TRAINING BALANCE/STRENGTH OF ELDERLY--IMPROVE FUNCTION

我们之前对没有诊断的神经系统疾病的老年跌倒患者的研究 疾病表明运动控制机制异常 通过：1)对平衡很重要的腿部肌肉无力，2) 对体位扰动的不稳定和跌倒反应，3)受损 步态小，步速慢。 先前的研究表明，训练平衡和力量的可能性 在老年人中可能会改善这些功能。利用120独立 活体老年人分为4组：1)对照训练， 提出为期12周的干预方案。主要结果变量 会有摔倒的发生。次要措施包括功能 平衡和步态的乳房。其他要衡量的变量是机动性， 日常生活活动能力和情感状态。结果变量 将在基线确定，在干预完成和一次 干预后一年。在随访的一年中，基于家庭的余额 和强化训练计划将试图保持或加强 干预的效果。

Our previous studies of elderly fallers without diagnosable neurologic disease indicate abnormalities of motor control mechanisms as demonstrated by : 1) weakness of lower extremity muscles important for balance, 2) instability and falls in response to postural pertubations, 3) impaired gait with small steps and slow walking speed. Prior studies demonstrate the likelihood that training balance and strength in the elderly may improve these functions. Utilizing 120 independent living elderly equally divided into 4 groups: 1) control training, we propose a twelve week intervention protocol. The primary outcome variable will be the occurrence of falls. Secondary measures include functional teats of balance and gait. Other variables to be measured are mobility, activities of daily living, and affective status. The outcome variables will be determined at baseline, after the intervention is complete and one year post intervention. During the year of follow-up, a home based balance and strengthing training program will attempt to maintain or enhance the effects of the intervention.