Machacova Katerina, Vankova Hana, Volicer Ladislav, Veleta Petr, Holmerova Iva
1 Charles University in Prague, Centre of Expertise in Longevity and Long-term Care (CELLO-ILC-CZ), Faculty of Humanities, Czech Republic.
2 Charles University in Prague, Third Faculty of Medicine, Czech Republic.
J Appl Gerontol. 2017 Dec;36(12):1453-1470. doi: 10.1177/0733464815602111. Epub 2015 Aug 28.
Late life deterioration of functional status is associated with adverse health outcomes and increased cost of care. This trial was conducted to determine whether dance-based intervention could reverse functional decline among nursing home (NH) residents. A total of 189 residents of seven NHs in the Czech Republic were randomly assigned to intervention and control groups. More detailed data were collected in a subsample of 52 participants. Intervention consisted of 3-month dance-based exercise. Functional status was assessed by the get-up-and-go test, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and senior fitness tests (SFTs). Participants in the control group experienced a significant decline in get-up-and-go test, IADL, and in four of the six SFTs. The intervention proved to be effective in preventing this deterioration and improved chair stand test and chair sit-and-reach test. The findings indicate that a relatively simple dance-based exercise can slow down deterioration of functional status in NH residents.
功能状态的晚年恶化与不良健康结果及护理成本增加相关。本试验旨在确定基于舞蹈的干预措施能否逆转疗养院(NH)居民的功能衰退。捷克共和国七家疗养院的189名居民被随机分为干预组和对照组。在52名参与者的子样本中收集了更详细的数据。干预措施包括为期3个月的舞蹈锻炼。通过起身行走测试、日常生活基本活动(ADL)、日常生活工具性活动(IADL)和老年人健身测试(SFT)来评估功能状态。对照组参与者在起身行走测试、IADL以及六项SFT中的四项测试中出现了显著下降。事实证明,该干预措施在预防这种恶化方面有效,并改善了椅子站立测试和椅子坐立前伸测试。研究结果表明,一种相对简单的舞蹈锻炼可以减缓疗养院居民功能状态的恶化。