Effects of 3 months of short sessions of controlled whole body vibrations on the risk of falls among nursing home residents.

Effects of 3 months of short sessions of controlled whole body vibrations on the risk of falls among nursing home residents.
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DOI:
10.1186/1471-2318-13-42
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发表时间:
2013-05-06
期刊:
影响因子:
4.1
通讯作者:
Bruyère O
Bruyère O
中科院分区:
医学2区
文献类型:
--
作者:
Beaudart C;Maquet D;Mannarino M;Buckinx F;Demonceau M;Crielaard JM;Reginster JY;Bruyère O

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疗养院居民在进行体育活动时会出现疲劳、缺乏动力和依从性低的情况。由于运动不宜太剧烈,全身振动可能是一种有效的替代方案。这项随机对照试验的目的是评估为期 3 个月的全身振动训练对疗养院居民跌倒风险的影响。患者被随机分为两组:全身振动组每周接受 3 次训练,由 5 个系列的 30 Hz 频率、仅 15 秒的振动组成;对照组在整个研究期间日常生活正常。通过三项测试盲目评估这种训练对跌倒风险的影响:Tinetti 测试、Timed Up and Go 测试以及使用三轴加速度计进行 10 秒步行的定量评估。该研究招募了 62 名受试者(47 名女性和 15 名男性;平均年龄 83.2 ± 7.99 岁)。经过 3 个月的受控全身振动训练后,治疗组 (n=31) 和对照组 (n=31) 之间的研究参数没有观察到显着变化。实际上,治疗组的 Tinetti 检验增加了 + 0.93 ± 3.14 点,而对照组则增加了 + 0.88 ± 2.33 点(调整后 p = 0.89)。 Timed Up and Go 测试显示,治疗组的中位进化时间为 - 1.14 (− 4.75-3.73) 秒,而对照组为 + 0.41 (− 3.57-2.41) 秒 (p = 0.06)。对于步行的定量评估,在单一任务以及双重任务条件下,治疗组和对照组之间没有观察到显着变化。在本研究中使用的暴露设置下进行的全身振动训练是可行的,但似乎对疗养院居民跌倒的风险没有影响。似乎有必要进行进一步的研究,例如改变曝光参数。试用注册号:NCT01759680
Fatigue, lack of motivation and low compliance can be observed in nursing home residents during the practice of physical activity. Because exercises should not be too vigorous, whole body vibration could potentially be an effective alternative. The objective of this randomized controlled trial was to assess the impact of 3-month training by whole body vibration on the risk of falls among nursing home residents. Patients were randomized into two groups: the whole body vibration group which received 3 training sessions every week composed of 5 series of only 15 seconds of vibrations at 30 Hz frequency and a control group with normal daily life for the whole study period. The impact of this training on the risk of falls was assessed blindly by three tests: the Tinetti Test, the Timed Up and Go test and a quantitative evaluation of a 10-second walk performed with a tri-axial accelerometer. 62 subjects (47 women and 15 men; mean age 83.2 ± 7.99 years) were recruited for the study. No significant change in the studied parameters was observed between the treated (n=31) and the control group (n=31) after 3 months of training by controlled whole-body-vibrations. Actually, the Tinetti test increased of + 0.93 ± 3.14 points in the treated group against + 0.88 ± 2.33 points in the control group (p = 0.89 when adjusted). The Timed Up and Go test showed a median evolution of - 1.14 (− 4.75-3.73) seconds in the treated group against + 0.41 (− 3.57- 2.41) seconds in the control group (p = 0.06). For the quantitative evaluation of the walk, no significant change was observed between the treated and the control group in single task as well as in dual task conditions. The whole body vibration training performed with the exposition settings such as those used in this research was feasible but seems to have no impact on the risk of falls among nursing home residents. Further investigations, in which, for example, the exposure parameters would be changed, seem necessary. Trial registration number: NCT01759680
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