个体-群体方案在肌肉减少症患者复杂康复中的应用算法

Pleshchev I.E., Nikolenko V.N., Achkasov E.E., Shkrebko A.N.
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引用次数: 3

摘要

摘要随着人口老龄化的开始,与老年和老年有关的疾病已成为世界范围内的公共卫生问题。这一过程伴随着一定的生理变化。骨骼肌减少症是导致这些变化的原因之一,它被定义为一种与年龄相关的骨骼肌质量、力量、功能和身体表现丧失相关的临床综合征。骨骼肌减少症被官方认定为一种肌肉疾病,诊断代码为ICD‐10‐CM (M62.84),并与各种不良后果相关,包括跌倒、活动能力受损、虚弱和死亡。本研究纳入了198例年龄61 ~ 75岁(平均68±3.27岁)的老年男性肌少症患者。根据康复方法将患者分为I组和II组。在雅罗斯拉夫尔地区老年学中心国家医疗机构的基础上,进行了为期12周的物理治疗课程。研究参与者自愿同意在4个控制部分进行全面的医学和人类学检查,包括静脉测量、生物阻抗分析和手部动力测量。根据所获得的数据,编制了“进行性和广泛性肌肉量和肌力丧失患者康复质量评估方案”的计算机程序,并制定了老年肌肉减少症患者的肢体康复方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ALGORITHM OF APPLICATION OF THE INDIVIDUAL – GROUP PROTOCOL IN THE COMPLEX REHABILITATION OF PATIENTS WITH SARCOPENIA
Abstract. With the beginning of the aging of the population, diseases associated with old age and senility have become a problem for public health worldwide. This process is accompanied by certain physiological changes. Sarcopenia is one of the causes of these changes and is defined as a clinical syndrome associated with age-related loss of skeletal muscle mass, strength, function and physical performance. Sarcopenia is officially recognized as a muscular disorder with the diagnostic code ICD‐10‐CM (M62.84) and is associated with various adverse outcomes, including falls, impaired mobility, weakness and death. The present study included 198 elderly male patients aged 61 to 75 years (average 68±3.27 years) suffering from sarcopenia. The patients were divided into groups I and II depending on the method of physical rehabilitation. Physical therapy classes were held for 12 weeks on the basis of the State Medical Institution of the Yaroslavl Regional Gerontological Center. The study participants voluntarily agreed to conduct a comprehensive medical and anthropological examination during 4 control sections, including antropometry, bioimpedance analysis, and hand dynamometry. Based on the data obtained, a computer program "Program for assessing the quality of rehabilitation in patients with progressive and generalized loss of muscle mass and muscle strength" was created, and a protocol for the physical rehabilitation of elderly patients with sarcopenia was developed.
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