| Objectives To explore the influence of Baduanjin method on the debilitating state and lower limb motor function of the pre-frail elderly people,so as to provide theoretical basis for effectively delaying and improving the debilitating state and motor function of the pre-frail elderly people.Methods From November 2018 to March 2019,62 old-age institutions with the same management mode,similar living environment and more than 100 people were selected from 62 old-age institutions in three districts of Qiqihar city(Longsha District,Tiefeng District,Jianhua District).Then four of them were randomly selected.The first two were the intervention group and the last two were the control group.The elderly in four elderly care institutions were screened for weakness.Select the pre-frail elderly people,then random number table was used to select 38 samples from two group respectively.The control group maintained the previous state of daily activities(health education once a week).In the intervention group,baduanjin were intensively trained once a day,and all the movements were completed about 30 points,including warm-up activities before training and relaxation activities after training,and Baduanjin was prohibited in stormy and thundery weather.Five days a week,12 weeks of intervention.Before the intervention,6 weeks and 12 weeks after the intervention,another researcher who had not participated in the training process evaluated the debilitating state and lower limb motor function of the two groups of elderly.The frailty state was assessed by Fried's frailty phenotype.The motor function of the lower limbs was assessed by Five Times Sit to Stand Test(FTSST),Timed“up and go” test(TUGT),Four square step test(FSST)and One leg standing test(OLST).Life satisfaction was assessed by Life Satisfaction Index A(LSIA).The risk of psychological fall was assessed by Fear of falling(FOF).Then use SPSS23.0 to compare all the indexes to evaluate the effects of elastic band exercise.Results Before the intervention,there were no significant difference in Fried frailty phenotype,FTSST,TUGT,FSST,OLST,LISA's score and FOF's score between two groups(P>0.05).After intervention 1 Comparison of the scores of fried debilitation phenotype between the intervention group and the control group: After 6 and 12 weeks of intervention,the scores of Fried frailty phenotype in the intervention group were lower than those in the control group(P<0.05).The results of intra group comparison: the scores of Fried frailty phenotype in the intervention group was lower than that before intervention(P<0.05),and the scores of Fried frailty phenotype in the control group was higher than that before intervention(P<0.05).2 Comparison of FTSST,TUGT,FSST and OLST in two groups of elderly people: After 6 and 12 weeks of intervention,the time of FTSST,TUGT,FSST in the intervention group was decreased compared with that in the control group(P<0.05),Compared with the control group,the time of OLST increased(P<0.05).In the intervention group,the time of FTSST,TUGT,FSST decreased after the intervention(P<0.05),and the time of OLST increased after the intervention(P<0.05).Only FSST time in the control group increased significantly(P<0.05).3 Comparison of LISA scores and FOF scores between the intervention group and the control group: After 6 weeks of intervention,there was no significant difference in the scores of LISA and FOF between the two groups(P>0.05).After 12 weeks of intervention,the scores of LISA in the intervention group was significantly higher than that in the control group and the scores of FOF decreased significantly(P<0.05).In the intervention group,the scores of LISA increased after the intervention(P<0.05),and the scores of FOF decreased after the intervention(P<0.05).Conclusions 1 Baduanjin can significantly improve frailty status,lower limb motor function and life satisfaction in pre-frail elderly people.2 Baduanjin can delay the pre-frail elderly people to enter the debilitating period.Figure9;Table9;Reference167. |
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