Differential Effects of Power Rehabilitation on Physical Performance and Higher-level Functional Capacity among Community-dwelling Older Adults with a Slight Degree of Frailty
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概要
- 論文の詳細を見る
BACKGROUND: Evidence is still insufficient regarding the effects of Power Rehabilitation (PR) on physical performance and higher-level functional capacity of community-dwelling frail elderly people.METHODS: This nonrandomized controlled interventional trial consisted of 46 community-dwelling elderly individuals with light levels of long-term care needs. They were allocated to the intervention (I-group, n = 24) and control (C-group, n = 22) groups. Of them, 32 persons (17 in the I-group; 15 in the C-group) (median age, 77 years; sex, 28% male) completed the study. The I-group subjects underwent PR twice a week for 12 weeks. The outcomes were physical performance (muscle strength, balance, flexibility, and mobility) and higher-level functional capacity as evaluated by the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) and the level of long-term care need as certified by the public long-term care insurance.RESULTS: The I-group demonstrated a significant improvement in the measured value of the timed up-and-go test (median change, a decrease of 4.4 seconds versus a decrease of 0.2 seconds, p = 0.033) and the timed 10-meter walk (a decrease of 3.0 seconds versus an increase of 0.2 seconds, p = 0.007) in comparison with the C-group. No significant change was observed in the TMIG-IC scores or in the level of long-term care need in the I-group.CONCLUSION: PR improved mobility of community-dwelling frail elderly people; however, such improvement did not translate into higher-level functional capacity. Our findings demonstrate the difficulty in transferring the positive effects associated with PR into an improvement in higher-level functional capacity.J Epidemiol 2007; 17: 61- 67.
- Japan Epidemiological Associationの論文
- 2007-03-01
著者
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Fujimura Takashi
Department Of Gastroenterologic Surgery Kanazawa University Hospital
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Ohara Hiroshi
Department of Internal Medicine, Ohmura Municipal Hospital
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Ohara H
Department Of Public Health Kochi Medical School
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YASUDA NOBUFUMI
Department of Public Health, Kochi Medical School
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Fujimura Takashi
Department Of Health And Welfare Kochi City Office
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OTA Atsuhiko
Department of Hygiene and Preventive Medicine, Okayama University Graduate School of Medicine and De
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Ota Atsuhiko
Department Of Hygiene And Preventive Medicine Okayama University Graduate School Of Medicine And Den
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HORIKAWA Shunichi
Department of Health and Welfare, Kochi City Office
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Ohara Hiroshi
Department Of Clinical Pharmacy Tohoku University Graduate School Of Pharmaceutical Sciences
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Yasuda N
Department Of Public Health Kochi Medical School
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Yasuda Nobufumi
Department Of Public Health Kochi Medical School
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Horikawa Shunichi
Department Of Health And Welfare Kochi City Office
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Fujimura Takashi
Department Cardiology, Sinkoga Hospital, Japan
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