体外冲击波联合肌内效贴对老年原发性肌少症患者肌肉质量与功能的影响

Effects of extracorporeal shockwave therapy combined with kinesio taping on muscle mass and function in elderly patients with primary sarcopenia

中文关键词: 老年  原发性肌少症  冲击波  肌内效贴  运动康复

英文关键词: elderly  primary sarcopenia  shockwave  kinesio taping  exercise rehabilitation

中文摘要:

      目的 观察发散式体外冲击波联合肌内效贴对老年原发性肌少症患者骨骼肌质量、肌力及局部肌张力的影响,为老年原发性肌少症患者的康复治疗提供循证支持.方法 选择2023年6月—2024年5月于上海市第一人民医院就诊的老年原发性肌少症患者86例,随机分为试验组(n=43)和对照组(n=43).2组患者均接受同质化健康教育干预和常规抗组训练的基础治疗,试验组采用基础治疗联合发散式体外冲击波治疗、肌内效贴治疗;对照组采用基础治疗联合安慰体外冲击波、安慰肌内效贴.2组干预治疗频率均为每周3次,共8周.干预结束后,比较2组四肢骨骼肌质量指数、股四头肌肌力、肱二头肌肌力、股四头肌静息状态肌张力.结果 治疗后,试验组患者四肢骨骼肌质量指数、股四头肌肌力、肱二头肌肌力均高于对照组,差异有统计学意义(P＜0.001);2组患者股四头肌静息状态和肌张力差异无统计学意义(P＞0.05).结论 发散式体外冲击波联合肌内效贴,可更有效地提高老年原发性肌少症患者的骨骼肌质量指数和上下肢肌力,并对局部肌张力产生积极的调节作用.

英文摘要:

      Objective To observe the effects of radial extracorporeal shockwave therapy(rESWT)combined with ki-nesio taping on skeletal muscle mass,muscle strength and local muscle tension in elderly patients with primary sarcopenia,and provide an evidence-based support for the rehabilitation treatment of these patients.Methods A total of 86 elderly patients with primary sarcopenia treated in Shanghai First People's Hospital between June 2023 and May 2024 were enrolled and random-ly divided into experimental group(n=43)and control group(n=43).Both groups received standardized health education and conventional resistance training as baseline treatment.The experimental group received the baseline treatment combined with rESWT and Kinesio taping.The control group received the baseline treatment combined with sham rESWT and sham Kine-sio taping.Both groups received treatment three times per week for a total of 8 weeks.After the treatment,the appendicular skeletal muscle mass index(ASMI),quadriceps muscle strength,biceps brachii muscle strength,and quadriceps resting muscle tension were compared between the two groups.Results After treatment,the ASMI,quadriceps muscle strength,and biceps brachii muscle strength in the experimental group were significantly higher than those in the control group(P＜0.001).There was no statistically significant difference in quadriceps resting muscle tension between the two groups(P＞0.05).Conclusion The combination of rESWT and kinesio taping can more effectively increase the skeletal muscle mass index and improve upper and lower limb muscle strength in elderly patients with primary sarcopenia.It has a positive regulatory effect on local muscle tension.