奥塔戈运动联合弹力带抗阻训练对老年肌少症患者的影响OA

Objective:To explore the effect of Otago exercise program(OEP)combined with elastic band resist-ance training on physical performance and quality of life in elderly patients with sarcopenia.Methods:Elderly pa-tients with sarcopenia who received treatment in the Department of Rehabilitation from January 2024 to December 2024 were selected as the research subjects.Using a random number table method,the patients were divided into the routine training group,OEP alone group,elastic band training alone group,and combined training group.Ac-cording to the dropout criteria,50 patients were finally included in each group.The routine training group main-tained their original daily exercise mode;the OEP alone group received OEP on the basis of routine training;the e-lastic band training alone group received elastic band resistance training on the basis of routine training;and the combined training group received OEP combined with elastic band resistance training on the basis of routine train-ing.Physical performance,quality of life,and other indicators were compared among the four groups before and af-ter the intervention.Results:After 3 months of intervention,the routine group showed no statistically significant changes in muscle mass or upper limb grip strength,while the time for sit-to-stand from a seated position was redu-ced compared to that before intervention(P<0.05).The OEP group exhibited increased muscle mass com-pared to that before intervention(P<0.05).There was no statistically significant change in upper limb grip strength,and a shortened sit-to-stand time(P<0.05).Both the elastic band group and the combined group demonstrated increased muscle mass and upper limb grip strength compared to those before intervention(P<0.05),as well as shortened sit-to-stand time compared to that before intervention(P<0.05).After 3 months of intervention,the muscle mass and upper limb grip strength in the combined group were higher than those in the other three groups(P<0.05),and the lower limb sit-to-stand time was shorter than that in the other three groups(P<0.05);the muscle mass in the elastic band group was higher than that in the conventional group(P<0.05),but had no statistically significant difference compared to the OEP group;there were no statistically significant differences in upper limb grip strength and lower limb sit-to-stand time between the OEP group,elastic band group,and combined group compared to the conventional group.After 3 months of intervention,the time to complete the Timed Up and Go test in the control group was shortened com-pared to that before the intervention(P<0.05),but the Berg balance scale(BBS)score showed no statistically sig-nificant difference from that before the intervention.In the OEP group,resistance band group,and combined group,the Timed Up and Go test time was all shortened compared to that before treatment(P<0.05),and the BBS scores were all improved compared to those before treatment(P<0.05).The Timed Up and Go test time in the combined group was shorter than that in the other three groups(P<0.05),and the BBS score was higher than that in the other three groups(P<0.05).The BBS scores in both the OEP group and the resistance band group were higher than those in the control group(P<0.05),but the difference between these two groups was not statis-tically significant.The comparison of Timed Up and Go test time among the conventional group,OEP group,and elastic band group showed no statistically significant difference.After 3 months of intervention,the SarQol scores of patients in all four groups were improved compared with those before intervention(P<0.05),and the SarQol scores in the combined group were higher than those in the other three groups(P<0.05);the scores of the OEP group alone and the elastic band group were both higher than those of the conventional group(P<0.05),but the difference between these two groups was not statistically significant.Conclusion:OEP combined with resistance training using resistance bands can improve exercise capacity,muscle mass,muscle strength,and quality of life in elderly patients with sarcopenia.