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水上运动与教育对降低老年髋骨关节炎患者跌倒风险的影响。

The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis.

作者信息

Arnold Cathy M, Faulkner Robert A

机构信息

School of Physical Therapy, University of Saskatchewan, Saskatoon, SK, Canada.

出版信息

J Aging Phys Act. 2010 Jul;18(3):245-60. doi: 10.1123/japa.18.3.245.

Abstract

OBJECTIVE

To evaluate the effect of aquatic exercise and education on fall risk factors in older adults with hip osteoarthritis (OA).

METHOD

Seventy-nine adults, 65 years of age or older with hip OA and at least 1 fall risk factor, were randomly assigned to 1 of 3 groups: aquatics and education (AE; aquatic exercise twice a wk with once-a-wk group education), aquatics only (A; 2 wk aquatic exercise) and control (C; usual activity). Balance, falls efficacy, dual-task function, functional performance (chair stands), and walking performance were measured pre- and postintervention or control period.

RESULTS

There was a significant improvement in fall risk factors (full-factorial MANCOVA, baseline values as covariates; p = .038); AE improved in falls efficacy compared with C and in functional performance compared with A and C.

CONCLUSION

The combination of aquatic exercise and education was effective in improving fall risk factors in older adults with arthritis.

摘要

目的

评估水上运动和教育对老年髋骨关节炎(OA)患者跌倒风险因素的影响。

方法

79名65岁及以上患有髋OA且至少有1个跌倒风险因素的成年人被随机分为3组中的1组:水上运动与教育组(AE;每周进行两次水上运动并每周进行一次小组教育)、仅水上运动组(A;为期2周的水上运动)和对照组(C;日常活动)。在干预或对照期前后测量平衡能力、跌倒效能、双重任务功能、功能表现(从椅子上站起)和步行表现。

结果

跌倒风险因素有显著改善(全因子协方差分析,以基线值作为协变量;p = 0.038);与C组相比,AE组的跌倒效能有所改善,与A组和C组相比,功能表现有所改善。

结论

水上运动和教育相结合可有效改善老年关节炎患者的跌倒风险因素。

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