Effectiveness of a Community-Based Exercise Program on Balance Performance and Fear of Falling in Older Nonfallers at Risk for Falling: A Randomized, Controlled Study
Effectiveness of a Community-Based Exercise Program on Balance Performance and Fear of Falling in Older Nonfallers at Risk for Falling: A Randomized, Controlled Study
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DOI：
10.1123/japa.2015-0224
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发表时间：
2016-10-01
影响因子：
1.5
通讯作者：
Tong, Tomas K.
中科院分区：
文献类型：
--
作者：
Zhao, Yanan;Chung, Pak-Kwong;Tong, Tomas K.
本研究评估了以社区为基础的平衡改善运动计划（ExBP）在改善老年非跌倒者的动态平衡（DB）和静态平衡受损感觉以及减少跌倒恐惧（FP）方面的有效性。61名有跌倒风险的参与者（70 +/- 3岁）被随机分配接受16周的ExBP练习，太极（TC）或无治疗（CON），随访8周。ExBP组在DB （2.18, 95% CI = 1.16-3.19）、视力和体感受损的静态平衡（ECSS; 0.46, 95% CI = 0.06-0.85）和（8.65,95% CI = 0.52-16.8）方面有显著改善。干预后，ExBP组在DB、躯体感觉受损的静态平衡和ECSS方面的改善明显高于CON组。ExBP组与TC组间无显著差异。因此，ExBP可以作为一种有效的替代运动方案，用于改善老年非跌倒者的平衡和跌倒疗效。
This study evaluated the effectiveness of the community-based Exercise for Balance Improvement Program (ExBP) in improving dynamic balance (DB) and static balance with compromised sensations and reducing fear of falling (FP) among older nonfallers. Sixty-one participants (70 +/- 3 years) at risk for falling were randomly allocated to receive ExBP practice for 16 weeks, Tai Chi (TC), or no treatment (CON) with an 8-week follow-up. The ExBP group exhibited significant improvements in DB (2.18, 95% CI = 1.16-3.19), static balance with compromised vision and somatosensation (ECSS; 0.46, 95% CI = 0.06-0.85), and (8.65, 95% CI = 0.52-16.8). After the intervention, the ExBP group showed significantly more improvement than did the CON group in DB, static balance with compromised somatosensation, and ECSS. No significant difference was observed between the ExBP and TC groups. Therefore, the ExBP can be applied as an effective alternative exercise regimen for improving balance and fall efficacy for older nonfallers.