Motor learning versus standard walking exercise in older adults with subclinical gait dysfunction: a randomized clinical trial.
Motor learning versus standard walking exercise in older adults with subclinical gait dysfunction: a randomized clinical trial.
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DOI：
10.1111/jgs.12506
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发表时间：
2013-11
影响因子：
6.3
通讯作者：
Studenski S
中科院分区：
文献类型：
--
作者：
Brach JS;Van Swearingen JM;Perera S;Wert DM;Studenski S
Current exercise recommendationsfocus on endurance and strength, but rarely incorporate principles of motor learning. Motor learning exerciseis designed to address neurological aspects of movement. Motor learning exercise has not been evaluated in older adults with subclinical gait dysfunction. Tocompare motor learning versus standard exercise on measures of mobility and perceived function and disability. Single-blind randomized trial. University research center. Olderadults (n=40), mean age 77.1±6.0 years), who had normal walking speed (≥1.0 m/s) and impaired motor skill (Figure of 8 walk time > 8 s). The motor learning program (ML) incorporated goal-oriented stepping and walking to promote timing and coordination within the phases of the gait cycle. The standard program (S) employed endurance training by treadmill walking.Both included strength training and were offered twice weekly for one hour for 12 weeks. Primary outcomes included mobility performance (gait efficiency, motor skill in walking, gait speed, and walking endurance)and secondary outcomes included perceived function and disability (Late Life Function and Disability Instrument). 38 of 40 participants completed the trial (ML, n=18; S, n=20). ML improved more than Sin gait speed (0.13 vs. 0.05 m/s, p=0.008) and motor skill (−2.2 vs. −0.89 s, p<0.0001). Both groups improved in walking endurance (28.3 and 22.9m, but did not differ significantly p=0.14). Changes in gait efficiency and perceived function and disability were not different between the groups (p>0.10). In older adults with subclinical gait dysfunction, motor learning exercise improved some parameters of mobility performance more than standard exercise.
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发表时间：
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影响因子：
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