復健運動對於改善社區骨關節炎及中風老人身體功能之成效：前驅研究

The Effects of Rehabilitation Exercises in Community-dwelling Elderly with Osteoarthritis and Stroke: A Pilot Study

陳家慶(Jia-Ching Chen) ； 林春香(Chun-Hsiang Lin) ； 陳俐君(Li-Chun Chen) ； 魏于鈞(Yu-Chun Wei) ； 蕭蓉(Jung Hsiao) ； 林南岳(Nan-Yueh Lin) ； 梁忠詔(Chung-Chao Liang)

《台灣復健醫學雜誌》 38卷2期 (2010/06) Pp. 97-105

https://doi.org/10.6315/2010.38(2)04

摘要

The prevalence of chronic disease in community-dwelling elderly has increased with the increase in the elderly population in Taiwan. This study investigated the effects of regular rehabilitation exercises provided by rehabilitation professionals in community-dwelling elderly people with osteoarthritis and stroke. A single group with pretest-posttest design was used in this pilot study. A total of 32 elderly people in the community were recruited and classified into two groups, one with osteoarthritis (n=21) and the other with chronic stroke (n=11). The intervention of one consisted of one 3-hour rehabilitation exercise session each week provided by a physical therapist and consultation with a physiatrist every six weeks. The whole intervention for these participants lasted 8 months. Outcome measures used in this study included the Barthel Index (BI), active range of motion (AROM), postural assessment scale for stroke (PASS), flexibility, functional reach (FR), time up and go test (TUG), 10-meter gait speed and participation rate. Both groups demonstrated significant improvements in AROM, flexibility and FR (p＜0.05); however, only the stroke group had improvement in the PASS (p＜0.05). No significant differences were found in the TUG, 10-meter gait speed and BI in either groups. Regular intervention with rehabilitation exercises could improve physical and balance function in community-dwelling elderly with osteoarthritis and stroke. We hope these findings can provide in-depth information on rehabilitation and the role of the rehabilitation team in the health promotion of community elderly with osteoarthritis and stroke.

關鍵字

社區老人 ； 骨關節炎 ； 中風 ； 復健運動 ； 身體功能

並列摘要

The prevalence of chronic disease in community-dwelling elderly has increased with the increase in the elderly population in Taiwan. This study investigated the effects of regular rehabilitation exercises provided by rehabilitation professionals in community-dwelling elderly people with osteoarthritis and stroke. A single group with pretest-posttest design was used in this pilot study. A total of 32 elderly people in the community were recruited and classified into two groups, one with osteoarthritis (n=21) and the other with chronic stroke (n=11). The intervention of one consisted of one 3-hour rehabilitation exercise session each week provided by a physical therapist and consultation with a physiatrist every six weeks. The whole intervention for these participants lasted 8 months. Outcome measures used in this study included the Barthel Index (BI), active range of motion (AROM), postural assessment scale for stroke (PASS), flexibility, functional reach (FR), time up and go test (TUG), 10-meter gait speed and participation rate. Both groups demonstrated significant improvements in AROM, flexibility and FR (p＜0.05); however, only the stroke group had improvement in the PASS (p＜0.05). No significant differences were found in the TUG, 10-meter gait speed and BI in either groups. Regular intervention with rehabilitation exercises could improve physical and balance function in community-dwelling elderly with osteoarthritis and stroke. We hope these findings can provide in-depth information on rehabilitation and the role of the rehabilitation team in the health promotion of community elderly with osteoarthritis and stroke.

並列關鍵字

community elderly ； osteoarthritis ； stroke ； rehabilitation exercise ； physical function