Effects of home exercises and group training on functional abilities in home-dwelling older persons with mobility and balance problems. A randomized study
Effects of home exercises and group training on functional abilities in home-dwelling older persons with mobility and balance problems. A randomized study
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家庭锻炼和团体训练对行动能力和平衡问题的居家老年人功能能力的影响。
DOI：
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发表时间：
2004
影响因子：
4
通讯作者：
R. Moe
中科院分区：
文献类型：
--
作者：
J. Helbostad;O. Sletvold;R. Moe
背景和目的：老年人运动可以减少福尔斯和提高功能能力。关于最佳的训练量知之甚少。本研究的目的是确定家庭训练的有效性，以及除了家庭训练之外的团体训练是否能提高效果。方法：这项随机试验包括77名75岁及以上的人（平均81岁，SD 4.5），住在家里。家庭训练（HT）包括每天两次功能平衡和力量练习以及3次小组会议。联合训练（CT）包括每周两次的小组训练和相同的家庭练习。审判持续了12周。物理治疗师运行这两个程序。每天记录运动和福尔斯。我们评估了基线、3个月和9个月时的功能，以及1年时的福尔斯。结果：平均参与小组会议为2.5/3（HT组），平均参与小组培训课程为21/24（CT组）。HT组和CT组的平均每日家庭治疗次数分别为1.29和1.35。在3个月时，发现行走速度、8字形、定时起身和行走、最大步长、定时起身和坐立的总体改善，但无组间差异（p<0.02）。姿势图（p=0.85）和等长四头肌力量（p=0.26）显示无改善。9个月时的功能与基线水平相当。跌倒率（p=0.78）或首次跌倒时间（p=0.84）无组间差异。结论：由物理治疗师监督的日常家庭训练可改善功能能力。补充性个体化小组训练没有额外的效果。干预结束后6个月，对功能的影响不存在。
Background and aims: Exercise in older people may reduce falls and improve functional abilities. Less is known about the optimal amount of training. The aim of this study was to determine the effectiveness of home training, and whether group training in addition to home training enhances the effect. Methods: This randomized trial included 77 persons aged 75 years and older (mean 81, SD 4.5), living at home. Home training (HT) comprised twice-daily functional balance and strength exercises and 3 group meetings. Combined training (CT) included group training twice weekly and the same home exercises. The trial lasted 12 weeks. Physical therapists ran both programs. Exercises and falls were recorded daily. We assessed function at baseline, 3 and 9 months, and falls at one year. Results: Mean participation for group meetings was 2.5 out of 3 (HT group) and, for group training sessions, 21 out of 24 (CT group). The mean numbers of daily home sessions were 1.29 and 1.35 in the HT and CT groups. Overall improvement, but no group differences, were found at 3 months for walking speed, Figure of Eight, Timed Up & Go, Maximum Step Length, Timed Pick-up and Sit-to-stand (p<0.02). Posturography (p=0.85) and isometric quadriceps strength (p=0.26) showed no improvement. Function at 9 months was equivalent to baseline level. There were no group differences in fall rate (p=0.78) or time to first fall (p=0.84). Conclusions: Daily home training supervised by physical therapists improved functional abilities. Supplementary individualized group training gave no additional effect. The effect on function was not present 6 months after the end of the intervention.
DOI：
10.1093/gerona/52a.4.m218
发表时间：
1997-07-01
影响因子：
5.1
作者：
Buchner, DM;Cress, ME;Wagner, EH
通讯作者：
Wagner, EH
影响因子：
158.5
作者：
Gill, TM;Baker, DI;Byers, A
通讯作者：
Byers, A