Comparison of Telecommunication, Community, and Home-Based Tai Chi Exercise Programs on Compliance and Effectiveness in Elders at Risk for Falls
Comparison of Telecommunication, Community, and Home-Based Tai Chi Exercise Programs on Compliance and Effectiveness in Elders at Risk for Falls
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DOI：
10.1016/j.apmr.2010.01.024
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发表时间：
2010-06-01
影响因子：
4.3
通讯作者：
Bookchin, Bea
中科院分区：
文献类型：
--
作者：
Wu, Ge;Keyes, Lawrence;Bookchin, Bea
目的：在社区居住的老年人中，通过现场、互动、基于锻炼的练习（Tele-ex）与通过基于社区中心的练习（Comm-ex）和基于家庭视频的练习（Home-ex）的类似计划的坚持性和有效性进行比较，这些老年人有福尔斯的风险。设计：三组随机对照试验，包括前测和后测。设置：锻炼计划是以社区为基础的，结果测量是以实验室为基础的。参与者：65岁以上的成年人（N=64），在前一年有积极的跌倒史和/或对跌倒有明显的恐惧。干预：24式，杨式太极拳15周，每周3小时。主要结果测量：运动依从性、福尔斯次数、跌倒恐惧（特定活动平衡信心[ABC]评分），自我感知健康（医学结局研究36项简表健康调查[SF-36]）、定时起身和行走（TUG）、单腿站立（SLS），结果：Tele-ex和Comm-ex组的运动出勤率和课堂练习时间显著高于Home-ex组（P
Objective: To compare the adherence to and effectiveness of Tai Chi exercise program through a live, interactive, telecommunication-based exercise (Tele-ex) with that of a similar program through a community center based exercise (Comm-ex) and a home video based exercise (Home-ex) among community-dwelling elders who are at risk for falls.Design: Three groups randomized controlled trial with pretests and posttests.Setting: Exercise programs were community-based, and the outcome measures were laboratory-based.Participants: Adults (N=64) age 65+ years with positive fall history in the previous year and/or significant fear of falling.Intervention: A 24-form, Yang-style Tai Chi for 15 weeks, 3 hours a week.Main Outcome Measures: Exercise compliance, number of falls, fear of falling (Activities-specific Balance Confidence [ABC] score), self-perceived health (Medical Outcomes Study 36-Item Short Form Health Survey [SF-36]), Timed Up & Go (TUG), single leg stance (SLS), and body sway during quiet stance (medial-lateral foot center of pressure [ML-COP]).Results: Tele-ex and Comm-ex groups demonstrated significantly higher exercise attendance and in-class practice time than the Home-ex group (P