| Effect of Otago exercise program (OEP) combined with elastic band resistance training on elderly patients with sarcopenia |
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| DOI：10.3870/zgkf.2026.09.006 |
| EN KeyWords: elderly sarcopenia Otago exercise program resistance training elastic band |
| Fund Project:广州市卫生健康科技项目（20231A011115） |
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| View Counts: 199 |
| PDF Download Counts: 91 |
| EN Abstract: |
| Objective: To explore the effect of Otago exercise program (OEP) combined with elastic band resistance training on physical performance and quality of life in elderly patients with sarcopenia. Methods: Elderly patients with sarcopenia who received treatment in the Department of Rehabilitation from January 2024 to December 2024 were selected as the research subjects. Using a random number table method, the patients were divided into the routine training group, OEP alone group, elastic band training alone group, and combined training group. According to the dropout criteria, 50 patients were finally included in each group. The routine training group maintained their original daily exercise mode; the OEP alone group received OEP on the basis of routine training; the elastic band training alone group received elastic band resistance training on the basis of routine training; and the combined training group received OEP combined with elastic band resistance training on the basis of routine training. Physical performance, quality of life, and other indicators were compared among the four groups before and after the intervention. Results: After 3 months of intervention, the routine group showed no statistically significant changes in muscle mass or upper limb grip strength, while the time for sit-to-stand from a seated position was redu-ced compared to that before intervention (P<0.05). The OEP group exhibited increased muscle mass compared to that before intervention (P<0.05). There was no statistically significant change in upper limb grip strength, and a shortened sit-to-stand time (P<0.05).Both the elastic band group and the combined group demonstrated increased muscle mass and upper limb grip strength compared to those before intervention (P<0.05), as well as shortened sit-to-stand time compared to that before intervention (P<0.05). After 3 months of intervention, the muscle mass and upper limb grip strength in the combined group were higher than those in the other three groups (P<0.05), and the lower limb sit-to-stand time was shorter than that in the other three groups (P<0.05); the muscle mass in the elastic band group was higher than that in the conventional group (P<0.05), but had no statistically significant difference compared to the OEP group; there were no statistically significant differences in upper limb grip strength and lower limb sit-to-stand time between the OEP group, elastic band group, and combined group compared to the conventional group. After 3 months of intervention, the time to complete the Timed Up and Go test in the control group was shortened compared to that before the intervention (P<0.05), but the Berg balance scale (BBS) score showed no statistically significant difference from that before the intervention. In the OEP group, resistance band group, and combined group, the Timed Up and Go test time was all shortened compared to that before treatment (P<0.05), and the BBS scores were all improved compared to those before treatment (P<0.05). The Timed Up and Go test time in the combined group was shorter than that in the other three groups (P<0.05), and the BBS score was higher than that in the other three groups (P<0.05). The BBS scores in both the OEP group and the resistance band group were higher than those in the control group (P<0.05), but the difference between these two groups was not statistically significant . The comparison of Timed Up and Go test time among the conventional group, OEP group, and elastic band group showed no statistically significant difference. After 3 months of intervention, the SarQol scores of patients in all four groups were improved compared with those before intervention (P<0.05), and the SarQol scores in the combined group were higher than those in the other three groups (P<0.05); the scores of the OEP group alone and the elastic band group were both higher than those of the conventional group (P<0.05), but the difference between these two groups was not statistically significant. Conclusion: OEP combined with resistance training using resistance bands can improve exercise capacity, muscle mass, muscle strength, and quality of life in elderly patients with sarcopenia. |
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