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首页> 外文期刊>Patient Preference and Adherence >Progression and adherence to an individually prescribed and supervised resistance training intervention in older adults recovering in hospital from lower limb fragility fracture
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Progression and adherence to an individually prescribed and supervised resistance training intervention in older adults recovering in hospital from lower limb fragility fracture

机译：从老年人下肢脆性骨折康复中恢复的老年人对个体处方和监督抵抗训练干预措施的进展和依从性

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Abstract: This study evaluated adherence and progression with a 12-week resistance training program amongst a sample of older adults recovering in hospital from lower limb fragility fracture. Forty-nine participants (mean age 84 years) commenced the resistance training program seven days after the injury. The exercise prescription involved training of the hip and knee extensors, hip abductors, and ankle plantar- and dorsi flexors using resistive bands. Exercise sessions were completed tri-weekly for six weeks under supervision by a physiotherapist and tri-weekly for an additional six weeks independently. Adherence was assessed as the proportion of exercise sessions completed of those prescribed and any progression in resistance was documented. Level of adherence was not found to be influenced by age, gender, cognition or strength but was greater amongst those admitted from the community setting and for the first six weeks when supervision was present. Participants were able to obtain similar levels of resistance for the injured side compared to the noninjured side for all exercises excluding hip abduction and those admitted from the community setting achieved higher levels of resistance compared to those admitted from the residential care setting. These findings suggest that an early resistance training program is feasible and well tolerated amongst older adults recovering from lower limb fragility fracture. Further work is necessary to determine how this level of resistance training translates into functional improvements and how to improve adherence levels in clinical rehabilitation settings.
机译：摘要：本研究通过一项为期12周的抵抗力训练计划，评估了从下肢脆性骨折住院的康复中老年人的坚持和进展情况。受伤7天后，有49名参与者（平均年龄84岁）开始了抵抗训练。运动处方包括使用阻力带训练髋部和膝部伸肌，髋部外展肌以及踝an屈和背屈。运动会在理疗师的监督下每三周完成一次，持续六周，而每三周独立完成另外的六周。坚持性是指完成的运动在规定时间内完成的比例，并记录了抵抗的任何进展。依从程度不受年龄，性别，认知或力量的影响，但在社区环境和接受监督的前六周中，依从程度更高。在所有锻炼中，除了髋关节外展活动，与未受伤方相比，参与者对受伤侧的抵抗力水平相似，与社区护理环境下接受的相比，从社区环境接受的参与者抵抗力水平更高。这些发现表明，从下肢脆性骨折中康复的老年人中，早期的阻力训练计划是可行的，并且可以很好地耐受。需要进一步的工作来确定这种抵抗力训练水平如何转化为功能改善，以及如何改善临床康复环境中的依从性水平。

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