易筋经对老年骨骼肌减少症平衡障碍患者跌倒风险影响的临床研究

关键词：易筋经  骨骼肌减少症  平衡  改良跌倒功效量表  起立行走计时测试

Keywords:Yi Jin Jing  sarcopenia  balance  modified falls efficacy scale  timed "Up & Go" test

摘要：

      摘要 目的：观察老年骨骼肌减少症平衡障碍患者习练易筋经功法后对其跌倒效能评分的影响，探究适宜老年人锻炼强度的易筋经功法处方。 方法：2018年2—8月，从上海打浦路长照之家和浦东新区高科路社区纳入36例老年骨骼肌减少症存在平衡障碍的志愿者。分为功法组与对照组，每组18例。功法组予易筋经功法运动方案，对照组予健康宣教。两组在功法锻炼前，锻炼3个月以及6个月3个时间节点进行评估。观察改良跌倒功效量表和起立行走计时测试的评估结果变化情况。 结果：两组起立行走计时测试（TUGT）在第6个月出现显著性差异（P=0.034）。改良跌倒功效量表（MFES）得分在易筋经锻炼3个月后较对照组显著增加（P=0.004），并在6个月时，两组数据差异进一步扩大（P<0.001）。老年人起立行走时间与改良跌倒功效量表呈负相关，r=-0.412。 结论：习练易筋经功法可改善老年骨骼肌减少症平衡障碍患者步行能力，降低跌倒风险，增加患者防跌倒信心，从而改善患者防跌倒效能。

Abstract:

      Abstract Objective: To determine the effect of Yi Jin Jing exercise on the score of fall efficacy scale in elderly people with sarcopenia and disequilibrium, and to explore a prescription of Yi Jin Jing Exercise which is appropriate for the elderly. Method: From February 2018 to August 2018, a total of 36 elderly people with sarcopenia and disequilibrium were recruited from Shanghai Elder Caring Rest Home On Dapu Road and Community Hospital on Gaoke Road in Pudong New District. 18 elderly people were assigned to intervention group (Yi Jin Jing) or control group(health education). All assessments were conducted prior to intervention and at 12 and 24 weeks after intervention. Result:①Totally 29 objects completed the test with 15 objects in the intervention group and 14 objects in the control group. ②Time of "Up & Go" Test (TUGT) of the Yi Jin Jing group was significantly shorter than the control group at the sixth month (P=0.034). ③Modified Fall Efficacy Scale (MFES) of the Yi Jin Jing group was significantly higher than the control group at the third months (P=0.004), and this significant difference keep at 6 months (P<0.001). TUGT is negatively correlated with MFES，r=-0412. Conclusion: Yi Jin Jing could improve the walking function, reduce the risk of falling, increase confidence of the elderly people with sarcopenia and disequilibrium to prevent themselves from falling.