The Otago Exercise Program Performed as Group Training Versus Home Training in Fall-prone Older People: A Randomized Controlled Trial
The Otago Exercise Program Performed as Group Training Versus Home Training in Fall-prone Older People: A Randomized Controlled Trial
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DOI：
10.1002/pri.1571
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发表时间：
2014-06-01
影响因子：
1.7
通讯作者：
Helbostad, Jorunn
中科院分区：
文献类型：
--
作者：
Kyrdalen, Ingebjorg;Moen, Kjersti;Helbostad, Jorunn
背景和目的。针对肌肉力量和平衡的锻炼计划可以减少跌倒。该研究旨在比较奥塔哥运动计划（OEP），最初设计为监督家庭训练（HT），与GT执行的相同计划，在功能平衡和肌肉力量，机动性，跌倒功效和自我报告的健康状况。方法。进行单盲随机对照试验，分别在基线（T1）、干预12周（T2）和干预后3个月（T3）进行评估。125人，平均年龄82.5 （SD = 5.7）岁，73%的女性，转介到瀑布门诊诊所。在过去的一年中，74%的人摔倒过，37%的人因摔倒而住院。在物理治疗师的监督下，OEP作为GT每周两次或HT每周三次，持续12周。两组之间的总运动时间具有可比性。主要结果是在T2时评估Berg平衡量表。结果。从T1-T2， GT组Berg Balance Scale的改善明显高于HT组（组间平均差异为3.2点，95% CI = 0.7-5.8, p = 0.014）。在次要结果中，GT组的30秒坐立测试（p = 0.004）和Short Form-36测量的身体健康状况（p = 0.004）改善明显更多。通过计时起来和走测试测量的活动能力的变化，通过短表格36测量的心理健康，以及通过国际跌倒功效量表测量的跌倒功效在两组之间没有差异。GT组在T3时的30秒坐立测试和计时起走测试（而不是伯格平衡量表）仍然更好。讨论。在易跌倒的居家老年人中，作为GT的OEP在改善功能平衡、肌肉力量和身体健康方面比作为HT更有效，但在改善跌倒效果和心理健康方面没有效果。该人群应考虑作为GT提供的OEP。版权所有：John Wiley & Sons， Ltd
Background and Purpose. Exercise programs targeting muscle strength and balance can reduce falls. The study aimed to compare the Otago Exercise Program (OEP), originally designed as supervised home training (HT), with the same programme performed as GT, on functional balance andmuscle strength, mobility, fall efficacy and self-reported health. Methods. A single-blind randomized controlled trial with assessments at baseline (T1), following the 12-week intervention (T2), and 3months following intervention (T3), was performed. 125 people, mean age 82.5 (SD = 5.7) years, 73% women, referred to a Falls Outpatient Clinic, participated. 74% had fallen, and 37% had a fall-related hospital stay during the previous year. OEP supervised by physiotherapists was performed as GT twice weekly or as HT three times a week, for 12 weeks. Total exercise time was comparable between groups. The primary outcome was the Berg Balance Scale assessed at T2. Results. From T1-T2, Berg Balance Scale improved significantly more in the GT group than in the HT group (mean group difference in change of 3.2 points, 95% CI = 0.7-5.8, p = 0.014). Of the secondary outcomes, the 30-second sit-to-stand test (p = 0.004), and physical health measured by the Short Form-36 (p = 0.004), improved significantly more for the GT group. Change in mobility measured by the Timed Up and Go test, mental health by the Short Form-36, and fall efficacy by the Fall Efficacy Scale International did not differ between groups. The 30-second sit-tostand test and the Timed Up and Go, but not the Berg Balance Scale, was still better in the GT group at T3. Discussion. In fall-prone home-dwelling older people, the OEP performed as GT is more effective for improving functional balance, muscle strength and physical health, but not fall efficacy and mental health than when performed as HT. The OEP provided as GT should be considered in this population. Copyright (C) 2013 John Wiley & Sons, Ltd.