Study protocol: effect of playful training on functional abilities of older adults - a randomized controlled trial
Study protocol: effect of playful training on functional abilities of older adults - a randomized controlled trial
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DOI：
10.1186/s12877-017-0416-5
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发表时间：
2017-01-19
期刊：
影响因子：
4.1
通讯作者：
Lund, Henrik Hautop
中科院分区：
文献类型：
--
作者：
Jessen, Jari Due;Lund, Henrik Hautop
背景：由于不活动而导致的功能丧失是导致跌倒事故的最常见原因之一，并且已经确定可以通过体育活动有效地减少功能丧失。试点研究表明，短期玩互动模块瓦片形式的游戏系统可能会改善社区居住老年人的功能能力。这种有趣的训练可能会激发表演的动机，并被受试者视为提供生活充实的质量，同时提供身体能力的改善，例如与防止跌倒事故有关。该随机对照试验将测试社区居住老年人玩互动模块瓷砖的各种健康参数。方法：该研究将是一项单盲、随机对照试验，共有60名70岁以上的社区居民。该试验将包括一个由30名参与者组成的干预组，他们将接受交互式模块化瓷砖的培训，另一个由30名参与者组成的对照组将接受为非患者老年人提供的常规护理。干预期为12周。干预组将进行小组培训（4-5人，每次1小时，每个参与者接受13分钟的培训），每周两次。后续测试包括6分钟步行测试（6MWT）， 8英尺计时起走测试（TUG），以及高级健身测试中的椅子-站立测试（CS），以及平衡测试（Wii板上的静态测试和直线行走测试）。与依从性、动机和可接受性相关的次要结果将通过半结构化访谈进行调查。将从测试前和测试后收集数据。对数据进行统计显著性差异的分析，首先检查是否存在高斯分布，然后使用配对t检验，否则使用Wilcoxon符号秩检验。将进行“治疗意向”分析。讨论：该试验测试了社区居住的老年人在玩模块化互动瓷砖后的移动性、敏捷性、平衡性和总体健康状况。积极的结果可能有助于防止因不活动而导致的功能丧失。
Background: Loss of functional capabilities due to inactivity is one of the most common reasons for fall accidents, and it has been well established that loss of capabilities can be effectively reduced by physical activity. Pilot studies indicate a possible improvement in functional abilities of community dwelling elderly as a result of short-term playing with an exergame system in the form of interactive modular tiles. Such playful training may be motivational to perform and viewed by the subjects to offer life-fulfilling quality, while providing improvement in physical abilities, e.g. related to prevent fall accidents. The RCT will test for a variety of health parameters of community-dwelling elderly playing on interactive modular tiles.Methods: The study will be a single blinded, randomized controlled trial with 60 community-dwelling adults 70+ years. The trial will consist an intervention group of 30 participants training with the interactive modular tiles, and a control group of 30 participants that will receive the usual care provided to non-patient elderly. The intervention period will be 12 weeks. The intervention group will perform group training (4-5 individuals for 1 h training session with each participant receiving 13 min training) on the interactive tiles twice a week. Follow-up tests include 6-min Walk Test (6MWT), the 8-ft Timed Up & Go Test (TUG), and the Chair-Stand Test (CS) from the Senior Fitness Test, along with balancing tests (static test on Wii Board and Line Walk test). Secondary outcomes related to adherence, motivation and acceptability will be investigated through semi-structured interviews. Data will be collected from pre-and post-tests. Data will be analyzed for statistically significant differences by checking that there is a Gaussian distribution and then using paired t-test, otherwise using Wilcoxon signed-rank test. "Intention to treat" analysis will be done.Discussion: The trial tests for increased mobility, agility, balancing and general fitness of community-dwelling elderly as a result of playing, in this case on modular interactive tiles. A positive outcome may help preventing loss of functional capabilities due to inactivity.