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12 周瑜伽干预对老年人跌倒恐惧和平衡能力的影响:一项初步研究。

Effect of a 12-week yoga intervention on fear of falling and balance in older adults: a pilot study.

机构信息

Veterans Affairs Health Services Research and Development, Center of Excellence on Implementing Evidence-Based Practice, and the Health Services Research and Development Stroke Quality Enhancement Research Initiative, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN 46202, USA.

出版信息

Arch Phys Med Rehabil. 2010 Apr;91(4):576-83. doi: 10.1016/j.apmr.2009.12.018.

Abstract

OBJECTIVE

To determine whether fear of falling (FoF) and balance improved after a 12-week yoga intervention among older adults.

DESIGN

A 12-week yoga intervention single-armed pilot study.

SETTING

A retirement community in a medium-sized university town in the Midwest.

PARTICIPANTS

A convenience sample of adults (N=14) over the age of 65 years who all endorsed an FoF.

INTERVENTION

Each participant took part in a biweekly 12-week yoga intervention. The yoga sessions included both physical postures and breathing exercises. Postures were completed in sitting and standing positions.

MAIN OUTCOME MEASURES

We measured FoF with the Illinois FoF Measure and balance with the Berg Balance Scale. Upper- and lower-body flexibility were measured with the back scratch test and chair sit and reach test, respectively.

RESULTS

FoF decreased by 6%, static balance increased by 4% (P=.045), and lower-body flexibility increased by 34%.

CONCLUSIONS

The results indicate that yoga may be a promising intervention to manage FoF and improve balance, thereby reducing fall risk for older adults. Rehabilitation therapists may wish to explore yoga as a modality for balance and falls programming; however, future research is needed to confirm the use of yoga in such programming.

摘要

目的

确定 12 周瑜伽干预是否能改善老年人的恐摔恐惧(FoF)和平衡能力。

设计

12 周瑜伽干预单臂试验研究。

地点

中西部一所中型大学校园的退休社区。

参与者

14 名年龄均在 65 岁以上、均报告有 FoF 的成年人。

干预措施

每位参与者都参加了两周一次的 12 周瑜伽干预。瑜伽课程包括身体姿势和呼吸练习。姿势在坐姿和站立位完成。

主要观察指标

我们使用伊利诺伊 FoF 量表测量 FoF,使用 Berg 平衡量表测量平衡。上半身和下半身的灵活性分别用背部划痕试验和椅子坐立伸手试验测量。

结果

FoF 减少了 6%,静态平衡提高了 4%(P=.045),下半身灵活性提高了 34%。

结论

结果表明,瑜伽可能是一种有前途的干预措施,可用于管理 FoF 和改善平衡,从而降低老年人的跌倒风险。康复治疗师可能希望探索瑜伽作为平衡和跌倒方案的一种模式;然而,需要进一步的研究来确认瑜伽在这种方案中的应用。

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