Atlanta VA Medical Center Rehabilitation R&D Center of Excellence, Decatur, Georgia 30033, USA.
Nurs Res. 2013 Mar-Apr;62(2):138-43. doi: 10.1097/NNR.0b013e318283f68e.
Fall risk increases with age and visual impairment, yet the oldest-old adults (>85 years) are rarely studied. Partnered dance improves mobility, balance, and quality of life in older individuals with movement impairment.
The aim of the study was to determine the feasibility and participant satisfaction of an adapted tango program amongst these oldest-old adults with visual impairment. Exploratory analyses were conducted to determine efficacy of the program in improving balance and gait.
In a repeated-measures, one-group experimental design, 13 older adults (7 women; age: M = 86.9 years, SD = 5.9 years, range = 77-95 years) with visual impairment (best eye acuity: M = 0.63, SD = 0.6 logMAR) participated in an adapted tango program of twenty 1.5-hour lessons, within 11 weeks. Feasibility included evaluation of facility access, safety, volunteer assistant retention, and participant retention and satisfaction. Participants were evaluated for balance, lower body strength, and quality of life in two baseline observations, immediately after the program and 1 month later.
Twelve participants completed the program. The facility was adequate, no injuries were sustained, and participants and volunteers were retained throughout. Participants reported enjoyment and improvements in physical well-being. Exploratory measures of dynamic postural control (p < .001), lower body strength (p = .056), and general vision-related quality of life (p = .032) scores showed improvements following training.
These older individuals with visual impairment benefitted from 30 hours of tango instruction adapted for their capabilities.
随着年龄的增长和视力障碍的增加，跌倒风险会增加，但很少有研究关注最年长的老年人（>85 岁）。结伴舞蹈可以改善行动障碍的老年人的移动能力、平衡能力和生活质量。
本研究旨在确定适应视障的最年长老年人的探戈计划的可行性和参与者满意度。并进行探索性分析，以确定该计划在改善平衡和步态方面的效果。
在一项重复测量、单组实验设计中，13 名视力障碍的老年人（7 名女性；年龄：M = 86.9 岁，SD = 5.9 岁，范围 77-95 岁）参加了一个为期 11 周的 20 节 1.5 小时的适应探戈课程。可行性评估包括设施可及性、安全性、志愿者助理保留率以及参与者保留率和满意度。在两次基线观察（课程开始前和结束后 1 个月）中，对参与者的平衡、下肢力量和生活质量进行评估。
12 名参与者完成了课程。设施充足，没有受伤，参与者和志愿者在整个过程中都得到了保留。参与者报告说他们享受了课程并改善了身体状况。探索性测量的动态姿势控制（p<0.001）、下肢力量（p=0.056）和一般与视力相关的生活质量（p=0.032）评分显示，在训练后有所提高。
这些有视力障碍的老年人从 30 小时的探戈课程中受益，这些课程是根据他们的能力改编的。
