Using a Towel for Resistance Training in Non-exercising Elderly Women: A Cluster Controlled Trial

無運動習慣的女性長者接受毛巾操阻力訓練：族群對照研究

曾昱璇(Yu-Hsuan Tseng) ； 陳秀惠(Hsiu-Hui Chen) ； 吳紋綺(Wen-Chi Wu) ； 陳芳萍(Fang-Ping Chen) ； 陳榮福(Jung-Fu Chen) ； 洪禎雯(Jen-Wen Hung)

《台灣復健醫學雜誌》 48卷1期 (2020/06) Pp. 53-61

https://doi.org/10.6315/TJPMR.202006_48(1).0006

摘要

Background: Aging results in deterioration of physical performance, including muscle strength, gait, and balance. Resistance training has been shown to be effective in enhancing physical function in elderlypeople. For people, who do not have regular exercise before, an easily available tool might increase their motivation to do exercise training. A towel is available for any person and it could be used in low intensity resistance training. The purpose of this study was to evaluate the effects of resistance training with a towel in community-dwelling elderly women who did not have regular exercise before. Methods: This was a cluster controlled study. We recruited 25 elderly women in the experimental group and 24 in control group. The experimental group did resistance exercise training with a towel, one hour per section, twice per week for 3 months. We did the outcome measurements, including grip strength, biceps curls, chair stand test, gait speed, six minute walk test, before and after 3-month intervention. We used Mann-Whitney's U-tests to evaluate the differences in change scores between groups. Results: The experimental group showed significant improvement in biceps curls, gait speed and six minute walk test as compared with control group (p=0.004, 0.003, 0.005 respectively). The intervention group had improvement in grip strength, while the control group showed deteriorated performance after training, but there was no significant difference in change score between the two groups. Conclusion: Resistance training with a towel was feasible and effective for community dwelling elderly women who was a beginner of exercise.

關鍵字

strengthening training ； geriatric ； physical performance

並列摘要

隨著年紀增長，肌肉質量及肌力會逐漸衰退，進而影響體適能的表現及增加日常生活的依賴性。先前的研究證實阻力訓練可以有效提升年長者的體適能表現。本篇研究收錄先前無運動習慣的年長女性，欲提升參與度並考量到安全性，我們利用居家即可取得的毛巾為低強度阻力訓練的工具。本篇研究分析毛巾操阻力訓練對體適能表現的影響。這是一個群組對照研究，研究組收錄了25位女性長者，對照組收錄了24位女性長者。研究組接受了為期三個月、一週兩次、一次一小時的毛巾操阻力訓練；對照組則接受了為期三個月、一週兩次的社區動態活動。經過三個月的訓練後，相較於對照組，研究組在慣用側二頭肌屈舉、步行速度及六分鐘行走測試的進步有顯著差異（p值分別為0.004、0.003、0.005）。低強度的毛巾操阻力訓練可以有效提升年長女性的體適能表現。毛巾對於初學阻力運動的長者是一個方便、便宜、安全又有訓練效果的工具。希望透過毛巾的居家方便取得性，讓更多長者可以有興趣從事阻力運動。

並列關鍵字

阻力運動（strengthening training） ； 老年（geriatric） ； 體適能（physical performance）

參考文獻

1. Makizako H, Shimada H, Doi T, et al. Age-dependent changes in physical performance and body composition in community-dwelling Japanese older adults. J Cachexia Sarcopenia Muscle 2017;8:607-614.

2. Ahmadiahangar A, Javadian Y, Babaei M, et al. The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study. Chiropr Man Therap 2018;26:31.

3. Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? Jama 2007;297:77-86.

4. Esain I, Rodriguez-Larrad A, Bidaurrazaga-Letona I, et al. Health-related quality of life, handgrip strength and falls during detraining in elderly habitual exercisers. Health Qual Life Outcomes 2017;15:226.

5. Vermeulen J, Neyens JC, van Rossum E, et al. Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: a systematic review. BMC Geriatr 2011;11:33.