Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke
Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke
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DOI：
10.1111/j.1532-5415.2005.53158.x
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发表时间：
2005-03-01
影响因子：
6.3
通讯作者：
Gylfadóttir, S
中科院分区：
文献类型：
--
作者：
Marigold, DS;Eng, JJ;Gylfadóttir, S
目的：为确定两种不同的社区团体锻炼计划对慢性中风老年人的功能平衡、活动能力、姿势反射和福尔斯的影响，设计：一项随机临床试验，地点：社区中心，参与者：61名社区居住的慢性中风老年人，干预：参与者被随机分配到敏捷性（n=30）或拉伸/体重转移（n=31）锻炼组。两组每周锻炼三次，持续10 weeks.MEASUREMENTS：参与者在干预前、干预后立即和干预后1个月进行评估，包括贝格平衡、定时起身和行走、步反应时间、活动特定平衡信心和诺丁汉健康状况。还进行了站立姿势反射和平移平台诱发的诱导福尔斯的测试。此外，福尔斯在社区进行了跟踪1年的开始interventions.Results：虽然运动导致两组的所有临床结果指标的改善，敏捷组表现出更大的改善步骤反应时间和麻痹性股直肌姿势反射起始潜伏期比拉伸/体重转移组。此外，敏捷性组经历了较少的诱导福尔斯在platform.CONCLUSION：团体运动计划，包括敏捷性或拉伸/重量转移练习改善姿势反射，功能平衡，和流动性，并可能导致减少福尔斯在老年人中风。
OBJECTIVES: To determine the effect of two different community-based group exercise programs on functional balance, mobility, postural reflexes, and falls in older adults with chronic stroke.DESIGN: A randomized, clinical trial.SETTING: Community center.PARTICIPANTS: Sixty-one community-dwelling older adults with chronic stroke.INTERVENTION: Participants were randomly assigned to an agility (n=30) or stretching/weight-shifting (n=31) exercise group. Both groups exercised three times a week for 10 weeks.MEASUREMENTS: Participants were assessed before, immediately after, and 1 month after the intervention for Berg Balance, Timed Up and Go, step reaction time, Activities-specific Balance Confidence, and Nottingham Health Profile. Testing of standing postural reflexes and induced falls evoked by a translating platform was also performed. In addition, falls in the community were tracked for 1 year from the start of the interventions.RESULTS: Although exercise led to improvements in all clinical outcome measures for both groups, the agility group demonstrated greater improvement in step reaction time and paretic rectus femoris postural reflex onset latency than the stretching/weight-shifting group. In addition, the agility group experienced fewer induced falls on the platform.CONCLUSION: Group exercise programs that include agility or stretching/weight shifting exercises improve postural reflexes, functional balance, and mobility and may lead to a reduction of falls in older adults with stroke.