[논문]Effects of Resistance Training on Lower-Extremity Impairments in Older People With Hip Fracture

doi:10.1016/j.apmr.2008.01.026

[해외논문] Effects of Resistance Training on Lower-Extremity Impairments in Older People With Hip Fracture

Archives of physical medicine and rehabilitation, v.89 no.9, 2008년, pp.1667 - 1674

Portegijs, Erja (Finnish Centre for Interdisciplinary Gerontology, University of Jyvä) , Kallinen, Mauri (skylä) , Rantanen, Taina (, Jyvä) , Heinonen, Ari (skylä) , Sihvonen, Sanna (, Finland) , Alen, Markku (Department of Health Sciences, University of Jyvä) , Kiviranta, Ilkka (skylä) , Sipilä, Sarianna (, Jyvä)

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AbstractPortegijs E, Kallinen M, Rantanen T, Heinonen A, Sihvonen S, Alen M, Kiviranta I, Sipilä S. Effects of resistance training on lower-extremity impairments in older people with hip fracture.ObjectiveTo study the effects of resistance training on muscle strength parameters, mobility, and balance.DesignRandomized controlled trial.SettingResearch laboratory and senior gym.ParticipantsPopulation-based sample of eligible 60- to 85-year-old community-dwelling men and women 0.5 to 7.0 years after hip fracture. Forty-six people had no contraindications and were willing to participate in the exercise trial.InterventionTwelve-week intensive progressive strength-power training (n=24), aiming to reduce asymmetric deficit in leg muscle strength and power, or no intervention (n=22).Main Outcome MeasuresIsometric knee extension torque (KET) and leg extension power (LEP) measured in the weaker and stronger leg and the asymmetric deficit ([weak/sum both legs]×100%), 10-m walking speed, dynamic balance test, and self-reported outdoor mobility.ResultsKET increased in both legs (P<.021), LEP tended to increase in the weaker leg (P=.071), and asymmetric LEP deficit decreased (P=.010) after training compared with the control group. LEP of the stronger leg, asymmetric KET deficit, walking speed, and balance performance were not significantly affected by training. Self-reported ability to walk outdoors improved after training. The compliance to the training was over 90%, and few adverse events (n=4; mainly musculoskeletal) were likely to be caused by the training.ConclusionsIntensive resistance training is feasible for people with a hip fracture and improved muscle strength and power. More intensive training especially for the weaker leg may be needed to obtain more marked effects on asymmetric deficit, mobility, and balance. Also, the timing and duration of training program should be considered. (ISRCTN identifier ISRCTN34271567.)

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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