Silsupadol Patima, Siu Ka-Chun, Shumway-Cook Anne, Woollacott Marjorie H
Department of Human Physiology, 1240 University of Oregon, Eugene, OR 97403-1240, USA.
Phys Ther. 2006 Feb;86(2):269-81.
Traditionally, rehabilitation programs emphasize training balance under single-task conditions to improve balance and reduce risk for falls. The purpose of this case report is to describe 3 balance training approaches in older adults with impaired balance.
Three patients were randomly assigned to 1 of 3 interventions: (1) single-task balance training, (2) dual-task training under a fixed-priority instructional set, and (3) dual-task training under a variable-priority instructional set.
The patients who received balance training under dual-task conditions showed dual-task training benefits; these training benefits were maintained for 3 months. The patient who received variable-priority training showed improvement on novel dual tasks.
Older adults may be able to improve their balance under dual-task conditions only following specific types of balance training. This case report gives insight on how this intervention might be combined with more traditional physical therapy intervention.
传统上，康复计划强调在单任务条件下进行平衡训练，以改善平衡并降低跌倒风险。本病例报告的目的是描述针对平衡受损的老年人的三种平衡训练方法。
三名患者被随机分配到三种干预措施中的一种：（1）单任务平衡训练，（2）固定优先级指导下的双任务训练，以及（3）可变优先级指导下的双任务训练。
在双任务条件下接受平衡训练的患者显示出双任务训练的益处；这些训练益处持续了3个月。接受可变优先级训练的患者在新颖的双任务上表现出改善。
老年人可能只有在接受特定类型的平衡训练后，才能在双任务条件下改善平衡。本病例报告为这种干预措施如何与更传统的物理治疗干预相结合提供了见解。
