Balance recovery training for fall prevention in retirement communities

描述（由申请人提供）：这项转化研究的目的是评估平衡恢复训练作为生活在退休社区的老年人现场跌倒预防运动干预的有效性和可行性。在美国，福尔斯是65岁以上老年人受伤和受伤相关死亡的主要原因。虽然人们普遍认为运动有助于防止福尔斯，但运动并不总是减少福尔斯的数量，而且仍然不清楚哪种类型的运动在防止福尔斯方面最有效。平衡恢复训练（BRT）是一种新型的运动干预，有可能通过改善老年人在常见平衡紊乱（如绊倒）后的平衡恢复能力来减少老年人的福尔斯次数。BRT涉及在一个安全、可控的环境中反复使个人暴露于姿势扰动，从而使反应性平衡恢复得以练习和改善。我们将管理BRT现场持续护理退休社区超过四周的老年人跌倒，并确定其对平衡恢复能力的影响，在接下来的六个月相比，另一组老年人跌倒者进行太极拳作为替代运动干预。为了进一步探讨BRT在退休社区中转化为典型实践的潜力，我们还将收集有关BRT在退休社区长期可持续性的促进因素和障碍的数据 社区使用定性方法。这些定量（平衡恢复能力）和定性（实施过程）措施将为后续的大型实用临床试验提供基础，以测试BRT对减少老年人福尔斯数量的有效性。

DESCRIPTION (provided by applicant): The goal of this translational research study is to evaluate the efficacy and feasibility of balance recovery training as an on-site fall prevention exercise intervention for older adults living in retirement communities. Falls are the leading cause of injuries and injury-related deaths among older adults over the age of 65 in the United States. While it is generally accepted that exercise helps prevent falls, exercise does not always reduce the number of falls, and it remains unclear which types of exercise are most effective at preventing falls. Balance recovery training (BRT) is a novel exercise intervention that has that has the potential to decrease the number of falls among older adults by improving their balance recovery ability after common balance perturbations such as tripping. BRT involves repeatedly exposing individuals to postural perturbations in a safe, controlled setting that allows reactive balance recovery to be practiced and improved. We will administer BRT on-site at continuing care retirement communities over four weeks to older adult fallers and determine its effects on balance recovery ability over the following six months compared to another group of older adult fallers performing Tai Chi as an alternative exercise intervention. To further address the potential for BRT to be translated into typical practice within retirement communities, we will also collect data on facilitators and barriers to the long-term sustainability of BRT in retirement communities using qualitative methods. These quantitative (balance recovery ability) and qualitative (implementation process) measures will provide the basis for a subsequent large practical clinical trial to test the effectiveness of BRT on reducing the number of falls among older adults.