摘要
目的采用网状Meta评价不同运动干预对老年衰弱患者平衡能力的影响。方法检索PubMed、Embase、Web of Science、The Cochrane Library及中国生物医学文献数据库、中国知网、万方、维普数据库中关于运动训练对衰弱老年人平衡功能影响的随机对照试验。检索期限为建库至2023年9月。由2名研究者独立进行文献筛选、提取及质量评价。采用Stata 14.0软件对Berg平衡量表(BBS)、简易体能状况量表(SPPB)、“站立行走”计时试验(TUG)、6 min步行试验(6MWT)四个平衡功能相关指标得分进行网状Meta分析。结果共纳入15项随机对照试验。网状Meta分析结果显示,在提高BBS评分上核心运动效果最佳,在提高SPPB评分上抗阻运动最佳,在提高TUG时间上核心运动最佳,在提高6MWT距离中平衡训练效果最佳。结论9种运动方式均能改善衰弱老年人平衡功能,其中核心运动、抗阻运动、多元运动、平衡训练效果最佳。
Objective To evaluate the effect of different exercise interventions to improve balance function in frail older adults.Methods A systematic search of PubMed,Embase,Web of Science,The Cochrane Library,China Bio⁃medical Literature Database,CNKI,WanFang Database,VIP Database were carried out to identify randomized control tri⁃als on the effect of exercise training on balance function in frail older adults from inception to September 2023.Literature screening,data extraction,quality evaluation were conducted independently by two researchers.Berg Balance Scale(BBS),Simplified Physical Status Scale(SPPB),"Standing Walking"Timed Test(TUG)and 6-minute Walking Test(6MWT)Data was analyzed by Stata 14.0 software.Results A total of 15 pieces of randomized controlled trials were in⁃cluded.The results of network meta-analysis indicated that the core exercise effect was the best in improving the BBS score,the resistance exercise was the best in the SPPB score,the core exercise was the best in the TUG time,and the bal⁃ance training was the best in the 6MWT distance.Conclusion The nine exercise methods can improve the balance func⁃tion of the frail elderly,among which core exercise,resistance exercise,multi-sport and balance training have the best effect.
作者
严晓晨
陈玲
何元元
覃帆
张燎芝
曾掩
YAN Xiaochen;CHEN Ling;HE Yuanyuan;QIN Fan;ZHANG Liaozhi;ZENG Yan(School of Nursing,Guangxi University of Chinese Medicine,Nanning 530200,China)
出处
《老年医学研究》
2024年第1期7-12,共6页
Geriatrics Research
基金
广西科技计划项目(2022KY0297,基于循证的社区衰弱老年人运动管理方案的构建与实证研究)。
