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要旨:  〔目的〕在宅虚弱高齢者に対し異なる運動介入を行い身体機能に及ぼす影響について経時的な変化から検討することである。〔対象〕65歳以上で要支援1要介護1の在宅虚弱高齢者51名とした。〔方法〕対象者を事業所別にバランス運動群24名筋力増強運動群27名に振り分け週1回1時間の運動を3ヶ月間実施した。身体機能として開眼片足立ち椅子起立時間Timed Up & Go TestTUG下肢筋力を評価し各運動群におけるそれらの経時的変化を解析した。〔結果〕経時的変化ではバランス運動群は下肢筋力が1ヶ月後より有意に増加しその後全ての身体機能評価が有意に改善されていた。筋力増強運動群では下肢筋力が2ヶ月後より有意に増加しその後椅子起立時間TUGが有意に改善されていた。[結論]各運動群ともに下肢筋力の増加後にパフォーマンス能力が向上していた。またバランス運動と筋力増強運動では効果の反応が異なることが示された。ABSTRACT:  [Purpose] The purpose of this study was to conduct different interventions for frail community-dwelling elderly persons and investigate the time course changes in their physical function. [Subjects] The subjects were 51 frail community-dwelling elderly over 65 years of age, classified from category 1 of needing support to category 1 of needing care. [Method] The subjects were divided into a balance exercise group (24 persons) and a muscle strength exercise group (27 persons), according to site, and exercises were performed for 1 hour once a week for 3 months. One-leg standing with eyes open, the sit-to-stand (STS) time, timed up-and-go (TUG), and lower limb muscle strength were used to assess physical function, and their time course changes were analyzed in each group. [Results] In the balance exercise group, lower limb muscle strength had significantly increased after 1 month, and subsequently all the physical function assessments significantly improved. In the muscle strength exercise group, lower limb muscle strength increased significantly after 2 months, and subsequently the results of the STS and TUG times significantly improved. [Conclusion] In each of the exercise groups, physical function improved after increase in lower limb muscle strength. Furthermore, different responses were shown to the balance and muscle strengthening exercises

rigaku ryōhō kagaku/rigaku ryoho kagaku

Time Course Changes in Physical Function Following Different Exercise Interventions for Community-Dwelling Elderly Balance and Muscle Strength Exercises