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改善老年人平衡能力:三种平衡训练模式的双盲随机临床试验

Improving Balance in Older People: A Double-Blind Randomized Clinical Trial of Three Modes of Balance Training.

作者信息

Nematollahi Ahmadreza, Kamali Fahimeh, Ghanbari Ali, Etminan Zahra, Sobhani Sobhan

出版信息

J Aging Phys Act. 2016 Apr;24(2):189-95. doi: 10.1123/japa.2014-0286.

DOI:10.1123/japa.2014-0286
PMID:26215224
Abstract

The aim of this study was to examine and compare the effects of conventional, multisensory, and dual-task exercises on balance ability in a group of older community dwellers over a four-week period. Forty-four older people were randomly assigned to one of the three training groups. The score on the Fullerton Advanced Balance (FAB) scale, gait stability ratio, and walking speed were evaluated at baseline and after four weeks of training. All three groups showed significant (p < .001) improvement in the FAB scores following the three training programs (on average, 3 points for the conventional and multisensory groups and 3.8 points for the dual-task group). The improvements were comparable across the three intervention groups (p = .23). There were no statistically significant differences, neither within nor between groups, in the gait stability ratio and walking speed across the three training groups. In a four-week period, all the training modes were effective in improving balance of older adults, with no significant superiority of one mode of training over another.

摘要

本研究的目的是在四周时间内,检验并比较传统训练、多感官训练和双任务训练对一组社区老年居民平衡能力的影响。44名老年人被随机分配到三个训练组中的一组。在基线期和四周训练后,对富勒顿高级平衡(FAB)量表评分、步态稳定性比率和步行速度进行评估。在三种训练方案后,所有三组的FAB评分均有显著改善(p < .001)(传统训练组和多感官训练组平均提高3分,双任务训练组平均提高3.8分)。三组干预组之间的改善情况相当(p = .23)。在三个训练组中,步态稳定性比率和步行速度在组内和组间均无统计学显著差异。在四周时间内,所有训练模式均能有效改善老年人的平衡能力,且一种训练模式并不显著优于另一种。

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