联合无创低剂量冲击波与运动贴扎的综合健康管理技术对老年肌少症患者影响的临床应用观察

Clinical observation of effects of comprehensive health management combining non-invasive low-dose shockwave therapy and kinesio taping in elderly patients with sarcopenia

中文关键词: 老年  肌少症  健康管理  冲击波  肌内效贴  平衡功能

英文关键词: elderly  sarcopenia  health management  shockwave therapy  kinesio taping  balance function

中文摘要:

      目的 探讨联合无创低剂量冲击波与运动贴扎的综合健康管理技术对老年肌少症患者的临床有效性及安全性.方法 选择2024年2月—2025年4月于上海市第一人民医院就诊的60例老年肌少症患者,随机分为观察组(n=30)和对照组(n=30).2组患者均接受为期8周的基础健康管理治疗,观察组治疗采用基础治疗联合无创低剂量冲击波与运动贴扎技术,对照组治疗采用基础治疗联合安慰冲击波与安慰贴扎技术.于治疗前、治疗4周后、治疗8周后,比较2组四肢骨骼肌质量指数(ASMI)、优势手握力、股四头肌等长收缩力、10米步行速度测试(10-MWS)、计时起立行走测试(TUGT)时间、Berg平衡量表(BBS)评分、改良Barthel指数(MBI)评分.结果 治疗前,2组患者四肢骨骼肌质量指数、优势手握力、股四头肌等长收缩力、10-MWS、TUGT、BBS评分、MBI评分差异均无统计学意义(P＞0.05).治疗4周、8周后,2组四肢骨骼肌质量指数、优势手握力、股四头肌等长收缩力、BBS、MBI评分均高于同组治疗前(P＜0.05),观察组均高于对照组(P＜0.05);而2组10-MWS、TUGT值均低于同组治疗前(P＜0.05),观察组均低于对照组(P＜0.05).结论 联合无创低剂量冲击波与运动贴扎的综合健康管理技术可改善老年肌少症患者的平衡与整体功能,具有一定的临床应用价值.

英文摘要:

      Objective To investigate the clinical efficacy and safety of comprehensive health management combining non-invasive low-dose shockwave therapy(SWT)with kinesio taping(KT)in elderly patients with sarcopenia.Methods 60 elderly sarcopenia patients treated in First People's Hospital of Shanghai City from February 2024 to April 2025 were enrolled and randomly divided into observation group(n=30)and control group(n=30).Both groups received basic health manage-ment for 8 weeks.The observation group received the basic management combined with non-invasive low-dose SWT and KT.The control group received the basic management combined with sham SWT and sham KT.Before treatment,after 4 and 8 weeks of treatment,the two groups were compared in terms of appendicular skeletal muscle mass index(ASMI),dominant hand grip strength,isometric quadriceps strength,10-meter walking speed test(10-MWS),timed up and go test(TUGT)time,Berg Balance Scale(BBS)score,and modified Barthel index(MBI)score.Results Before treatment,there were no statistically significant differences between the two groups in ASMI,dominant hand grip strength,isometric quadriceps strength,10-MWT,TUGT,BBS score and MBI score(P＞0.05).After 4 and 8 weeks of treatment,the ASMI of the limbs,dominant hand grip strength,isometric quadriceps strength,BBS score and MBI score in both groups were higher than those in the same group before treatment(P＜0.05),and the observation group was higher than the control group(P＜0.05);the val-ues of 10-MWS and TUGT in both groups were lower than those in the same group before treatment(P＜0.05),and the obser-vation group was lower than the control group(P＜0.05).Conclusion The comprehensive health management combining non-invasive low-dose SWT and KT can improve the balance and overall function of elderly patients with sarcopenia and has certain clinical application value.