下肢運動介入措施對改善社區老人肌力的成效:系統性文獻回顧

林瑋詩

doi:10.6834/csmu202100031

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下肢運動介入措施對改善社區老人肌力的成效:系統性文獻回顧

The effect of lower extremity exercise on improving the community elderly from muscle power: A systematic review

林瑋詩 , Masters　　Advisor：白香菊　　

繁體中文 DOI： 10.6834/csmu202100031

老人；預防跌倒；下肢運動；系統性回顧； elderly ； fall prevention ； lower limb exercise ； systematic review

Abstract │ Reference (27) │ Altmetrics

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Background: The increasing elderly population in Taiwan raises the possibility of disability and care-cost of fall related injuries. Fall related injuries have become a critical issue, which not only impacts the health of the injured but also aggravates the burden on the caregivers and the financial pressure on the public health system. In terms of safety and stability in daily activities, the elderly face reduction in muscle strength and the motion range in joints. Previous studies suggest that lack of muscle strength significantly enhances fall-risk among the elderly. Exercise intervention has been reported to improve cognitive function and balance and prevent chronic diseases. Therefore, whether exercise training can make the elderly more active and efficient in daily tasks and consequently reduce fall-risk is worth exploring.
Aims: The purpose of the study was to conduct a systematic review of literature to examine the effect of lower extremity exercise in improving the muscle strength of the community elderly.
Methods: Using identified keywords (elderly or community‐dwelling older people; extremity, lower, or lower limb exercise; muscle stretching or improving muscle power; falls or falling), this study conducted a systematic literature search for relevant English and Chinese language studies published in electronic databases, such as Cochrane Library, PuMed, Embase, and Airiti Library. Results of the literature search were screened using proposed inclusion and exclusion criteria. Eleven articles were included for systematic review after removing the irrelevant ones. Subsequently, the Critical Appraisal Skill Programme (CASP) was utilized to review the literature. This study reviewed the literature relating to the effect of lower limb exercise intervention to improve muscle strength in elderly adults. 
Results: There were 11 articles that met the study criteria. Through appraisal and analysis, our results showed that exercise training can make the elderly more active and efficient in daily tasks and that dominant lower extremity muscle strength can improve after exercise. However, the impact of exercise training on reducing the risk of falling and re-falling among elderly was not statistically significant.
Conclusion: The results indicate that exercise training improves muscle power as well as the ability to live independently in the elderly.

Reference ( 27 ) 〈TOP〉

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