University of Ljubljana, Faculty of Health Sciences, Poljanska 26a, 1000 Ljubljana, Slovenia.
Arch Gerontol Geriatr. 2010 Mar-Apr;50(2):192-7. doi: 10.1016/j.archger.2009.03.009. Epub 2009 Apr 26.
The purpose of this study was to design and evaluate the specifically targeted functional balance training for a group of frail nursing home residents. Fifty residents of two nursing homes were assigned to an exercise and control group. Thirty-three participants (age 75.7 + or - 6.7 years) in the balance training group finished 12 weeks of training protocol that consisted of 14 activities that challenged different balance subsystems. The results showed that the participants in the training group reached higher score on Berg Balance Scale (BBS) (p < 0.001), were able to stand longer on a compliant surface with eyes opened and closed (p < 0.01 and p < 0.02, respectively), and were faster at both, the four square and ten meter walk tests (p < 0.001), whereas there were no changes for the control group during the same time period. Anyhow, functional improvement of balance did not reflect in the parameters of postural sway. In conclusion our results suggest that the specifically targeted functional balance training is effective as far as functional activities are concerned while this kind of training does not reflect as a change in the steadiness of the center of pressure (CoP).
本研究旨在为一组虚弱的养老院居民设计和评估有针对性的功能性平衡训练。将两家养老院的 50 名居民分为锻炼组和对照组。33 名（年龄 75.7 ± 6.7 岁）平衡训练组的参与者完成了为期 12 周的训练方案，该方案包括 14 项挑战不同平衡子系统的活动。结果表明，训练组的参与者在 Berg 平衡量表（BBS）上的得分更高（p < 0.001），在睁开和闭上眼睛的顺应性表面上站立的时间更长（分别为 p < 0.01 和 p < 0.02），并且在四方和十米步行测试中速度更快（p < 0.001），而对照组在同一时间段内没有变化。然而，平衡的功能改善并没有反映在姿势摆动的参数中。总之，我们的结果表明，有针对性的功能性平衡训练在功能活动方面是有效的，而这种训练并不能反映出中心压力（CoP）稳定性的变化。
