《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (5): 563-573.doi: 10.3969/j.issn.1006-9771.2021.05.009
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Jing-xia GUO1,2,Liang CHEN1,2(),Qi-chao YU2,Yu WU2
Received:
2020-11-24
Revised:
2021-03-19
Published:
2021-05-25
Online:
2021-05-26
Contact:
Liang CHEN
E-mail:cullencl@126.com
Supported by:
CLC Number:
Jing-xia GUO,Liang CHEN,Qi-chao YU,Yu WU. Efficacy of Exercise on Fall in Old Adults: A Network Meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 563-573.
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运动(ICF编码) | 定义 | 机制 | 评价指标 |
---|---|---|---|
BFR (d420、b730) | 通过特殊加压装置对肢体施加140~200 mmHg压强,以增强肌力 | 使静脉血流闭塞,同时部分阻塞动脉血流 | TUGT、下肢肌力 |
CMM (d450、d410、d420、b730) | 将心理学理论和范式与游戏化思维结合,以各种多任务练习为特色设计的训练 | 增强记忆力、注意力和自我保护意识等,提高对任务相关刺激的选择性反应 | 跌倒率、BBS、TUGT、下肢肌力 |
MT (d450、d410、d420、b730) | 将平衡、抗阻、有氧等多种形式的运动进行组合 | 多种形式运动对力量、耐力、平衡稳定性等产生交互影响 | 跌倒率、BBS、TUGT、下肢肌力 |
RT (d450、d420、b730) | 采用外部负荷对特定或全身肌群进行的力量训练 | 使肌肉面积增加,质量提高,调节中枢神经系统兴奋性 | 跌倒率、TUGT、下肢肌力 |
PE (d450、d410、d420、b730) | 不进行抗阻练习且采用单一形式的运动 | 对受试者缺失的能力进行针对性训练 | 跌倒率、BBS、TUGT、下肢肌力 |
TC (d450、d410、d420、b730) | 一种中国传统拳术 | 增强核心肌群力量,并通过身心调节提高练习者的协调性 | 跌倒率、BBS、TUGT、下肢肌力 |
WBV (d450、d410、d420、b730) | 将频率为25~35 Hz的低强度机械振动作用于身体,引起全身肌肉震荡的训练方法 | 肌肉发生周期性拉长与缩短,进而兴奋肌梭,引起骨骼肌收缩 | 跌倒率、BBS、TUGT、下肢肌力 |
PWBV (d410、d420、b730) | 将WBV与RT、平衡等训练形式相结合 | 将全身振动引起的被动收缩与主动收缩相结合,弥补单一运动的不足 | BBS、TUGT、下肢肌力 |
Wii (d410、d420、b730) | 通过肢体运动操控电子游戏的交互式训练方法 | 通过多样化的运动增加训练趣味性,提高训练动机和注意力 | BBS、TUGT、下肢肌力 |
"
基本信息 | 文献数(n) | 研究对象数(n) | |
---|---|---|---|
年龄(岁) | 60~75 | 87 | 9629 |
≥ 75 | 85 | 11009 | |
运动方式 | BFR | 203 | |
CMM | 477 | ||
MT | 71 | 11194 | |
PE | 2325 | ||
RT | 1491 | ||
TC | 4422 | ||
WBV | 1666 | ||
PWBV | 185 | ||
Wii | 518 | ||
运动干预时间(周) | ≤ 12 | 90 | 5764 |
> 12 | 82 | 14874 | |
每周运动时间(h) | < 2 | 4935 | |
2~< 3 | 62 | 8589 | |
≥ 3 | 77 | 7114 | |
健康状况 | 无特殊疾病 | 127 | 17436 |
帕金森病 | 827 | ||
脑卒中/脑卒中 | 788 | ||
骨质疏松/关节炎 | 600 | ||
其他 | 987 | ||
运动场所 | 家庭 | 3907 | |
小组/社区/疗养院 | 98 | 14273 | |
跑步机/特殊辅助仪器 | 2458 | ||
结局指标 | 跌倒率 | 12065 | |
BBS | 3193 | ||
TUGT | 84 | 7117 | |
下肢肌力 | 66 | 6021 | |
文献质量评价 | A | 517 | |
B | 168 | 20121 | |
C | 0 | 0 |
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