心理干预治疗性运动对老年人残疾和个人预后影响的系统综述

IF 1.9 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2025-06-01 DOI:10.1016/j.arrct.2025.100447

Grace A. Rose , Pietra T. Bruni PhD , Mariana Wingood PT, DPT, PhD, MPH , Selmi Kallmi PhD , Elizabeth Finer MA , Patricia M. Bamonti PhD

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引用次数: 0

摘要

目的评价治疗性运动和心理干预对老年人残疾和个人结局的影响。数据来源2013年1月至2025年2月发表的文章可在PubMed， Embase, ProQuest Health &；医学与心理学，PsycINFO和PsycArticles。研究选择纳入标准如下：(1)干预包括治疗性运动结合或结合心理干预；(2)随机对照试验；(3)样本平均年龄≥60岁；(4)残疾的主要或次要结局。两位作者独立筛选试验（n=7391）纳入；第三位作者验证了结果并解决了差异。数据提取数据由主要审稿人提取，并由第二审稿人验证。偏倚风险评估采用随机对照试验的偏倚风险进行。数据综合纳入38项试验（n=18,550名受试者）。治疗性运动包括：运动计划（34%）、体育活动咨询和监测（37%）、康复（18%）或其他(如太极拳；13%)。心理干预主要是动机性访谈（53%）或认知行为治疗/策略（39%）。观察到身体功能和结构（n=14, 37%）、活动（n=6, 16%）、参与（n=20, 53%）和个人因素（n=11, 29%）的显著改善。结论心理干预治疗性运动对残疾和个人结局有积极影响，尤其是在参与方面。研究设计、干预和人群的异质性对数据合成提出了挑战。尽管如此，目前的综述确定了文献中的空白和未来研究的方向。测试这些干预措施与主动比较物的累加效应是未来研究的重点。

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A Systematic Review of the Effects of Therapeutic Exercise With Psychological Interventions on Disability and Personal Outcomes in Older Adults

Objective

To evaluate the effects of therapeutic exercise and psychological interventions on disability and personal outcomes in older adults.

Data Sources

Articles published from January 2013 to February 2025 are available in PubMed, Embase, ProQuest Health & Medical and Psychology, PsycINFO, and PsycArticles.

Study Selection

Inclusion criteria were as follows: (1) intervention included therapeutic exercise combined or integrated with a psychological intervention; (2) randomized controlled trial; (3) sample mean age ≥60 years; (4) primary or secondary outcome(s) of disability. Two authors independently screened trials (n=7391) for inclusion; a third author verified results and resolved discrepancies.

Data Extraction

Data were extracted by a primary reviewer and verified by a second reviewer. The risk of bias assessment was performed using the risk of bias in randomized controlled trials.

Data Synthesis

Thirty-eight trials (n=18,550 participants) were included. Therapeutic exercise included: exercise programs (34%), physical activity counseling and monitoring (37%), rehabilitation (18%), or other (eg, Tai Chi; 13%). Psychological interventions were primarily motivational interviewing (53%) or cognitive-behavioral therapy/strategies (39%). Significant improvement in body functions and structures (n=14, 37%), activity (n=6, 16%), participation (n=20, 53%), and personal factors (n=11, 29%) was observed.

Conclusions

Therapeutic exercise with psychological interventions have a positive effect on disability and personal outcomes, especially in participation. Heterogeneity in the study design, intervention, and population challenged data synthesis. Nonetheless, the current review identified gaps within the literature and directions for future research. Testing the additive effect of these interventions compared to active comparators is a priority for future investigations.

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来源期刊

Archives of rehabilitation research and clinical translation Medicine and Dentistry (General)

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

8 weeks