Noll Donald R
New Jersey Institute for Successful Aging at the University of Medicine and Dentistry of New Jersey- School of Osteopathic Medicine, 42 E Laurel Rd, Stratford, NJ 08084-1338, USA.
J Am Osteopath Assoc. 2013 Jan;113(1):17-22.
Falls, gait disturbances, and balance disorders are common clinical problems for the elderly, and these problems are associated with considerable morbidity. However, the literature reports relatively few effective treatment options, such as vitamin D replacement, exercise and physical therapy, and tai chi. Because of the limited number of available effective interventions, there is a need to explore other approaches, such as osteopathic manipulative treatment. The author reviews the limited body of literature relating to the use of manipulation for reducing fall events and improving gait and balance in the elderly. At this time, there are new opportunities for clinical and basic science research to investigate emerging uses of osteopathic manipulative treatment for managing falls, gait disturbances, and balance disorders.
跌倒、步态障碍和平衡失调是老年人常见的临床问题，这些问题与相当高的发病率相关。然而，文献报道的有效治疗选择相对较少，如补充维生素D、运动和物理治疗以及太极拳。由于可用的有效干预措施数量有限，有必要探索其他方法，如整骨手法治疗。作者回顾了关于使用手法治疗以减少老年人跌倒事件并改善其步态和平衡的有限文献。目前，临床和基础科学研究有新的机会来调查整骨手法治疗在管理跌倒、步态障碍和平衡失调方面的新用途。
