12週坐式太極操對失智長者下肢肌力與日常活動功能之成效

Effects of 12-wk Sitting Tai Chi Chuan Training on Lower-extremity Muscle Strength and Activities of Daily Living Performance in Elderly Patients with Dementia

簡姿娟(Tzu-Chuan Chien) ； 洪秀吉(Hsiu-Chi Hung) ； 賴蓉星(Zong-Sing Lai)

《臺灣老人保健學刊》 9卷1期 (2013/06) Pp. 20-35

摘要

Background: Institutionalized elderly patients with dementia who lack of physical activities with their sedentary life style, which led to lower-extremity muscle strength's degradation. Many literatures had proved that the intervention of Tai Chi chuan exercise for the elderly patients had increased muscle strength and prolonged the degradation of activities of daily living (ADL). However, a study focusing on the treatment efficacy of elderly patients with dementia has yet to be conducted in Taiwan. Purpose: The purpose of this study was to assess the efficacy of 12-wk Sitting Tai Chi Chuan training on lower-extremity muscle strength and the function of activities of daily living among elderly patients with dementia. Methods: The study utilized a one-group pretest-posttest design.16 study participants from dementia care center in middle Taiwan were selected as purposive samples. All subjects participated in a twelve-week sitting Tai Chi Chuan training for 90 minutes each time, three times a week. The basic data and ADL were analyzed by SPSS software and descriptive statistics. Paired t- test was used to analyze the efficacy of lower-extremity muscle strength and the function of activities of daily living among pre-test and post-test. Results: After training the sitting Tai Chi Chuan for twelve-week, there were significant improvements in 30-s chair-stand test and 8-ft up-and-go (p＜0.05). The posttest had progressed 0.6 point against pretest in Barthel's score. However, no significant variance was found in activities of daily living. Conclusions: The intervention of sitting Tai Chi Chuan exercise had represented an effective approach to improve lower-extremity muscle strength, delaying the degradation of ADL. However, the continuance of exercise intervention is magnificent to maintain lower-extremity muscle strength and the function of activities of daily living in the future.

關鍵字

失智老人 ； 坐式太極操 ； 下肢肌力 ； 日常活動功能

並列摘要

Background: Institutionalized elderly patients with dementia who lack of physical activities with their sedentary life style, which led to lower-extremity muscle strength's degradation. Many literatures had proved that the intervention of Tai Chi chuan exercise for the elderly patients had increased muscle strength and prolonged the degradation of activities of daily living (ADL). However, a study focusing on the treatment efficacy of elderly patients with dementia has yet to be conducted in Taiwan. Purpose: The purpose of this study was to assess the efficacy of 12-wk Sitting Tai Chi Chuan training on lower-extremity muscle strength and the function of activities of daily living among elderly patients with dementia. Methods: The study utilized a one-group pretest-posttest design.16 study participants from dementia care center in middle Taiwan were selected as purposive samples. All subjects participated in a twelve-week sitting Tai Chi Chuan training for 90 minutes each time, three times a week. The basic data and ADL were analyzed by SPSS software and descriptive statistics. Paired t- test was used to analyze the efficacy of lower-extremity muscle strength and the function of activities of daily living among pre-test and post-test. Results: After training the sitting Tai Chi Chuan for twelve-week, there were significant improvements in 30-s chair-stand test and 8-ft up-and-go (p＜0.05). The posttest had progressed 0.6 point against pretest in Barthel's score. However, no significant variance was found in activities of daily living. Conclusions: The intervention of sitting Tai Chi Chuan exercise had represented an effective approach to improve lower-extremity muscle strength, delaying the degradation of ADL. However, the continuance of exercise intervention is magnificent to maintain lower-extremity muscle strength and the function of activities of daily living in the future.

並列關鍵字

demented elderly ； sitting Tai Chi chuan ； lower-extremity muscle strength ； activities of daily living