Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia.
Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia.
复制标题
DOI：
10.2147/cia.s228931
复制
发表时间：
2019-01-01
影响因子：
3.6
通讯作者：
Barrado-Martin, Yolanda
中科院分区：
文献类型：
--
作者：
Nyman, Samuel R;Ingram, Wendy;Barrado-Martin, Yolanda
目得：研究太极拳运动对痴呆症（PWD）患者姿势平衡的影响，以及对福尔斯prevention.PATIENTS和METHODS的确定性试验的可行性：双胞胎，包括社区居住的PWD和他们的非正式照顾者（N=85），被随机分配到常规护理（N=43）或常规护理加每周太极拳班和家庭练习20周（N=42）。主要结局是定时启动测试。PWD及其护理者的所有结果均在基线后6个月进行评估，除了福尔斯，这是在6个月的随访期内前瞻性收集的。结果：对于PWD，在随访时的时间和去检验中没有显著差异（平均差异[MD] = 0.82，95%置信区间[CI] =-2.17，3.81）。随访时，太极组PWD的生活质量显著更高（MD = 0.051，95% CI = 0.002，0.100，标准化效应量[ES] = 0.51），福尔斯发生率显著更低（率比= 0.35，95% CI =0.15，0.81），去除离群值后不再显著。太极组的护理人员在随访时的时间和去测试（MD = 1.83，95% CI = 0.12，3.53，ES = 0.61）显着较差。其余次要结局不显著。没有严重的不良事件与参与Tai Chi.CONCLUSION：随着细化，这种太极干预有可能减少社区居住的PWD中福尔斯的发生率并提高生活质量[试验注册：NCT 02864056]。
PURPOSE: To investigate the effect of Tai Chi exercise on postural balance among people with dementia (PWD) and the feasibility of a definitive trial on falls prevention.PATIENTS AND METHODS: Dyads, comprising community-dwelling PWD and their informal carer (N=85), were randomised to usual care (n=43) or usual care plus weekly Tai Chi classes and home practice for 20 weeks (n=42). The primary outcome was the timed up and go test. All outcomes for PWD and their carers were assessed six months post-baseline, except for falls, which were collected prospectively over the six-month follow-up period.RESULTS: For PWD, there was no significant difference at follow-up on the timed up and go test (mean difference [MD] = 0.82, 95% confidence interval [CI] = -2.17, 3.81). At follow-up, PWD in the Tai Chi group had significantly higher quality of life (MD = 0.051, 95% CI = 0.002, 0.100, standardised effect size [ES] = 0.51) and a significantly lower rate of falls (rate ratio = 0.35, 95% CI =0.15, 0.81), which was no longer significant when an outlier was removed. Carers in the Tai Chi group at follow-up were significantly worse on the timed up and go test (MD = 1.83, 95% CI = 0.12, 3.53, ES = 0.61). The remaining secondary outcomes were not significant. No serious adverse events were related to participation in Tai Chi.CONCLUSION: With refinement, this Tai Chi intervention has potential to reduce the incidence of falls and improve quality of life among community-dwelling PWD [Trial registration: NCT02864056].