Effectiveness of simple balancing training program in elderly patients with history of frequent falls
Effectiveness of simple balancing training program in elderly patients with history of frequent falls
复制标题
DOI：
10.2147/cia.s17851
复制
发表时间：
2011-01-01
影响因子：
3.6
通讯作者：
Pooliam, Julaporn
中科院分区：
文献类型：
--
作者：
Kuptniratsaikul, Vilai;Praditsuwan, Rungnirand;Pooliam, Julaporn
目的：探讨简易平衡练习在预防跌倒中的作用。设计：试验前和试验后。单位：2009年1月至2010年5月在大学医院工作。参与者：前一年跌倒的老年人。干预：每天在家进行简单的平衡练习，并记录在小册子上。测量：在基线、3个月、6个月、9个月和12个月期间评估新的跌倒事件和一系列平衡能力，包括计时起身和行走测试（TUGT）、椅子站立、功能到达和伯格平衡量表-短形式。在基线和12个月期间评估跌倒恐惧和生活质量得分。结果：共纳入146例受试者，其中女性116例（79.5%），平均年龄67.1岁。在研究结束时，49%的参与者没有下降。除频繁跌倒组的功能范围外，频繁跌倒组与不频繁跌倒组的所有平衡能力均有显著改善（P < 0.001）。大多数受试者（72%-79%）很好地遵守了锻炼计划。然而，依从性对平衡能力没有影响。约36.4%的参与者有运动不良事件，其中膝盖疼痛排在首位。在研究结束时，生活质量和跌倒疗效评分显著提高。影响跌倒的因素是运动依从性（调整比值比[OR]: 2.55, 95%可信区间[CI]: 1.04, 6.30）和前一年跌倒史（调整比值比：3.76,95% CI: 1.18, 11.98）。结论：进行简单设计的平衡练习，每周至少3天，可以提高平衡能力，减少有跌倒史的老年人的跌倒率。然而，鼓励老年人遵守的策略可能会防止跌倒。
Objective: To study the effectiveness of simply-performed balancing exercises in fall prevention.Design: Pre- and post-trial.Setting: University hospital from January 2009 to May 2010.Participants: Elderly with falls in the previous year.Intervention: Simple balancing exercise was performed at home every day and was recorded in the booklet.Measurements: New falling events and a battery of balancing abilities including the Timed Up and Go Test (TUGT), chair stand, functional reach, and Berg balance scale-short form were evaluated at baseline, 3-, 6-, 9-, and 12-month periods. Fear of falling and quality of life scores were assessed at baseline and 12-month periods.Results: 146 subjects were recruited, 116 female (79.5%) with a mean age of 67.1 years. At the end of the study, 49% of participants had not fallen. All of the balancing abilities were compared between frequent and infrequent fallers and were significantly improved (P < 0.001) except for functional reach in the frequent fall group. Most subjects (72%-79%) complied well with the exercise program. However, compliance had no effect on balancing abilities. About 36.4% of participants had adverse events from exercise, of which knee pain was the top ranked. The quality of life and the fall efficacy scores increased significantly at the end of the study. Factors affecting falling were compliance with exercise (adjusted odds ratio [OR]: 2.55, 95% confidence intervals [CI]: 1.04, 6.30) and a history of falling >= 3 times in the previous year (adjusted OR: 3.76, 95% CI: 1.18, 11.98).Conclusion: Performing simply-designed balancing exercises, at least 3 days per week, can increase balancing abilities, and decrease fall rates in the elderly with a history of previous falls. However, strategies to encourage elderly compliance may prevent falling.