Shubert Tiffany E, Smith Matthew Lee, Jiang Luohua, Ory Marcia G
1 The University of North Carolina at Chapel Hill, NC, USA.
5 South College School of Physical Therapy Knoxville, TN, USA.
J Appl Gerontol. 2018 Jan;37(1):79-98. doi: 10.1177/0733464816675422. Epub 2016 Oct 27.
The Otago Exercise Program (OEP) is an evidence-based fall prevention program disseminated internationally. Little is known about the implementation or effectiveness of the OEP in the United States. The purposes were to (a) identify characteristics of older adults enrolled in OEP, and (b) examine perceived and actual functional performance changes after participation in 8 weeks of the program. Baseline and 8-week functional and self-report data were collected on 210 older adults from 2013 to 2015. Linear mixed models and general estimating equations logistic regression models adjusted for socio-demographic factors were performed to assess changes. At 8 weeks, scores dramatically improved on self-report and physical performance tests: Timed Up-and-Go ( p < .001), 30-Second Chair Rise ( p < .001), and Four-Stage Balance ( p < .001). Findings support that participation in the U.S. OEP as part of a plan of care can result in significant improvements in objective functional mobility, balance measures, and self-reported ability.
奥塔哥运动计划（OEP）是一项在国际上广泛传播的基于证据的预防跌倒计划。在美国，人们对OEP的实施情况或效果了解甚少。研究目的是：（a）确定参加OEP的老年人的特征，以及（b）研究参加该计划8周后感知到的和实际的功能表现变化。2013年至2015年收集了210名老年人的基线数据以及8周后的功能和自我报告数据。采用线性混合模型和经社会人口学因素调整的广义估计方程逻辑回归模型来评估变化情况。在8周时，自我报告和身体表现测试的分数显著提高：计时起立行走测试（p <.001）、30秒椅子起立测试（p <.001）和四阶段平衡测试（p <.001）。研究结果表明，作为护理计划的一部分参加美国的OEP可以显著改善客观功能活动能力、平衡指标和自我报告的能力。
