The effects of aerobic exercise training on oxidant-antioxidant balance, neurotrophic factor levels, and blood-brain barrier function in obese and non-obese men

Purpose: The purpose of this study was to investigate the effects of obesity and aerobic exercise training on oxidant-antioxidant balance,neurotrophic factor levels, and blood-brain barrier(BBB) function.Methods: Ten non-obese healthy men(body mass index < 25 kg/m2) and 10 obese men(body mass index ≥ 25 kg/m2) were included in the study.Both groups performed treadmill exercise for 40 min 3 times weekly for 8 weeks at 70% heart rate reserve. Blood samples were collected to examine oxidant-antioxidant balance(reactive oxygen species(ROS) and superoxide dismutase(SOD) activity levels), neurotrophic factors(brain-derived neurotrophic factor(BDNF), nerve growth factor, and glial cell line-derived neurotrophic factor levels), and BBB function(S100βand neuron-specific enolase(NSE) levels) before and after exercise training.Results: The obese group showed significantly greater changes than the non-obese group in serum ROS(-0.46 ± 0.31 mmol/L vs.-0.10 ±0.17 mmol/L,p=0.005),serum S100 p levels(-8.50 ± 5.92 ng/L vs.-0.78 ± 5.45 ng/L,p=0.007),and serum NSE levels(-0.89 ± 0.54 μg/L vs.-0.01 ± 0.74 μg/L,p= 0.007) after training. At baseline,the obese group showed significantly higher serum ROS and S100β levels and significantly lower serum SOD activity and BDNF levels than the non-obese group(p < 0.05). The obese group showed significantly lower serum ROS, S100β,and NSE levels and significantly higher serum SOD activity and BDNF levels after training compared with baseline(p < 0.05).Conclusion: These results suggest that obesity can reduce serum neurotrophic factor levels and can induce BBB dysfunction. On the other hand,aerobic exercise can improve an oxidant-antioxidant imbalance in obese subjects and limit BBB dysfunction.

Effective of exercise therapy on functional balance, physical performance and quality of life among patients undergoing hemodialysis: randomized controlled trial

Background:Patients undergoing hemodialysis suffer from deteriorating physical health,impaired physical function,and have a low quality of life,that explained by insufficient metabolic clearance.To overcome these obstacles,cost-effective strategies must be developed,including exercise as a complement to hemodialysis therapy.Objective:To determine the effectiveness of exercise therapy on functional balance,physical performance,and quality of life among patients undergoing hemodialysis:a randomized controlled trial.Methods:This randomized controlled trial study was carried out on 68 patients with chronic kidney disease undergoing hemodialysis for at least six months and had a medically stable condition who were randomly divided into training(n=32)exercise therapy and(n=31)control,groups.The training group participated in 8-week(3 sessions per week)resistance exercise therapy in three sets of 10 repetitions of knee extension,hip flexion,and hip abduction with the use of an elastic band under the supervision of a training physiotherapist and researcher during the first hour of the three routine hemodialysis treatment session per week.But the control group did not experience any intervention.To analyze the data,two-way analysis of variance and Bonferroni statistical tests were used at the significant level of(P=0.05).Results:6 Minute-Walk Test(6MWT)(0.013),and in the Physical Activity Scale for the Elderly(PASE)(0.014),and Short Survey Form 36(SF-36)questionnaires and health-related quality of life(HRQOL)(0.001)had significant improvements in the training group in comparison to the control group from pre to post-test,also physical performance(0.001)was improving as compared with control group(0.89)at(P=0.05).Conclusion:Resistance exercise therapy interventions for eight weeks effectively improve the physical function and performance,activity levels,and health-related quality of life of patients with chronic kidney disease and undergoing regular hemodialysis compared with a control group.

The Effect of Giving Intervention 12 Balance Exercise on Postural Balance in Elderly

Elderly is an age group that has a high risk of experiencing health problems. One risk that can be experienced by the elderly is the risk of falling. One of the risk factors for falling in the elderly is decreasing in postural balance of the elderly. One of the non-pharmacological therapies developed to reduce the risk of falling in the elderly is to improve the ability of the elderly, especially in controlling postural balance. The purpose of this study was to determine the effectiveness of 12 balance exercises to improve postural balance in the elderly. This type of research is quasi experiments with static group comparison. The research data are obtained by researchers using observation sheet, then the data are tabulated. This study involved two research groups namely the control group (the group not given the intervention) and the treatment group (the group that was given the 12 balance exercise intervention). From the results of Paired samples, t-test with significance level α = 0.05 is obtained by the significance value (p) of 0.025. This study shows that the provision of 12 balance therapy exercise strategy is effective to improve postural balance in the elderly as a preventive effort from the risk of falling.

A Pilot Study on the Effect of Pelvic Exercise on Standing Balance in Patients with Incomplete Cervical Spinal

The purpose of this study was to evaluate the effect of pelvic exercise on standing balance in patients with incomplete cervical spinal cord injury for healthy rehabilitation. 11 patients (8 men and 3 women) with levels of incomplete injury between cervical 3 and cervical 6 who were participated in a study measuring the standing balance using an interactive balance system (IBS) before and after pelvic exercise. The index of standing balance after pelvic exercise was significantly lower than before exercise in patients with incomplete cervical cord injury. The greatest improvements were observed in incomplete cervical spinal cord injury with neurologic levels of cervical 3 and 4 with Brown-Sequard syndrome. These results suggest that the pelvic exercise for rehabilitation significantly improved in part standing balance in patients with incomplete cervical spinal cord injury.

Effects of Pilates exercise on balance, walking and lower limbs motor function in stroke patients: A meta-analysis

Objective: To systematically evaluate the effects of Pilates exercise on balance, walking and lower limbs motor function in stroke patients. Methods: The literature databases such as the Cochrane Library, EMbase, PubMed, Web of Science, Chinese Biomedicine Database (CBM), China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals (VIP) and Wan Fang database (Wan Fang) were retrieved. Randomized controlled trials (RCTs) regarding the effects of Pilates exercise on balance, walking and lower limbs motor function of stroke patients were retrieved. Data were collected and evaluated independently by two researchers. Then, we adopted RevMan 5.3 software to perform a meta-analysis. Results: A total of 5 RCTs were included, including 182 subjects were chosen. The result showed that compared with the routine care group, Pilates exercise can effectively improve the balance of stroke patients when they have trained eight weeks [MD=4.71, 95%CI (2.14, 7.28), P=0.0003], shorten the time of the Timed Up and Go test (TUG)[MD=-1.63, 95%CI (-2.69,-0.56), P=0.003], increase the stride velocity [MD=3.83, 95%CI (1.43, 6.23), P=0.002]. However, the evidence did not support the effectiveness of Pilates exercise on increasing the score of Fugl-Meyer Assessment-Lower Extremity (FMA-LE) of stroke patients [MD=6.70, 95%CI (-3.46, 16.86), P=0.20]. Conclusion: The findings suggest that Pilates could improve the balance and walking speed of stroke patients. However, there still is the lack of the evidence in improving lower limb function. Due to the limitation of the quality of the included studies. highquality studies still should be conducted to investigate the effect of Pilates exercise in stroke patients.

Effects of balance exercise training on chronic nerve injury, GLP-1 and inflammatory mediator secretion in patients with senile dementia

Objective: To study the effects of balance exercise training on chronic nerve injury, GLP-1 and inflammatory mediator secretion in patients with senile dementia. Methods: Patients with senile dementia who were treated in the Fourth People's Hospital of Ya'an between February 2015 and January 2018 were chosen as the research subjects and randomly divided into two groups, the experimental group received balance exercise training and the control group received routine intervention. The levels of chronic nerve injury indexes, GLP-1 and inflammatory cytokines in serum as well as the expression of inflammatory signaling molecules in peripheral blood were determined before and after intervention. Results:Compared with those of same group before intervention, serum Hcy, Aβ1-42, Tau, IL-1β, IL-18, TNF-α and IFN-γ levels as well as peripheral blood NLRP3, Caspase-1 and DOCK2 expression intensity of both groups were decreasing whereas serum SOD, PON1 and GLP-1 levels as well as peripheral blood PKA and CREB expression intensity were increasing after intervention, and serum Hcy, Aβ1-42, Tau, IL-1β, IL-18, TNF-α and IFN-γ levels as well as peripheral blood NLRP3, Caspase-1 and DOCK2 expression intensity of experimental group after intervention were lower than those of control group whereas serum SOD, PON1 and GLP-1 levels as well as peripheral blood PKA and CREB expression intensity were higher than those of control group. Conclusion: Balance exercise training can reduce the chronic nerve injury and regulate the secretion of GLP-1 and inflammatory mediators in patients with senile dementia.

Multisensory Exercise Improves Balance in People with Balance Disorders: A Systematic Review

Objective To examine the effect of multisensory exercise on balance disorders.Methods PubMed,Scopus and Web of Science were searched to identify eligible studies published before January 1,2020.Eligible studies included randomized control trials(RCTs),non-randomized studies,case-control studies,and cohort studies.The methodological quality of the included studies was evaluated using JBI Critical Appraisal Checklists for RCTs and for Quasi-Experimental Studies by two researchers independently.A narrative synthesis of intervention characteristics and health-related outcomes was performed.Results A total of 11 non-randomized studies and 9 RCTs were eligible,including 667 participants.The results supported our assumption that multisensory exercise improved balance in people with balance disorders.All of the 20 studies were believed to be of high or moderate quality.Conclusion Our study confirmed that multisensory exercise was effective in improving balance in people with balance disorders.Multisensory exercises could lower the risk of fall and enhance confidence level to improve the quality of life.Further research is needed to investigate the optimal strategy of multisensory exercises and explore the underlying neural and molecular mechanisms of balance improvement brought by multisensory exercises.

The effect of Tai Chi intervention on balance in older males

The purpose of the present study was to examine the effects of a 24-week Tai Chi exercise intervention on balance and other physical changes such as flexibility and reaction time(RT)among healthy older males.Methods:Thirty-eight male subjects aged 55-65 years without prior Tai Chi experience were recruited from a local community in Shanghai,China.A 60-min Tal Chi exercise session was performed three times a week for 24 weeks.Changes in RT,sit-and-reach flexibility and balance (static balance with eyes open and closed respectively)were measured before and after the Tal Chi intervention.Results:After the 24-week Tai Chi intervention,the choice RT(P ＜ 0.05)decreased,and sit-and-reach flexibility improved (P ＜ 0.01)over the pre-test(7.8 ±6.2 vs.7.1 ±3.0cm).Sway length,area,X-axis deviation amplitude and Y-axis deviation amplitude performance decreased significantly after the intervention with a double-foot stance with eyes open(P ＜ 0.05).Sway length,area and average sway speed showed a statistically significant decrease after the intervention with the double-foot stance with eyes closed.In the single-footstance with eyes open condition,sway length and average swayspeed showed a statistically significant decrease(P＜0.05).Conclusion:The 24-week Tai Chi exercise intervention had a positive influence on balance control in older males.Copyright(C)2012,Shanghai University of Sport.Production and hosting by Elsevier B.V.All rights reserved.

Effects of a multimodal exercise protocol on functional outcomes,epigenetic modulation and brain-derived neurotrophic factor levels in institutionalized older adults:a quasi-experimental pilot study

Epigenetic changes have been shown to be associated with both aging process and aging-related diseases.There is evidence regarding the benefits of physical activity on the functionality,cognition,and quality of life of institutionalized older adults,however,the molecular mechanisms involved are not elucidated.The purpose of this pilot study was to investigate the effects of a multimodal exercise intervention on functional outcomes,cognitive performance,quality of life(QOL),epigenetic markers and brain-derived neurotrophic factor(BDNF)levels among institutionalized older adult individuals.Participants(n=8)without dementia who were aged 73.38±11.28 years and predominantly female(87.5%)were included in this quasi-experimental pilot study.A multimodal exercise protocol(cardiovascular capacity,strength,balance/agility andflexibility,perception and cognition)consisted of twice weekly sessions(60 minutes each)over 8 weeks.Balance(Berg Scale),mobility(Timed Up and Go test),functional capacity(Six-Minute Walk test),cognitive function(Mini-Mental State Examination)and QOL(the World Health Organization Quality of Life-BREF Scale questionnaire)were evaluated before and after the intervention.Blood sample(15 mL)was also collected before and after intervention for analysis of biomarkers global histone H3 acetylation and brain-derived neurotrophic factor levels.Significant improvements were observed in cognitive function,balance,mobility,functional capacity and QOL after the intervention.In addition,a tendency toward an increase in global histone H3 acetylation levels was observed,while brain-derived neurotrophic factor level remained unchanged.This study provided evidence that an 8-week multimodal exercise protocol has a significant effect on ameliorating functional outcomes and QOL in institutionalized older adult individuals.In addition,it was also able to promote cognitive improvement,which seems to be partially related to histone hyperacetylation status.The Ethics Research Committee of Centro Universitário Metodista-IPA,Brazil approved the current study on June 6,2019(approval No.3.376.078).

An 8-week reactive balance training program in older healthy adults： A preliminary investigation

Background： This preliminary study examined the effects of an 8-week supervised reactive balance training program on reaction time （RT） and foot speed, static balance and balance confidence in healthy older adults compared to an exercise control group. Methods： Twenty-five older adults were randomly assigned to a reactive balance training group （QuickBoard; n = 12; 71.0 ± 8.6 years） or a stationary cycling group （control; n = 13; 70.2 ± 6.0 years）. Both groups were tested for foot RT foot speed, static balance, and balance confidence at baseline, 4-week, 8-week, and 4-week follow-up. Results： Results indicated significant improvements in QuickBoard foot RT and speed in both groups with greater improvements in the QuickBoard group. However, no group difference was found in static balance performance. Conclusion： Although the improvements in RT and foot speed may be beneficial for fall and trip prevention, the implications of the current findings for trio avoidance and oerformance of daily tasks are unclear.

Body Balance and Core Training in Parkinson’s Disease: A Longitudinal Crossover Study

Objective: The objective of this study was to verify the effects of two different training protocols based on Core Stability and Body Balance exercises in subjects with Parkinsons’s Disease. Methods: Eight elderly men with PD (age of 73 ± 9 years, weight 69 ± 16 kg, height 164 ± 13 cm, 2 ± 1 of Disability Score according to Hoehn and Yahr scale). The disability score was evaluated using Hoehn and Yahr scale. This study was 12-month-long organized in 3 blocks of 4 months each. The sample was divided in two groups formed by 4 subjects each group. During the first four months, one group performed core stability exercises (CSG) while the other group exercised itself through a Balance Exercises Program (BG). After this first part of the study both protocols were stopped for the following 4 months. Finally, the group were reversed (counter balance design) for the last 4 months of physical activity. The two groups were measured twice, before (T0) and after the treatment (T1). Both treatments were designed in order to investigate the improvement in core muscles performance in order to grant a better balance control and to reduce the risk of falling. Results: statistically significant variations were found in the flight time of Sit-to-Stand (p < 0.05, +27%) and in the step length (p < 0.05, ?3%). In the CSG group, statistically significant variations were detected in Speed of Steps (p < 0.05, +5%), Step Cadence (p < 0.05, +3%), and Left Stride Duration (p < 0.05, ?3%) (Table 1). Conclusion: Both Body Balance and Core training can be considered two good physical exercise methods for people with PD. This study highlights the positive effects of this training protocol on legs strength improvements and on the balance control while walking.

Effectiveness of a Group Exercise Class vs. Home Exercise Program as a Follow-up to Physical Therapy for Older Adults with High Fall Risk

This quasi-experimental study compared the results of a traditional model of physical therapy(PT)care to a PT wellness model known as GroupHab.The traditional model included discharge from PT with a home exercise program(HEP)to be self-administered with or without the addition of a community-based exercise program.The wellness model included participation in a PT-designed and supervised group exercise program(GroupHab class)in an outpatient clinical setting following discharge from PT.Independent t-tests were used to compare the number of falls,exercise frequency,and exercise duration between the two groups.A repeated measures,analysis of variance(RM-ANOVA)compared changes in balance confidence scores both within and between groups,and a multivariate analysis of variance(MANOVA)analyzed group differences across multiple quality of life ratings using the SF-20.All data were analyzed at the 0.05 alpha level using SPSS 24 statistical software.Our results showed a significantly greater reduction in recurrent falls among the GroupHab wellness group compared to the HEP group(t=2.811,p=0.009).The resulting odds ratio for subsequent falls was 2.2 among HEP participants and 0.2 among GroupHab participants.Exercise adherence was also greater for those who participated in the GroupHab class.They documented greater exercise frequency(t=-3.253,p=0.002)and more exercise minutes(t=-7.188,p<0.001)than those who participated in the HEP.When comparing changes in the participants’balance confidence,we found an average increase of 5%among GroupHab participants compared to a 6%decrease among HEP participants(F=16.877,p<0.001,power=0.981).Although our multivariate analysis of the SF-20 scores revealed no significant difference overall(F=0.768,p=0.73),the univariate analyses showed significantly greater improvements among GroupHab participants in selected areas of physical function.These results suggest that at-risk older adults who are discharged into a functionally-based group exercise class are less likely to experience recurrent falls and are more likely to have more confidence in their balance than those who are discharged with a standard HEP and/or use of community-based exercise classes.

Ad libitum water consumption prevents exercise-associated hyponatremia and protects against dehydration in soldiers performing a 40-km route-march

Background: It remains unclear if ad libitum water drinking, as a hydration strategy, prevents exercise-associated hyponatremia(EAH) during prolonged exercise. The aim of this study was to determine the incidence of EAH within the broader context of fluid regulation among soldiers performing a 40-km route-march ingesting water ad libitum.Methods: Twenty-eight healthy male soldiers participated in this observational trial. Pre-and post-exercise body mass, blood and urine samples were collected. Blood samples were assessed for serum sodium([Na+]), glucose, creatinine, urea nitrogen(BUN), plasma osmolality, creatine kinase(CK), and plasma arginine vasopressin(AVP) concentrations. Plasma volume(PV) was calculated using hematocrit and hemoglobin. Urine samples were analyzed for osmolality and (Na+)Water intake was assessed by weighing bottles before, during and after the march. The mean relative humidity was 55.7%(21.9–94.3%) and the mean dry bulb temperature was 27.1°C(19.5°C-37.0°C) during the exercise.Results: Twenty-five soldiers(72±10 kg)(Mean±SD) completed the march in 09:11±00:43(hr:min). Participants consumed 736±259 ml/h of water and lost 2.8±0.9 kg(4.0%±1.4%, P<0.05) of body mass. Significant(pre-march vs. post-march;P<0.05) decreases in serum [Na+](141 mmol/L vs. 136 mmol/L), plasma osmolality(303 m Osmol/kg H2O vs. 298 m Osmol/kg H2O), and serum creatinine(111 μmol/L vs. 101 μmol/L) and urine [Na+](168 mmol/L vs. 142 mmol/L), as well as significant increases in plasma AVP(2 pg/ml vs. 11 pg/ml), plasma CK(1423 U/L vs. 3894 U/L) and urine osmolality(1035 m Osmol/kg H2O vs. 1097 m Osmol/kg H2O) were found. The soldier(72 kg) with the lowest postexercise sodium level completed the march in 08:38. He drank 800 ml/h, lost 2% body mass, and demonstrated(prepost) increases in plasma osmolality(294–314 m Osmol/kg H2O), BUN(20–30 mg/dl), AVP(2–16 pg/ml) and PV(41%). His urine osmolality decreased from 1114 m Osmol/kg H2O to 1110 m Osmol/kg H2O. No participants finished the route-march with a serum [Na+] indicating hypernatremia(range, 134–143 mmol/L).Conclusions: Ad libitum drinking resulted in 4% body mass loss with a 2 mmol/L serum [Na+] reduction in conjunction with high urine osmolality(>1000 m Osmol/kg H2O) and plasma AVP. No single hydration strategy likely prevents EAH, but hypernatremia(cellular dehydration) was not seen despite >2% body mass losses and high urine osmolality.

坐-立位平衡导引训练对老年衰弱前期患者平衡能力的影响

目的探讨坐-立位平衡导引训练改善老年衰弱前期患者平衡能力的效果。方法将80例老年衰弱前期患者采用随机数字表法分为试验组与对照组各40例。对照组按常规进行康复训练,试验组在对照组基础上实施坐-立位平衡导引训练12周。训练4周及12周后,比较两组患者计时起立-行走测试和Berg平衡量表得分。结果训练4周后,试验组的Berg平衡量表得分显著高于对照组(P<0.05);训练12周后,试验组计时起立-行走测试显著短于对照组,Berg平衡量表评分显著高于对照组(均P<0.05)。结论对老年衰弱前期患者开展坐-立位平衡导引训练,有利于缩短患者起立-行走时间,提高其身体平衡能力。

乳腺癌化疗所致周围神经病变患者运动干预的范围综述

目的对乳腺癌化疗所致周围神经病变运动干预的相关研究进行范围综述,为开展运动干预提供参考。方法基于JBI范围综述框架,系统检索国内外常用数据库,检索时限为建库至2024年3月31日,对检索出的文献进行筛选和信息提取。结果共纳入13篇文献,其中10篇随机对照试验,3篇类实验研究。运动类型包括有氧运动、抗阻运动、感觉运动训练、平衡训练、振动训练、神经舞蹈训练、自行设计的四肢锻炼操等;总干预时长4~12周或化疗时长,运动强度多为轻中度,运动频率多为2~5次/周,30~60 min/次。运动干预评价指标包括安全性、依从性、化疗所致周围神经病变症状及其严重程度、生活质量等。结论运动干预可改善乳腺癌患者化疗所致周围神经病变发生率及严重程度、提高患者生活质量,但运动干预策略和评价标准存在较大差异,有待更多证据以制订最佳运动干预方案。

奥塔戈运动在老年急性脑卒中患者中的应用效果

目的:探讨奥塔戈运动在老年急性脑卒中患者中的应用效果。方法:回顾性选取2022年6月—2023年6月广州市第一人民医院急诊科收治的83例老年急性脑卒中患者为研究对象。根据护理方法的不同将其分为对照组(41例)和观察组(42例)。对照组给予常规护理,观察组在对照组基础上给予奥塔戈运动。比较两组干预前后认知功能、运动功能及平衡能力,干预后依从性及满意度。结果:干预后,两组定向力、记忆、语言、回忆及注意和计算评分均升高,观察组定向力、记忆、语言、回忆及注意和计算评分均高于对照组,差异有统计学意义(P<0.05)。干预后,两组上肢简易Fugl-Meyer运动功能量表(FMA)、下肢FMA、Holden步行功能分级量表(FAC)及Berg平衡量表(BBS)评分均升高,观察组上肢FMA、下肢FMA、FAC及BBS评分均高于对照组,差异有统计学意义(P<0.05)。观察组遵医治疗、定期复查及生活管理依从率和干预方法、服务态度及症状改善满意度均高于对照组,差异有统计学意义(P<0.05)。结论:奥塔戈运动用于老年急性脑卒中患者中,有助于改善患者认知功能,提高运动功能和平衡能力,可获得较高的依从性及满意度。

小组模式的奥塔戈运动对住院老年精神分裂症病人跌倒风险的影响

目的:探讨小组模式的奥塔戈运动训练对老年精神分裂症病人跌倒风险的影响。方法:选取2022年6月—2023年6月在精神科住院的60例老年精神分裂症病人,按病人住院尾号分组,单号为对照组(30例),双号为干预组(30例)。对照组采取常规康复护理,干预组在常规康复护理模式基础上开展小组模式的奥塔戈运动训练。采用Tinetti平衡与步态量表(Tinetti POMA)、Morse跌倒评估量表(MFS)、中文版简易智能状态检查表(MMSE)评定病人的平衡能力、跌倒风险和认知功能。结果:干预12周后,干预组Tinetti平衡与步态量表总分、Morse跌倒评估量表总分、中文版简易智能状态检查表总分均高于干预前及同期对照组,差异均有统计学意义(P<0.05)。结论:小组模式的奥塔戈运动训练能提高老年精神分裂症病人的平衡能力,降低跌倒风险,改善认知功能。

多学科协作制定的行走站立平衡运动康复护理模式在膝关节置换病人中的应用

目的:探究多学科协作制定的行走站立平衡运动康复护理模式在膝关节置换病人中的应用效果。方法:选取2022年1月—2023年4月于医院接受康复治疗的86例膝关节置换病人作为研究对象,按照随机数字表法将病人分为常规组与干预组,各43例。常规组实施常规康复训练,干预组实施多学科协作制定的行走站立平衡运动康复护理方案,两组均持续干预6周,比较干预前后两组病人步行功能[采用计时起立-行走测试(TUGT)、三维步态测试评价]、平衡能力[采用Berg平衡量表(BBS)评价]、膝关节功能[采用美国膝关节协会量表(KSS)评价]以及生活质量[采用世界卫生组织生活质量量表(WHOQOL-100)评价]变化。结果:干预后,两组TUGT计时均缩短(P<0.05),且干预组短于常规组(P<0.05);干预后,两组步速均增快、步幅均增大、患侧支撑相占比均升高(P<0.05),且干预组水平优于常规组(P<0.05);干预后,两组BBS评分,KSS量表中膝关节稳定性、疼痛、行走功能、活动度评分,WHOQOL-100量表中生理、心理、独立性、社会关系、环境、精神状态评分均升高(P<0.05),且干预组评分均高于常规组(P<0.05)。结论:多学科协作制定的行走站立平衡运动康复护理模式应用于膝关节置换病人中,有助于改善病人步行站立功能、肢体平衡功能和膝关节功能,提高病人生活质量。

健康操与认知任务训练在帕金森伴认知障碍患者中的应用

目的探讨健康操结合认知任务训练在帕金森合并轻度认知障碍(Parkinson's disease with mild cognitive impairment,PD-MCI)患者中的应用效果。方法选取南通市第四人民医院2021年9月—2023年3月收治的PD-MCI患者90例,依照随机分配原则分为2组,各45例。对照组采取常规健康教育及常规训练,观察组在上述基础上采取健康操结合认知任务训练,为期6个月。对比2组干预前后认知功能[蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)、简易精神状态检查量表(mini-mental state examination,MMSE)评分]、跌倒风险[修订版跌倒效能量表(modified fall efficacy scale,MFES)评分]、运动功能[帕金森综合评分量表3(unified Parkinson's disease rating scale-Ⅲ,UPDRS-Ⅲ)评分]、平衡能力[起立-行走测试(timed up and go test,TUG)]。结果干预后,观察组MoCA、MMSE评分分别为(23.81±2.30)分、(23.59±1.80)分,较干预前升高,且高于对照组的(20.13±2.55)分、(20.78±2.32)分(P<0.05)。干预后,2组MFES评分较干预前升高,观察组为(7.34±0.59)分,高于对照组的(6.42±0.77)分(P<0.05);2组UPDRS-Ⅲ评分较干预前下降,观察组为(16.52±2.21)分,低于对照组的(18.15±2.04)分(P<0.05)。干预后,2组单任务TUG、双任务TUG时间均较干预前缩短,观察组为(11.44±0.70)s、(18.39±1.44)s,短于对照组的(13.54±1.26)s、(21.26±1.53)s(P<0.05)。结论健康操结合认知任务训练在PD-MCI患者中应用效果良好,能改善患者认知功能和运动功能,提高平衡能力,降低跌倒风险。

前庭功能训练操在眩晕患者康复护理中的应用

目的观察前庭功能训练操在眩晕患者康复护理中的应用效果,以及对前庭症状指数(vestibular symptom index,VSI)、伯格平衡量表评分(Burger balance scale,BBS)的影响。方法选取2022年1月—2023年11月在厦门大学附属第一医院接受治疗的80例眩晕患者为研究对象。按护理方式的不同分为2组,各40例。对照组予以常规护理措施,观察组在对照组的基础上给予前庭功能训练操,护理持续1个月。对比2组患者干预前后的VSI、BBS、负性情绪(state anxiety scale,SAI)、生活质量(quality of life-74,GQOL-74)、护理满意度。结果干预后,观察组VSI评分为(18.17±5.20)分,低于对照组的(24.79±5.46)分,差异有统计学意义(P<0.05)。干预后,观察组BBS评分为(48.18±5.12)分,高于对照组的(41.77±5.63)分,差异有统计学意义(P<0.05)。干预后,观察组的SAI评分低于对照组,GQOL-74各维度评分高于对照组,差异有统计学意义(P<0.05)。观察组的护理总满意度为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(P<0.05)。结论眩晕患者应用前庭功能训练操可显著改善患者的前庭症状,调节其平衡能力,患者焦虑情绪明显得到缓解,从而改善其生活质量水平,患者对护理工作的满意度较高。