Rehabilitation Sciences Research Centre, School of Physiotherapy, University of Melbourne, Parkville, VIC 3010, Australia.
Evid Based Complement Alternat Med. 2011;2011:873672. doi: 10.1093/ecam/nep055. Epub 2011 Mar 8.
The objective of this study was to investigate the effects of Feldenkrais Method balance classes on balance and mobility in older adults. This was a prospective non-randomized controlled study with pre/post measures. The setting for this study was the general community. A convenience sample of 26 community-dwelling older adults (median age 75 years) attending Feldenkrais Method balance classes formed the Intervention group. Thirty-seven volunteers were recruited for the Control group (median age 76.5 years). A series of Feldenkrais Method balance classes (the 33312Getting Grounded Gracefully33313 series), two classes per week for 10 weeks, were conducted. Main outcome measures were Activities-Specific Balance Confidence (ABC) questionnaire, Four Square Step Test (FSST), self-selected gait speed (using GAITRite instrumented gait mat). At re-testing, the Intervention group showed significant improvement on all of the measures (ABC, P = .016, FSST, P = .001, gait speed, P < .001). The Control group improved significantly on one measure (FSST, P < .001). Compared to the Control group, the Intervention group made a significant improvement in their ABC score (P = .005), gait speed (P = .017) and FSST time (P = .022). These findings suggest that Feldenkrais Method balance classes may improve mobility and balance in older adults.
本研究旨在探讨费登奎斯方法平衡课程对老年人平衡和活动能力的影响。这是一项前瞻性非随机对照研究，采用前后测量。本研究的地点是普通社区。一个由 26 名参加费登奎斯方法平衡课程的社区居住的老年人（中位数年龄为 75 岁）组成了干预组。为对照组招募了 37 名志愿者（中位数年龄为 76.5 岁）。开展了一系列费登奎斯方法平衡课程（33312 优雅触地系列），每周 2 节课，共 10 周。主要观察指标是特定活动平衡信心（ABC）问卷、四方步测试（FSST）、自我选择的步速（使用步态分析测试垫）。在重新测试时，干预组在所有测量指标上均有显著改善（ABC，P=0.016，FSST，P=0.001，步速，P<0.001）。对照组在一个指标（FSST，P<0.001）上有显著改善。与对照组相比，干预组在 ABC 评分（P=0.005）、步速（P=0.017）和 FSST 时间（P=0.022）方面有显著改善。这些发现表明，费登奎斯方法平衡课程可能改善老年人的活动能力和平衡。
