本文選題：骨質(zhì)疏松癥　切入點：平衡訓(xùn)練　出處：《廣東醫(yī)學(xué)》2017年01期 　論文類型：期刊論文

【摘要】：目的通過測量客觀指標(biāo)評估平衡訓(xùn)練對老年骨質(zhì)疏松患者近期和遠(yuǎn)期健康質(zhì)量的影響,并分析活動量是否與健康質(zhì)量、步態(tài)速度、平衡訓(xùn)練性能等方面的變化有關(guān)。方法采用隨機對照的方法分析91例老年性骨質(zhì)疏松患者并隨訪15個月以上,根據(jù)是否給予平衡訓(xùn)練分為干預(yù)組和對照組。平衡訓(xùn)練包括單腳支撐、平衡球等,通過計步器和計速器評估活動量,使用GAITRite便攜式步態(tài)分析儀分析步態(tài),運用健康調(diào)查簡表(SF-36)、國際版跌倒效能感量表(FES-I)和下肢功能評價量表(LEFS)評估健康質(zhì)量以及對后期生活進行評估。結(jié)果68例患者完成了3個月的短期隨訪,53例患者完成了15個月的長期隨訪。統(tǒng)計分析顯示干預(yù)組和對照組相比每日步數(shù)≥5 000步在3個月的OR為3.41(95%置信區(qū)間1.2~9.5)(P=0.017)。干預(yù)組和對照組相比每日步數(shù)≥5 000步在15個月的OR為3.3(95%置信區(qū)間1.08~10.64)(P=0.042)。干預(yù)組3、9、15個月的SF-36精神部分得分顯著改善。兩組的身體狀況得分均有改善,兩組間其他變量差異無明顯統(tǒng)計學(xué)意義且與活動量之間無關(guān)聯(lián)性。結(jié)論短期和長期評估顯示平衡訓(xùn)練可以增加老年骨質(zhì)疏松癥患者的活動量。干預(yù)組達到5 000步/d的比例明顯增高。長期隨訪后發(fā)現(xiàn)活動量的改變與健康質(zhì)量、步態(tài)速度、平衡訓(xùn)練性能等方面無關(guān)聯(lián)。要完成持久的活動量變化,需要給予長時間的干預(yù)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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