled trial was to investigate the feasibility of Whole Body Vibration (WBV) in institutionalised elderly, and its impact on functional capacity and muscle performance. Methods: Twenty-four nursing home residents (15 female, 9 male; mean age 77.5 ± 11.0 years) were randomised (stratification for age, gender and ADL-category) to 6 weeks static WBV exercise (WBV+, N = 13) or control (only static exercise; N = 11). Outcome measures were exercise compliance, timed up-and-go, Tinetti-test, back scratch, chair sit-and-reach, handgrip strength and linear isokinetic leg extension. Results: At baseline, WBV+ and control groups were similar for all outcome variables. Twenty-one participants completed the program and attended respectively 96% and 86% of the exercise sessions for the WBV+ and control groups. Training-induced changes in timed up-and-go and Tinetti-test were better for WBV+ compared to control (p = 0.029 for timed up-and-go, p = 0.001 and p = 0.002 for Tinetti body balance and total score respectively). In an alternative analysis (Worst Rank Score & Last Observation Carried Forward) the differences in change remained significant on the Tinetti body balance and total score. No other significant differences in change between both groups were observed. Conclusion: In nursing home residents with limited functional dependency, six weeks static WBV exercise is feasible, and is beneficial for balance and mobility. The supplementary benefit of WBV on muscle performance compared to classic exercise remains to be explored further. © 2005 Bautmans et al; licensee BioMed Central Ltd.

引用

共 30 条

[1]

Fried L.P., Tangen C.M., Walston J., Newman A.B., Hirsch C., Gottdiener J., Seeman T., Tracy R., Kop W.J., Burke G., McBurnie M.A., Frailty in Older Adults: Evidence for a Phenotype, J Gerontol A Biol Sci Med Sci, 56, (2001)

[2]

Bortz II W.M., A Conceptual Framework of Frailty: A Review, J Gerontol A Biol Sci Med Sci, 57, (2002)

[3]

Morley J.E., Perry III H.M., Miller D.K., Editorial: Something about frailty, J Gerontol A Biol Sci Med Sci, 57, (2002)

[4]

Latham N.K., Bennett D.A., Stretton C.M., Anderson C.S., Systematic review of progressive resistance strength training in older adults, J Gerontol A Biol Sci Med Sci, 59, pp. 48-61, (2004)

[5]

Rydwik E., Frandin K., Akner G., Effects of physical training on physical performance in institutionalised elderly patients (70+) with multiple diagnoses, Age Ageing, 33, pp. 13-23, (2004)

[6]

Thomas V.S., Hageman P.A., Can neuromuscular strength and function in people with dementia be rehabilitated using resistance-exercise training? Results from a preliminary intervention study, J Gerontol A Biol Sci Med Sci, 58, pp. 746-751, (2003)

[7]

Fiatarone M.A., Marks E.C., Ryan N.D., Meredith C.N., Lipsitz L.A., Evans W.J., High-intensity strength training in nonagenarians. Effects on skeletal muscle, Jama, 263, pp. 3029-3034, (1990)

[8]

Fiatarone M.A., O'Neill E.F., Ryan N.D., Clements K.M., Solares G.R., Nelson M.E., Roberts S.B., Kehayias J.J., Lipsitz L.A., Evans W.J., Exercise training and nutritional supplementation for physical frailty in very elderly people, N Engl J Med, 330, pp. 1769-1775, (1994)

[9]

Liao S., Ferrell B.A., Fatigue in an older population, J Am Geriatr Soc, 48, pp. 426-430, (2000)

[10]

Delecluse C., Roelants M., Verschueren S., Strength increase after whole-body vibration compared with resistance training, Med Sci Sports Exerc, 35, pp. 1033-1041, (2003)

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