Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: ProCare 10/2015

01.12.2015 | geriatrie

Krafttraining wirkt!

Gebrechlichkeit aus rehabilitativer Sicht

verfasst von: Univ.-Prof. Dr. M. Quittan

Erschienen in: ProCare | Ausgabe 10/2015

Einloggen, um Zugang zu erhalten

Zusammenfassung

Hintergrund

Das Syndrom der Gebrechlichkeit stellt eine zunehmende Herausforderung für das Gesundheitssystem dar. Wenngleich es zum Lebensende auftritt, sollten rehabilitative Interventionen ergriffen werden, um das Syndrom zu verhindern oder zu verlangsamen.

Methode

Auf Basis der Definitionen für Gebrechlichkeit sowie für Rehabilitation gibt die vorliegende Arbeit einen Überblick zu den gegenwärtigen Therapiemöglichkeiten. Geräteunterstützte Trainingsformen wie die neuromuskuläre Elektrostimulation oder die mechanische Muskelstimulation werden in Methodik und Evidenz dargestellt. Der Einsatz unterschiedlicher Trainingsformen bei gebrechlichen Patienten wird kritisch untersucht.

Ergebnisse

Unter anderem spielen die alters- und krankheitsbedingten Veränderungen der Skelettmuskulatur bei der Entwicklung der Gebrechlichkeit eine zentrale Rolle. Die evidenzbasierte Intervention ist das fortlaufend angepasste Krafttraining. Da diese Form des Krafttrainings v. a. für alte und gebrechliche Menschen eine körperliche Belastung darstellen kann, bieten sich alternative Trainingsformen an.
Literatur
1.
Zurück zum Zitat Charette SL, McEvoy L, Pyka G et al (1991) Muscle hypertrophy response to resistance training in older women. J Appl Physiol 70: 1912–1916 PubMed Charette SL, McEvoy L, Pyka G et al (1991) Muscle hypertrophy response to resistance training in older women. J Appl Physiol 70: 1912–1916 PubMed
2.
Zurück zum Zitat Chou CH, Hwang CL, Wu YT (2012) Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis. Arch Phys Med Rehabil 93:237–244 PubMedCrossRef Chou CH, Hwang CL, Wu YT (2012) Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis. Arch Phys Med Rehabil 93:237–244 PubMedCrossRef
3.
Zurück zum Zitat Collard RM, Boter H, Schoevers RA, Oude Voshaar RC (2012) Prevalence of frailty in communitydwelling older persons: a systematic review. J Am Geriatr Soc 60:1487–1492 PubMedCrossRef Collard RM, Boter H, Schoevers RA, Oude Voshaar RC (2012) Prevalence of frailty in communitydwelling older persons: a systematic review. J Am Geriatr Soc 60:1487–1492 PubMedCrossRef
4.
Zurück zum Zitat Eklund K, Wilhelmson K, Gustafsson H et al (2013) One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; „Continuum of care for frail older people“. BMC Geriatr 13:76 PubMedPubMedCentralCrossRef Eklund K, Wilhelmson K, Gustafsson H et al (2013) One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; „Continuum of care for frail older people“. BMC Geriatr 13:76 PubMedPubMedCentralCrossRef
5.
Zurück zum Zitat Espinoza S, Walston JD (2005) Frailty in older adults: insights and interventions. Cleve Clin J Med 72:1105–1112 PubMedCrossRef Espinoza S, Walston JD (2005) Frailty in older adults: insights and interventions. Cleve Clin J Med 72:1105–1112 PubMedCrossRef
6.
Zurück zum Zitat Fiatarone MA, Marks EC, Ryan ND et al (1990) High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA 263:3029–3034 PubMedCrossRef Fiatarone MA, Marks EC, Ryan ND et al (1990) High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA 263:3029–3034 PubMedCrossRef
7.
Zurück zum Zitat Fiatarone MA, O’Neill EF, Ryan ND et al (1994) Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 330:1769–1775 PubMedCrossRef Fiatarone MA, O’Neill EF, Ryan ND et al (1994) Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 330:1769–1775 PubMedCrossRef
8.
Zurück zum Zitat Garber CE, Blissmer B, Deschenes MR et al (2011) American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359 PubMedCrossRef Garber CE, Blissmer B, Deschenes MR et al (2011) American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359 PubMedCrossRef
9.
Zurück zum Zitat Grill E, Joisten S, Swoboda W, Stucki G (2007) Earlystage impairments and limitations of functioning from the geriatric ICF core set as determinants of independent living in older patients after discharge from post-acute rehabilitation. J Rehabil Med 39:591–597 PubMedCrossRef Grill E, Joisten S, Swoboda W, Stucki G (2007) Earlystage impairments and limitations of functioning from the geriatric ICF core set as determinants of independent living in older patients after discharge from post-acute rehabilitation. J Rehabil Med 39:591–597 PubMedCrossRef
10.
Zurück zum Zitat Kemmler W, Stengel V, Mayer S et al (2010) Effect of whole body vibration on the neuromuscular performance of females 65 years and older. One year results of the controlled randomized ELVIS study. Z Gerontol Geriatr 43:125–132 PubMedCrossRef Kemmler W, Stengel V, Mayer S et al (2010) Effect of whole body vibration on the neuromuscular performance of females 65 years and older. One year results of the controlled randomized ELVIS study. Z Gerontol Geriatr 43:125–132 PubMedCrossRef
11.
Zurück zum Zitat Kemmler W, von Stengel S (2013) Wholebody electromyostimulation as a means to impact muscle mass and abdominal body fat in lean, sedentary, older female adults: subanalysis of the TEST-III trial. Clin Interv Aging 8:1353–1364 PubMedPubMedCentralCrossRef Kemmler W, von Stengel S (2013) Wholebody electromyostimulation as a means to impact muscle mass and abdominal body fat in lean, sedentary, older female adults: subanalysis of the TEST-III trial. Clin Interv Aging 8:1353–1364 PubMedPubMedCentralCrossRef
12.
Zurück zum Zitat Kus S, Muller M, Strobl R, Grill E (2011) Patient goals in post-acute geriatric rehabilitation — goal attainment is an indicator for improved functioning. J Rehabil Med 43:156–161 PubMedCrossRef Kus S, Muller M, Strobl R, Grill E (2011) Patient goals in post-acute geriatric rehabilitation — goal attainment is an indicator for improved functioning. J Rehabil Med 43:156–161 PubMedCrossRef
13.
Zurück zum Zitat Lam FM, Lau RW, Chung RC, Pang MY (2012) The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and meta-analysis. Maturitas 72:206–213 PubMedCrossRef Lam FM, Lau RW, Chung RC, Pang MY (2012) The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and meta-analysis. Maturitas 72:206–213 PubMedCrossRef
14.
Zurück zum Zitat Lastayo PC, Ewy GA, Pierotti DD et al (2003) The positive effects of negative work: increased muscle strength and decreased fall risk in a frail elderly population. J Gerontol A Biol Sci Med Sci 58:M419–M424 PubMedCrossRef Lastayo PC, Ewy GA, Pierotti DD et al (2003) The positive effects of negative work: increased muscle strength and decreased fall risk in a frail elderly population. J Gerontol A Biol Sci Med Sci 58:M419–M424 PubMedCrossRef
15.
Zurück zum Zitat Latham NK, Anderson CS, Lee A et al (2003) A randomized, controlled trial of quadriceps resistance exercise and vitamin D in frail older people: the Frailty Interventions Trial in Elderly Subjects (FITNESS). J Am Geriatr Soc 51:291–299 PubMedCrossRef Latham NK, Anderson CS, Lee A et al (2003) A randomized, controlled trial of quadriceps resistance exercise and vitamin D in frail older people: the Frailty Interventions Trial in Elderly Subjects (FITNESS). J Am Geriatr Soc 51:291–299 PubMedCrossRef
16.
Zurück zum Zitat Liu CJ, Latham N (2010) Adverse events reported in progressive resistance strength training trials in older adults: 2 sides of a coin. Arch Phys Med Rehabil 91:1471–1473 PubMedCrossRef Liu CJ, Latham N (2010) Adverse events reported in progressive resistance strength training trials in older adults: 2 sides of a coin. Arch Phys Med Rehabil 91:1471–1473 PubMedCrossRef
17.
Zurück zum Zitat Liu CJ, Latham NK (2009) Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev CD002759 Liu CJ, Latham NK (2009) Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev CD002759
18.
Zurück zum Zitat Maddocks M, Gao W, Higginson IJ, Wilcock A (2013) Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease. Cochrane Database Syst Rev 1:CD009419 Maddocks M, Gao W, Higginson IJ, Wilcock A (2013) Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease. Cochrane Database Syst Rev 1:CD009419
19.
Zurück zum Zitat Mueller M, Breil FA, Vogt M et al (2009) Different response to eccentric and concentric training in older men and women. Eur J Appl Physiol 107:145–153 PubMedCrossRef Mueller M, Breil FA, Vogt M et al (2009) Different response to eccentric and concentric training in older men and women. Eur J Appl Physiol 107:145–153 PubMedCrossRef
20.
Zurück zum Zitat Peterson MD, Rhea MR, Sen A, Gordon PM (2010) Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev 9:226–237 PubMedPubMedCentralCrossRef Peterson MD, Rhea MR, Sen A, Gordon PM (2010) Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev 9:226–237 PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Raymond MJ, Bramley-Tzerefos RE, Jeffs KJ et al (2013) Systematic review of high-intensity progressive resistance strength training of the lower limb compared with other intensities of strength training in older adults. Arch Phys Med Rehabil 94:1458–1472 PubMedCrossRef Raymond MJ, Bramley-Tzerefos RE, Jeffs KJ et al (2013) Systematic review of high-intensity progressive resistance strength training of the lower limb compared with other intensities of strength training in older adults. Arch Phys Med Rehabil 94:1458–1472 PubMedCrossRef
22.
Zurück zum Zitat Steib S, Schoene D, Pfeifer K (2010) Doseresponse relationship of resistance training in older adults: a meta-analysis. Med Sci Sports Exerc 42:902–914 PubMedCrossRef Steib S, Schoene D, Pfeifer K (2010) Doseresponse relationship of resistance training in older adults: a meta-analysis. Med Sci Sports Exerc 42:902–914 PubMedCrossRef
23.
Zurück zum Zitat Strasser EM, Draskovits T, Praschak M et al (2013) Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly. Age (Dordr) 35(6):2377–2388 CrossRef Strasser EM, Draskovits T, Praschak M et al (2013) Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly. Age (Dordr) 35(6):2377–2388 CrossRef
24.
Zurück zum Zitat Strasser EM, ßWessner B, Roth E (2007) Cellular regulation of anabolism and catabolism in skeletal muscle during immobilisation, aging and critical illness. Wien Klin Wochenschr 119: 337–348 PubMedCrossRef Strasser EM, ßWessner B, Roth E (2007) Cellular regulation of anabolism and catabolism in skeletal muscle during immobilisation, aging and critical illness. Wien Klin Wochenschr 119: 337–348 PubMedCrossRef
25.
Zurück zum Zitat Stucki G, Celio M (2007) Developing human functioning and rehabilitation research. Part II: Interdisciplinary university centers and national and regional collaboration networks. J Rehabil Med 39:334–342 PubMedCrossRef Stucki G, Celio M (2007) Developing human functioning and rehabilitation research. Part II: Interdisciplinary university centers and national and regional collaboration networks. J Rehabil Med 39:334–342 PubMedCrossRef
26.
Zurück zum Zitat Trappe TA, Lindquist DM, Carrithers JA (2001) Muscle-specific atrophy of the quadriceps femoris with aging. J Appl Physiol (1985) 90:2070–2074 PubMed Trappe TA, Lindquist DM, Carrithers JA (2001) Muscle-specific atrophy of the quadriceps femoris with aging. J Appl Physiol (1985) 90:2070–2074 PubMed
27.
Zurück zum Zitat Watanabe Y, Madarame H, Ogasawara R et al (2013) z2013. Clin Physiol Funct Imaging. doi: 10.1111/cpf.12117 Watanabe Y, Madarame H, Ogasawara R et al (2013) z2013. Clin Physiol Funct Imaging. doi: 10.1111/cpf.12117
28.
Zurück zum Zitat World Health Organisiation (1981) Report of the WHO expert committee on disability prevention and rehabilitation. 668:9 World Health Organisiation (1981) Report of the WHO expert committee on disability prevention and rehabilitation. 668:9
29.
Zurück zum Zitat Zech A, Steib S, Sportwiss D et al (2011) Functional muscle power testing in young, middle-aged, and community-dwelling nonfrail and prefrail older adults. Arch Phys Med Rehabil 92:967–971 PubMedCrossRef Zech A, Steib S, Sportwiss D et al (2011) Functional muscle power testing in young, middle-aged, and community-dwelling nonfrail and prefrail older adults. Arch Phys Med Rehabil 92:967–971 PubMedCrossRef
30.
Zurück zum Zitat Zhang L, Weng C, Liu M et al (2014) Effect of whole-body vibration exercise on mobility, balance ability and general health status in frail elderly patients: a pilot randomized controlled trial. Clin Rehabil 28:59–68 PubMedCrossRef Zhang L, Weng C, Liu M et al (2014) Effect of whole-body vibration exercise on mobility, balance ability and general health status in frail elderly patients: a pilot randomized controlled trial. Clin Rehabil 28:59–68 PubMedCrossRef
Metadaten
Titel
Krafttraining wirkt!
Gebrechlichkeit aus rehabilitativer Sicht
verfasst von
Univ.-Prof. Dr. M. Quittan
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
ProCare / Ausgabe 10/2015
Print ISSN: 0949-7323
Elektronische ISSN: 1613-7574
DOI
https://doi.org/10.1007/s00735-015-0582-7