Franco Marcia R, Sherrington Catherine, Tiedemann Anne, Pereira Leani S, Perracini Monica R, Faria Claudia R S, Pinto Rafael Z, Pastre Carlos M
Faculdade de Ciências e Tecnologia, UNESP-Univ Estadual Paulista, Presidente Prudente, São Paulo, Brasil.
The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
BMJ Open. 2016 Dec 30;6(12):e013995. doi: 10.1136/bmjopen-2016-013995.
Strong evidence shows that exercise is effective to improve fall risk factors among older people. However, older people's participation and adherence to exercise programmes is suboptimal. Type of exercise and apathy are reported to be barriers to exercise participation, suggesting that new effective interventions are needed. The primary aim of this randomised controlled trial is to investigate the effect of Senior Dance plus brief education for falls prevention on balance among people aged 60 years or over, compared with a control group receiving only brief education.
This single-blind randomised controlled trial will involve 82 community-dwelling older people aged 60 years or over who are cognitively intact. Participants allocated to the intervention group will attend a single educational class on strategies to prevent falls, and will participate in a 12-week, twice-weekly group-based programme of Senior Dance. The Senior Dance consists of different choreographies, which include rhythmic and simple movements with rhythmic folk songs. Participants allocated to the control group will attend the same educational class that intervention group participants will receive, and will be instructed not to take part in any regular exercise programme. The primary outcome will be single-leg stance with eyes closed. Secondary outcomes include: Short Physical Performance Battery, Falls Efficacy Scale, Trail Making Test and the Montreal Cognitive Assessment. Continuous outcomes will be reported using mean (SD) or median (IQR), depending on the distribution of the data. The linear regression approach to analysis of covariance will be used to compare the mean effect between groups. All patients will be included in the analyses following an intention-to-treat approach.
Ethics approval has been granted by the Human Ethics Committee of the São Paulo State University (CAAE 48665215.9.0000.5402). Outcomes will be disseminated through publication in peer-reviewed journals and presentations at conferences.
NCT02603523, Pre-results.
有力证据表明，运动对于改善老年人跌倒风险因素有效。然而，老年人对运动项目的参与度和依从性并不理想。据报道，运动类型和冷漠是运动参与的障碍，这表明需要新的有效干预措施。这项随机对照试验的主要目的是，与仅接受简短教育的对照组相比，研究“老年舞蹈+预防跌倒简短教育”对60岁及以上人群平衡能力的影响。
这项单盲随机对照试验将纳入82名60岁及以上、认知功能正常的社区老年人。分配到干预组的参与者将参加一次关于预防跌倒策略的教育课程，并参与为期12周、每周两次的老年舞蹈小组项目。老年舞蹈由不同的舞蹈编排组成，包括配合有节奏的民歌的有节奏且简单的动作。分配到对照组的参与者将参加干预组参与者所接受的相同教育课程，并被指示不参加任何常规运动项目。主要结局将是闭眼单腿站立。次要结局包括：简短体能测试电池、跌倒效能量表、连线测验和蒙特利尔认知评估。连续结局将根据数据分布情况，使用均值（标准差）或中位数（四分位数间距）进行报告。将采用协方差分析的线性回归方法比较组间平均效应。所有患者将按照意向性分析方法纳入分析。
已获得圣保罗州立大学人类伦理委员会的伦理批准（CAAE 48665215.9.0000.5402）。研究结果将通过在同行评审期刊上发表及在会议上报告进行传播。
NCT02603523，预结果。
