摘要
目的:研究体外冲击波联合抗阻训练在老年原发性肌肉减少症患者中的应用效果。方法:选取90例老年原发性肌肉减少症患者作为研究对象,将其按照住院号依次编号,并与随机数字表上的数字逐一对应,取随机数字末位为偶数的相应编号分至对照组(n=45,接受抗阻训练),其余末位为奇数的相应编号分至观察组(n=45,在对照组基础上联合体外冲击波)。分析两组在超声仪器测量下各参数的变化。结果:治疗3个月后,观察组各年龄段患者的肌肉厚度、羽状角、肌束长度值高于对照组(P<0.05);观察组各年龄段患者放松状态、收缩状态下的杨氏模量值高于对照组(P<0.05);观察组患者四肢骨骼肌肌质量指数高于对照组患者(P<0.05)。观察组患者ASMI值与肌肉厚度、羽状角、肌束长度及杨氏模量(放松状态、收缩状态)呈现正相关(r=0.361、0.339、0.378、0.353、0.398,P=0.015、0.023、0.010、0.017、0.007)。结论:联合治疗方法可行,且超声检测下的影像学指标能够作为评估肌肉减少症患者恢复效果的可行性指标。
Objective To explore the therapeutic effect of extracorporeal shock wave combined with resistance training in elderly patients with primary sarcopenia.Methods A total of 90 elderly patients with primary sarcopenia were selected as research objects.All patients were numbered according to their admission numbers,corresponding to the numbers on the random number table one by one.Those with the corresponding numbers of even number at the end of the random number were assigned to control group(n=45,receiving resistance training),while the remaining were assigned to observation group(n=45,receiving extracorporeal shock wave besides the same treatment as control group).The changes of parameters measured by ultrasonic instruments in the two groups were analyzed.Results After 3 months of treatment,compared with control group,observation group had thicker muscle thickness,larger pennate angle,longer muscle bundle,larger Young's modulus in relaxation state and contraction state,and higher ASMI value(all P<0.05).In the observation group,ASMI value was positively correlated with muscle thickness,pennate angle,muscle bundle length and Young's modulus(relaxation state,contraction state)(r=0.361,0.339,0.378,0.353,0.398,respectively;P=0.015,0.023,0.010,0.017,0.007,respectively).Conclusion The combined treatment of extracorporeal shock wave and resistance training is feasible,and the imaging indicators of ultrasonic detection can be used as feasible indicators to assess the recovery of patients with sarcopenia.
作者
林娟
罗路
刘晓东
LIN Juan;LUO Lu;LIU Xiaodong(Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai 200000,China;Department of Rehabilitation Medicine,Shanghai Health Care Medical Center,Wuxi 214065,China)
出处
《中国医学物理学杂志》
2025年第6期820-824,共5页
Chinese Journal of Medical Physics
基金
上海市卫健委面上项目(202340142)。
关键词
体外冲击波
抗阻训练
原发性肌肉减少症
老年
肌肉质量
肌肉硬度
extracorporeal shock wave
resistance training
primary sarcopenia
elderly
muscle mass
muscle hardness
