Time and Motion Studies

时间与运动研究
  • 文章类型: Systematic Review
    冲浪的普及呈指数级增长,最近在奥运会上首次亮相。然而,冲浪受到相对不成熟的技术市场的影响,而在其他运动中,诸如全球导航卫星系统(GNSS)之类的一些技术已成为力量,条件和总教练的基本工作材料。本文旨在系统地回顾基于GNSS的冲浪者的时间运动需求。使用五个主要数据库(PubMed,ProQuestCentral,Scopus,SPORTDiscus,和FECYT(WebofSciences,CCC,CIDW,KJD,MEDLINE,RSCI和SCIELO))至2024年3月23日。从最初发现的238项研究中,9包括在定性合成中。在这些中,在比赛和训练情况下,来自不同级别的男性(n=143)和女性(n=28)冲浪者使用了GNSS设备。研究表明,这项运动的间歇性是显而易见的,在高速乘浪时,相当长的时间里,划桨和等待被相对短暂的高强度努力打断。竞争和训练需求之间出现了明显的差异,与赛事要求相比,运动员目前的准备方式可能存在不匹配。这些新颖的见解可以量化冲浪的苛刻的生理要求,并可以指导调节实践,以更好地满足运动在人群中的独特特征。因此,训练应该模仿观察到的划桨量所需的漫长的有氧能力,同时还针对厌氧系统,以满足重复的高强度冲浪努力。然而,方法和报告实践的不一致限制了对运动身体特征的直接比较和全面分析。
    The popularity of surfing has increased exponentially, reaching its recent debut in the Olympic Games. However, surfing suffers from a relative immature technological market, while in other sports some technologies such as global navigation satellite systems (GNSSs) have become an essential work material for strength and conditioning and head coaches. This article aims to systematically review surfers\' time-motion demands based on GNSSs. A systematic review of relevant articles was carried out using five main databases (PubMed, ProQuest Central, SCOPUS, SPORTDiscus, and FECYT (Web of Sciences, CCC, CIDW, KJD, MEDLINE, RSCI, and SCIELO)) until 23 March 2024. From the 238 studies initially found, 9 were included in the qualitative synthesis. In these, GNSS devices were employed with male (n = 143) and female (n = 28) surfers from different levels during competition and training situations. The studies show that the intermittent nature of the sport is evident, with substantial periods spent paddling and waiting punctuated by relatively brief high-intensity efforts when riding waves at high speeds. Notable differences emerged between competition and training demands, suggesting potential mismatches in how athletes currently prepare compared to event requirements. These novel insights allow quantifying surfing\'s harsh physiological requirements and could guide conditioning practices to better meet the sport\'s unique characteristics across populations. Therefore, training should emulate the lengthy aerobic capabilities needed for the paddling volumes observed, while also targeting the anaerobic systems to meet the repeated high-intensity surf riding efforts. However, inconsistencies in methods and reporting practices limit direct comparisons and comprehensive profiling of the sport\'s physical characteristics.
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  • 文章类型: Meta-Analysis
    繁体中文练习(“TCE”管理模式),包括但不限于太极拳,八段锦,和伊金晶,对改善膝关节骨性关节炎患者的身体功能有很好的效果,但是对患者心理健康的影响关注较少,目前没有足够的证据支持它。我们进行了这项研究,以提供有关中国传统运动治疗的膝骨关节炎患者的身心健康的最佳证据的系统综合。关于中国传统运动有效性的文献(太极拳,八段锦,伊锦京,气功,等。)与常规疗法(下肢肌肉力量训练和有氧训练,健康教育,股四头肌强化运动,等。)关于西安大略省和麦克马斯特大学关节炎指数(WOMAC),视觉模拟量表(VAS),简式36(SF-36),定时启动和启动测试(TUG),Pubmed和Berg平衡量表(BBS)在膝骨关节炎(KOA)中的应用,WebofScience,奥维德技术公司,中国国家知识基础设施(CNKI),中国科技期刊数据库(VIP),万方数据库,和SinoMed从成立到2022年4月收集。本研究纳入了33项研究,共2621例。研究结果表明,与常规治疗相比,中国传统锻炼在患者WOMAC评分上更有优势,显著降低KOA患者的总体WOMAC评分(SMD=-0.99;95%CI:-1.38,-0.60;p<0.00001)和缓解疼痛(SMD=-0.76;95%CI:-1.11,-0.40;p<0.0001)。与常规治疗相比,它在改善心理成分评分(MCS)(SMD=0.32;95%CI:-0.00,0.65;p=0.05)和身体成分评分(PCS)(SMD=0.34;95%CI:0.05,0.62;p=0.02)方面也具有优势。与常规治疗相比,中国传统运动可以显着降低对定时和去测试(TUG)评分的影响(SMD=-0.30;95%CI:-0.50,-0.11;p=0.002),贝克抑郁量表(DBI)评分(SMD=-0.62;95%CI:-1.03,-0.22;p=0.002),并增加对Berg平衡量表(BBS)评分的影响(SMD=0.60;95%CI:0.37,0.83;p<0.00001)。这项研究的结果表明,中医运动可以显着改善膝关节骨性关节炎患者的身体功能和心理健康。需要更多高质量的临床循证数据来证实中医运动对KOA患者身心健康的治疗效果。
    Traditional Chinese exercise (\"TCE\" management modalities), including but not limited to Tai Chi, Baduanjin, and Yijinjing, has a good effect on improving the physical function of patients with knee osteoarthritis, but less attention has been paid to the impact on the psychological health of patients, and currently there is insufficient evidence to support it. We conducted this study to provide a systematic synthesis of best evidence regarding the physical and mental health of patients with knee osteoarthritis treated by traditional Chinese exercise. Literature on the effectiveness of traditional Chinese exercise (Tai Chi, Baduanjin, Yijinjing, Qigong, etc.) versus conventional therapy (muscle-strength training of the lower extremity and aerobic training, wellness education, quadriceps strengthening exercises, etc.) on Western Ontario and McMaster Universities Arthritis Index (WOMAC), visual analog scale (VAS), Short Form-36 (SF-36), Timed Up and Go Test (TUG), and Berg Balance Scale (BBS) in knee osteoarthritis (KOA) from Pubmed, Web of Science, Ovid Technologies, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), Wanfang Database, and SinoMed were collected from their inception to April 2022. Thirty-three studies with 2621 cases were included in this study. The study\'s results indicated that compared with conventional therapy, traditional Chinese exercise had more advantages on patients\' WOMAC score, significantly reducing patients\' overall WOMAC score (SMD = -0.99; 95% CI: -1.38, -0.60; p < 0.00001) and relieving pain (SMD = -0.76; 95% CI: -1.11, -0.40; p < 0.0001) in patients with KOA. It also has advantages over conventional therapy in improving mental component score (MCS) (SMD = 0.32; 95% CI: -0.00, 0.65; p = 0.05) and physical component score (PCS) (SMD = 0.34; 95% CI: 0.05, 0.62; p = 0.02). Compared with conventional therapy, traditional Chinese exercise can significantly reduce the effect on timed up and go test (TUG) score (SMD = -0.30; 95% CI: -0.50, -0.11; p = 0.002), beck depression inventory (DBI) score (SMD = -0.62; 95% CI: -1.03, -0.22; p = 0.002), and increase the impact on Berg Balance Scale (BBS) score (SMD = 0.60; 95% CI: 0.37, 0.83; p < 0.00001). The findings of this study indicated that traditional Chinese exercise improved body function and mental health in patients with knee osteoarthritis significantly. More high-quality clinical evidence-based data was needed to confirm the therapeutic effect of traditional Chinese exercise on the physical and mental health in KOA patients.
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  • 文章类型: Meta-Analysis
    背景:远程康复可以成为成人面对面康复的适当替代方案;但是,尚不确定它对老年人是否安全有效。
    目的:这篇综述旨在确定物理治疗师主导的效果,老年人运动远程康复对患者预后的影响(与健康相关的生活质量,活动限制,功能损害)和医疗服务费用。
    方法:包括社区居住的老年人(平均年龄≥65岁)并接受物理治疗师领导的基于运动的远程康复治疗的随机或非随机对照试验均符合条件。护理和相关健康文献累积指数(CINAHL),Medline,从最早的可用日期到2022年8月,搜索了PubMed和Cochrane图书馆。使用物理治疗证据数据库量表评估方法质量。数据是用逆方差合成的,随机效应荟萃分析以确定标准化平均差异和95%置信区间.通过应用建议分级来确定证据的确定性,评估,开发和评估标准。
    结果:包括11项研究(10项随机),1,400名参与者(平均年龄65-74岁)经历了肌肉骨骼和心肺疾病。远程康复是安全的,有效和良好的坚持。在运动范围方面,远程康复不劣于面对面理疗,力量,6分钟步行距离(6MWD),定时和去测试(TUGT)和生活质量,与面对面理疗相比,医疗保健费用更低。与没有干预相比,远程康复参与者的活动范围明显更好,力量,生活质量,6MWD和TUGT速度。
    结论:物理治疗师主导,对于患有肌肉骨骼和心肺疾病的老年人,基于运动的远程康复不劣于面对面康复,并且优于不进行干预。
    Telerehabilitation can be an appropriate alternative to face-to-face rehabilitation for adults; however, it is uncertain whether it is safe and effective for older adults.
    This review aimed to determine the effect of physiotherapist-led, exercise-based telerehabilitation for older adults on patient outcomes (health-related quality of life, activity limitation, functional impairment) and health service costs.
    Randomised or non-randomised controlled trials including community-dwelling older adults (mean age ≥ 65 years) who received exercise-based telerehabilitation led by a physiotherapist were eligible. Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, PubMed and Cochrane Library were searched from the earliest available date to August 2022. Methodological quality was assessed using the Physiotherapy Evidence Database scale. Data were synthesised with inverse variance, random-effects meta-analyses to determine standardised mean differences and 95% confidence intervals. Certainty of evidence was determined by applying Grading of Recommendations, Assessment, Development and Evaluation criteria.
    Eleven studies (10 randomised) with 1,400 participants (mean age 65-74 years) experiencing musculoskeletal and cardiopulmonary conditions were included. Telerehabilitation was safe, effective and well adhered to. Telerehabilitation was non-inferior to face-to-face physiotherapy in relation to range of movement, strength, 6-min walk distance (6MWD), timed up and go test (TUGT) and quality of life and had lower health-care costs compared with face-to-face physiotherapy. Compared with no intervention, telerehabilitation participants had significantly better range of motion, strength, quality of life, 6MWD and TUGT speed.
    Physiotherapist-led, exercise-based telerehabilitation is non-inferior to face-to-face rehabilitation and better than no intervention for older adults with musculoskeletal and cardiopulmonary conditions.
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  • 文章类型: Meta-Analysis
    这项系统综述和荟萃分析旨在确定化疗引起的周围神经病变(CIPN)是否会影响癌症患者跌倒的风险和身体功能。
    在CINAHL中进行了文献检索,Scopus,和PubMed数据库,用于1950年1月至2022年4月发表的文章。七名综述作者使用预定的资格标准检索了研究,提取数据,并评估了质量。
    九项研究被纳入分析。CIPN患者的跌倒风险明显高于CIPN患者(风险比=1.38,95%置信区间[CI]=1.18-1.62)。CIPN患者的握力较低(标准化平均差[SMD]=-0.42,95%CIs=-0.70至-0.14,P=.003),椅子站立时间更长(SMD=0.56,95%CI=-0.01至1.17,P=0.05),更差的计时和测试时间(SMD=0.79,95%CIs=0.41至1.17,P<0.0001),和较低的Fullerton高级平衡量表平均得分(SMD=-0.81,95%CIs=-1.27至-0.36,P=0.005)比没有CIPN的患者。有和没有CIPN的患者之间的步态速度(P=0.38)或特定活动平衡信心量表评分(P=.09)没有显着差异。
    本系统综述和荟萃分析显示,CI-PN患者容易跌倒,平衡功能和肌肉力量受损。
    This systematic review and meta-analysis aimed to determine whether chemotherapy-induced peripheral neuropathy (CIPN) affects the risk of falls and physical function in patients with cancer.
    A literature search was conducted in the CINAHL, Scopus, and PubMed databases for articles published from January 1950 to April 2022. Seven review authors retrieved studies using predetermined eligibility criteria, extracted the data, and evaluated the quality.
    Nine studies were included in the analysis. Patients with CIPN had a significantly higher risk of falls than those without CIPN (risk ratio = 1.38, 95% confidence interval [CI] =1.18-1.62). Patients with CIPN had lower grip strength (standardized mean difference [SMD] =-0.42, 95% CIs = -0.70 to -0.14, P = .003), longer chair stand time (SMD = 0.56, 95% CIs = -0.01 to 1.17, P = .05), worse timed up and go test time (SMD = 0.79, 95% CIs = 0.41 to 1.17, P < .0001), and lower mean Fullerton Advanced Balance scale score (SMD = -0.81, 95% CIs = -1.27 to -0.36, P = .005) than patients without CIPN. There were no significant differences in gait speed (P = .38) or Activities-specific Balance Confidence Scale score (P = .09) between patients with and without CIPN.
    This systematic review and meta-analysis demonstrated that patients with CIPN are prone to falls and impaired balance function and muscle strength.
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  • 文章类型: Meta-Analysis
    这篇系统综述用荟萃分析调查了阻力训练(RT)的影响,使用元回归,关于≥65岁的虚弱和虚弱前成年人的功能表现,以确定RT的关键变量。分析了10项涉及1303名参与者的随机对照试验。五项研究评估了习惯性步行速度(HWS),三项研究评估了定时启动测试(TUG)中的性能,三项研究评估了短物理性能电池(SPPB)的性能,三项研究评估了静坐试验(STS)的表现。仅RT可改善体弱和体弱前老年人的STS时间和SPPB评分。RT提高了STS性能(效应大小(ES):-0.536;95%CI-0.874至-0.199;p=.002),并导致SPPB性能增加2.261点(ES:1.682;95%CI0.579至2.786;p=.003)。至少需要每周两次培训才能提高SPPB分数,三场会议似乎优化了改进。每次锻炼的训练量和每次训练的量增加会降低SPPB性能的增益。我们没有观察到不同剂量的RT和STS时间改善之间的任何关联。仅RT对社区居住的老年人和体弱的成年人的TUG表现产生了积极影响,而对制度化的老年人则没有影响。与非活性对照组相比,单独的RT并未改善HWS。
    This systematic review with meta-analyses investigates the impact of resistance training (RT), using meta-regressions, on functional performance in frail and pre-frail adults aged ≥ 65 years to determine the key variables of RT. Ten randomized controlled trials involving 1303 participants were analyzed. Five studies assessed habitual walking speed (HWS), three studies evaluated performance in the timed-up-and-go test (TUG), three studies evaluated performance in the Short Physical Performance Battery (SPPB), and three studies assessed performance in the sit-to-stand test (STS). RT alone improved STS time and SPPB scores in frail and pre-frail older adults. RT improved STS performance (Effect Size (ES):- 0.536; 95% CI - 0.874 to - 0.199; p = .002) and led to a 2.261-point increase in SPPB performance (ES:1.682; 95% CI 0.579-2.786; p = .003). At least two weekly training sessions are required to increase SPPB scores, and three sessions seem to optimize the improvements. Higher training volume per exercise and volume per session reduce the gains in SPPB performance. We did not observe any association between different doses of RT and STS time improvements. RT alone positively influenced TUG performance only in community-dwelling older frail and pre-frail adults but not in institutionalized older individuals. RT alone did not improve the HWS compared to the non-active control group.
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  • 文章类型: Meta-Analysis
    随着人口老龄化,老年人的健康正在成为一个公共卫生问题。由于平衡减弱,跌倒对他们的健康构成重大威胁。本研究旨在探讨太极拳对老年人预防跌倒和改善平衡的有益作用。
    我们对与太极拳相关的随机对照试验进行了系统评价和荟萃分析,falls,和平衡能力,搜索PubMed,Embase,和Cochrane图书馆数据库从建立到2022年12月31日。两名独立的审阅者进行了搜索,筛选结果,提取相关数据,和研究质量评估。本研究遵循PRISMA指南进行系统评价和荟萃分析。
    共有24个随机对照试验纳入荟萃分析,结果表明,太极拳可以有效降低老年人跌倒的风险(RR:0.76,95%CI:0.71至0.82),并减少跌倒次数(MD[95%CI]:-0.26[-0.39,-0.13])。太极拳还可以提高老年人的平衡能力,例如定时和运行测试(MD[95%CI]:-0.69[-1.09,-0.29])和功能达到测试(MD[95%CI]:2.69[1.14,4.24]),以及其他平衡测试,如单腿平衡测试,伯格平衡量表,和步态速度(p<0.05)。亚组分析显示,太极拳对健康老年人和跌倒高危人群均有效(p<0.001),其有效性随着锻炼的持续时间和频率而增加。此外,阳式太极拳的效果优于太阳式太极拳。
    太极拳是防止老年人跌倒和提高平衡能力的有效运动,无论他们是健康的还是跌倒的高风险。太极拳的有效性随着运动时间和频率的增加而增加。阳式太极拳比太阳式太极拳更有效。
    https://clinicaltrials.gov/,标识符CRD42022354594。
    As the population ages, the health of older adults is becoming a public health concern. Falls are a significant threat to their health due to weakened balance. This study aims to investigate the beneficial effects of Tai Chi on fall prevention and balance improvement in older adults.
    We conducted a systematic review and meta-analysis of randomized controlled trials related to Tai Chi, falls, and balance ability, searching PubMed, Embase, and Cochrane Library databases from their establishment until December 31, 2022. Two independent reviewers performed the search, screening of results, extraction of relevant data, and assessment of study quality. This study followed the PRISMA guidelines for systematic review and meta-analysis.
    Totally 24 RCTs were included for meta-analysis, and the results showed that Tai Chi can effectively reduce the risk of falls in older adults (RR: 0.76, 95% CI: 0.71 to 0.82) and decrease the number of falls (MD [95% CI]: -0.26 [-0.39, -0.13]). Tai Chi can also improve the balance ability of older adults, such as the timed up and go test (MD [95% CI]: -0.69 [-1.09, -0.29]) and the functional reach test (MD [95% CI]: 2.69 [1.14, 4.24]), as well as other balance tests such as single-leg balance test, Berg balance scale, and gait speed (p < 0.05). Subgroup analysis showed that Tai Chi is effective for both healthy older adults and those at high risk of falls (p < 0.001), and its effectiveness increases with the duration and frequency of exercise. In addition, the effect of Yang-style Tai Chi is better than that of Sun-style Tai Chi.
    Tai Chi is an effective exercise for preventing falls and improving balance ability in older adults, whether they are healthy or at high risk of falling. The effectiveness of Tai Chi increases with exercise time and frequency. Yang-style Tai Chi is more effective than Sun-style Tai Chi.
    https://clinicaltrials.gov/, identifier CRD42022354594.
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  • 文章类型: Systematic Review
    目前的系统评价比较了联合运动和营养干预是否有效预防或改善体弱老年人和健康老年人的肌肉减少症。Medline,Embase,科克伦图书馆,和CINAHL进行了随机对照试验。在1596次引用中,最终样品中包括22项试验(N=1,767)。在虚弱的老年人中,运动和营养干预相结合后,观察到七个指标的显着改善:骨骼肌指数,0.16kg/m2;手柄,1.41kg;膝盖伸展强度,0.24Nm;五次重复椅架试验,-1.89秒;步态速度,0.06m/s;短物理性能电池,0.43;和定时向上和向上测试,-0.56秒.在健康的老年人中,两项指标有所改善,差异具有统计学意义:手握,2.15公斤;和6分钟步行测试,9.71m。联合运动和营养干预可以改善骨骼肌质量,力量,以及体弱健康的老年人的身体表现。[老年护理研究,xx(x),xx-xx.].
    The current systematic review compared whether combined exercise and nutrition interventions are effective in preventing or improving sarcopenia in frail older adults and healthy older adults. Medline, Embase, Cochrane Library, and CINAHL were searched for randomized controlled trials. Of the 1,596 citations, 22 trials (N = 1,767) were included in the final sample. In frail older adults, significant improvement after combined exercise and nutrition interventions was observed in seven indicators: skeletal muscle index, 0.16 kg/m2; handgrip, 1.41 kg; knee extension strength, 0.24 Nm; five-repetition chair-stand test, -1.89 sec; gait speed, 0.06 m/s; Short Physical Performance Battery, 0.43; and Timed Up and Go test, -0.56 sec. In healthy older adults, two indicators improved and showed statistically significant differences: handgrip, 2.15 kg; and 6-Minute Walking Test, 9.71 m. Combined exercise and nutritional interventions can improve skeletal muscle quality, strength, and physical performance in frail and healthy older adults. [Research in Gerontological Nursing, 16(6), 312-320.].
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  • 文章类型: Systematic Review
    目标:东南亚(SEA)是一个快速老龄化和人口多样化的地区,需要策略来维持其人口的身体活动和幸福感。虽然小组锻炼计划的好处是众所周知的,在这些人群中,运动的特征和类型对身体功能和程序保真度的有效性尚未确定。
    方法:奥维德,MEDLINE,Scopus,PEDro(物理治疗证据数据库),EBSCOHOST,搜索Cochrane库和OpenGrey数据库以确定相关研究。使用PEDro量表和纽卡斯尔渥太华量表(NOS)评估方法学质量。当在至少两项具有适当数据的研究中报告了相同的结果指标时,进行荟萃分析。(PROSPERO:CRD42020177317)。
    结果:纳入了11项900名参与者的研究,其中395名参与者被分配到小组锻炼计划中,383名参与者完成了该计划.文化适应的泰国舞蹈计划和多成分锻炼计划是最常见的团体锻炼。TimedUpandGo测试(TUG)和出勤率是最常报告的结果。荟萃分析表明,使用TimedUp和Go检验评估的身体功能显着改善(随机效应模型-1.27s,95%CI-1.65,-0.88,I2=74%)。在两项研究中,报告了依从性(81%和94%)和辍学率(4%和19%).
    结论:东南亚的以团体为基础的锻炼项目主要由文化适应的泰国舞蹈项目和多成分锻炼项目组成,似乎对身体机能有积极影响。然而,更好地描述保真度,包括坚持,在未来的研究中需要。
    OBJECTIVE: Southeast Asia (SEA) is a rapidly ageing and a diversely populated region that requires strategies to maintain its populations\' physical activity and sense of well-being. While the benefits of group exercise programs are known, the characteristics and types of exercises in terms of their effectiveness for physical function and fidelity of the programs have yet to be defined within this population.
    METHODS: Ovid, MEDLINE, Scopus, PEDro (Physiotherapy Evidence Database), EBSCOHOST, Cochrane library and Open Grey databases were searched to identify relevant studies. Methodological quality was assessed using the PEDro Scale and the Newcastle Ottawa Scale (NOS). Meta-analysis was undertaken when the same outcome measures were reported in a minimum of two studies with appropriate data. (PROSPERO: CRD42020177317).
    RESULTS: Eleven studies with 900 participants were included, out of which 395 participants were allocated to group exercise programs and 383 completed the program. Culturally adapted Thai dance programs and multicomponent exercise programs were the most-commonly reported group exercises. The Timed Up and Go test (TUG) and attendance rates were the most-frequently reported outcomes. Meta-analysis demonstrated significant improvement in physical function assessed using the Timed Up and Go test (Random effect model -1.27 s, 95% CI -1.65, -0.88, I2  = 74%). In two studies, adherence (81% and 94%) and dropout rates (4% and 19%) were reported.
    CONCLUSIONS: Group-based exercise programs in Southeast Asia consisting mostly of culturally adapted Thai dance programs and multicomponent exercise programs appear to have positive effects on physical function. However, better descriptions of fidelity, including adherence, are required in future studies.
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  • 文章类型: Meta-Analysis
    目的:该研究旨在汇集和分析不同形式的运动对肌肉力量(握力[HGS])的影响,和物理性能(定时并进行测试[TUGT],步态速度[GS]和椅子站立测试[CS])在患有肌肉减少症的老年人中。
    方法:使用网络荟萃分析对4个数据库检索和纳入的所有研究的效应大小进行分析,并表示为标准化平均差(SMD)和相应的95%置信区间(CI)。
    结果:这项研究包括20项研究,其中1347名患有肌肉减少症的老年人。与对照组和其他干预组相比,阻力训练(RT)改善了HGS[SMD=3.8,95%CI(1.3,6.0),p<0.05和TUGT[SMD=-1.99,95%CI(-2.82,-1.16),p<0.05]显著。综合训练(CT)[SMD=-2.04,95%CI(-3.05,-1.06),Pp<0.05]和自我管理下的综合训练(CT_SM)[SMD=-2.01,95%CI(-3.24,-0.78),p<0.05]显著改善TUGT。
    结论:在患有肌少症的老年人中,RT可以改善HGS和TUGT,CT和CT_SM可以改善TUGT。在任何运动训练模式下,CS和GS均无明显变化。
    The study aimed to pool and analyze the effects of different forms of exercise on muscle strength (handgrip strength [HGS]), and physical performance (timed up and go test [TUGT], gait speed [GS] and chair stand test [CS]) in older adults with sarcopenia.
    The effect sizes of all studies retrieved and included by the four databases were analyzed using the network meta-analysis and expressed as standardized mean differences (SMD) and the corresponding 95% confidence intervals (CI).
    Twenty studies were included in this study with 1347 older adults with sarcopenia. Compared with control and other intervention groups, resistance training (RT) improved HGS [SMD=3.8, 95% CI (1.3, 6.0), p<0.05] and TUGT [SMD = -1.99, 95% CI (-2.82, -1.16), p<0.05] significantly. comprehensive training (CT) [SMD = -2.04, 95% CI (-3.05, -1.06), Pp<0.05] and Comprehensive training under self-management (CT_SM) [SMD = -2.01, 95% CI (-3.24, -0.78), p<0.05] improved TUGT significantly.
    In older adults with sarcopenia, RT could improve HGS and TUGT, CT and CT_SM could improve TUGT. There were no significant changes in CS and GS with any of the exercise training modes.
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  • 文章类型: Systematic Review
    目的:与传统抗阻训练(TRT)相比,高速动力训练(HVPT)对老年人的功能表现有何影响?相关文献的干预报告质量如何?
    方法:随机对照试验的系统评价和荟萃分析。
    方法:老年人(年龄>60岁),无论健康状况如何,基线功能容量或居住状态。
    方法:与同心阶段≥2秒的传统中速阻力训练相比,旨在尽快执行同心阶段的高速动力训练。
    方法:短物理性能电池(SPPB),定时启动和启动测试(TUG),五次坐立测试(5-STS),30秒坐立测试(30-STS),步态速度测试,静态或动态平衡测试,楼梯爬升测试和距离步行测试。干预报告的质量通过运动报告模板共识(CERT)评分进行评估。
    结果:共有1,055名参与者的19项试验被纳入荟萃分析。与TRT相比,HVPT对SPPB(SMD0.27,95%CI0.02至0.53;低质量证据)和TUG(SMD0.35,95%CI0.06至0.63;低质量证据)的基线评分变化有弱至中度影响。HVPT相对于TRT对其他结果的影响仍然非常不确定。所有试验的CERT平均得分为53%,两项试验被评为高质量,四项被评为中等质量。
    结论:HVPT对老年人的功能表现具有与TRT相似的作用,但是大多数估计都存在相当大的不确定性。HVPT对SPPB和TUG有较好的影响,但目前尚不清楚这种获益是否足够大,足以在临床上值得。
    What is the effect of high-velocity power training (HVPT) compared with traditional resistance training (TRT) on functional performance in older adults? What is the quality of intervention reporting for the relevant literature?
    Systematic review and meta-analysis of randomised controlled trials.
    Older adults (aged > 60 years), regardless of health status, baseline functional capacity or residential status.
    High-velocity power training with the intent to perform the concentric phase as quickly as possible compared with traditional moderate-velocity resistance training performed with a concentric phase of ≥ 2 seconds.
    Short Physical Performance Battery (SPPB), Timed Up and Go test (TUG), five times sit-to-stand test (5-STS), 30-second sit-to-stand test (30-STS), gait speed tests, static or dynamic balance tests, stair climb tests and walking tests for distance. The quality of intervention reporting was assessed with the Consensus on Exercise Reporting Template (CERT) score.
    Nineteen trials with 1,055 participants were included in the meta-analysis. Compared with TRT, HVPT had a weak-to-moderate effect on change from baseline scores for the SPPB (SMD 0.27, 95% CI 0.02 to 0.53; low-quality evidence) and TUG (SMD 0.35, 95% CI 0.06 to 0.63; low-quality evidence). The effect of HVPT relative to TRT for other outcomes remained very uncertain. The average CERT score across all trials was 53%, with two trials rated high quality and four rated moderate quality.
    HVPT had similar effects to TRT for functional performance in older adults, but there is considerable uncertainty in most estimates. HVPT had better effects on the SPPB and TUG, but it is unclear whether the benefit is large enough to be clinically worthwhile.
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