Murai Tatsuhiko, Yamaguchi Tomoharu, Maki Yohko, Isahai Mikie, Kaiho Sato Ayumi, Yamagami Tetsuya, Ura Chiaki, Miyamae Fumiko, Takahashi Ryutaro, Yamaguchi Haruyasu
Gunma University Graduate School of Health Sciences, Maebashi, Japan.
Department of Longevity, Takasaki City Office, Takasaki, Japan.
Geriatr Gerontol Int. 2016 Jun;16(6):701-8. doi: 10.1111/ggi.12541. Epub 2015 Jun 16.
Evaluating effects of an enjoyable walking-habituation program.
We carried out a 12-week intervention, consisting of an enjoyable walking-habituation program based on five principles of brain-activating rehabilitation: pleasant atmosphere, interactive communication, social roles, praising each other and errorless support. The program, once a week for 90 min, was carried out in small groups. Participants were 71 community-dwelling people (72.2 ± 4.3) without dementia. Cognitive function was evaluated in five cognitive domains: memory, executive function, word fluency, visuospatial abilities and sustained attention. Additionally, quality of life, depressive state, functional capacity, range of activities, social network and subjective memory complaints were assessed using questionnaires. Motor function was also evaluated. Measurement was carried out before the observation period, after observation and after intervention.
A total of 63 participants were included in the analysis. Daily steps, executive function, subjective memory complaints, functional capacity and 5-m maximum walking time significantly improved during the intervention period (after observation to after intervention) compared with the observation period (before the observation period to after observation). No significant differences were seen in other evaluations. At 6 months after the intervention, 52 of 63 participants (82.5%) continued to walk once a week or more, and all of them were confident about continuing to walk in the future. Furthermore, all participants were satisfied with our walking-habituation program and all replied that they felt delighted.
The intervention program, based on the five principles of brain-activating rehabilitation, resulted in improvement of some cognitive and physical functions, as well as a high walking-habituation rate at 6 months' follow up. Geriatr Gerontol Int 2015; ●●: ●●-●●.
评估一项趣味性步行习惯养成计划的效果。
我们开展了一项为期12周的干预措施，该措施包括一项基于脑激活康复五项原则的趣味性步行习惯养成计划：愉悦氛围、互动交流、社会角色、相互赞扬和无差错支持。该计划每周进行一次，每次90分钟，以小组形式开展。参与者为71名无痴呆症的社区居民（年龄72.2±4.3岁）。在五个认知领域评估认知功能：记忆、执行功能、语言流畅性、视觉空间能力和持续注意力。此外，使用问卷评估生活质量、抑郁状态、功能能力、活动范围、社交网络和主观记忆抱怨。还评估了运动功能。在观察期之前、观察期之后和干预之后进行测量。
共有63名参与者纳入分析。与观察期（观察期之前至观察期之后）相比，干预期（观察期之后至干预之后）的每日步数、执行功能、主观记忆抱怨、功能能力和5米最大步行时间显著改善。其他评估未见显著差异。干预后6个月，63名参与者中有52名（82.5%）继续每周步行一次或更多，并且他们所有人都对未来继续步行充满信心。此外，所有参与者对我们的步行习惯养成计划感到满意，并且所有人都表示感到高兴。
基于脑激活康复五项原则的干预计划导致一些认知和身体功能得到改善，并且在6个月随访时步行习惯养成率较高。《老年医学与老年病学国际杂志》2015年；●●: ●● - ●●。
