物理治療師於肌少症治療之角色

The Role of Physical Therapist in the Treatment of Sarcopenia

10.6320/FJM.202307_27(4).0011

郭鎮宇(Chen-Yu Kuo)；游舒涵(Shu-Han Yu)；陳昭瑩(Chan-Yin Chen)

肌少症 ； 物理治療 ； 運動治療 ； 阻力訓練 ； 老年人 ； sarcopenia ； physical therapy ； therapeutic exercise ； resistance training ； elderly

台灣醫學

27卷4期（2023 / 07 / 25）

479 - 484

繁體中文;英文

隨著世界人口老年化日益嚴重，與老年人相關的各類疾病越來越受到重視。肌少症便是其中之一，該疾病不僅會造成肌肉量減少與肌肉力量下降，同時會使日常生活功能表現變差，還可能引起跌倒、骨折、增加住院天數等，加重醫療負擔。物理治療師能夠從運動能力及日常生活表現，評估老年人的肌力及功能活動的能力，進而給予適當的運動治療及功能性訓練。先前研究證實，運動訓練可顯著提升肌肉量、肌肉力量以及生活功能表現。在運動治療項目中的阻力訓練運動，是其中最有效的方法，運動治療三大原則，分別為特異性、超負荷及漸進式訓練，經由物理治療師評估後，給予適當的運動治療處方，不僅能顯著改善肌少症，同時也能確保運動時安全無虞。

With the increasing worldwide aging population, various diseases related to the elderly are getting more and more attention. Sarcopenia is one among them. This disease not only causes a decrease in muscle mass, but also a decline in muscle strength and poor performance of daily activities. Sarcopenia can also cause falls, fractures, and increased hospitalization days. Physical therapists can evaluate the muscle strength and daily functional performance of the elderly, and then provide appropriate therapeutic exercise and functional training. Previous studies have confirmed that therapeutic exercise training can significantly improve muscle mass, muscle strength, and functional activity performance. As a mode of therapeutic exercise. resistance training is the most effective treatment. There are three principles of therapeutic exercise: specificity, overload and progressive training. Through evaluation and proper designation by physical therapist, therapeutic exercise can not only significantly improve the impact of sarcopenia, but also ensure safety during training.