Hafström Anna, Malmström Eva-Maj, Terdèn Josefine, Fransson Per-Anders, Magnusson Måns
Lund University, Sweden.
Lund University, Sweden; Skåne University Hospital, Lund, Sweden.
Gerontol Geriatr Med. 2016 Apr 26;2:2333721416644149. doi: 10.1177/2333721416644149. eCollection 2016 Jan-Dec.
To develop and assess the efficacy of a multimodal balance-enhancing exercise program (BEEP) designed to be regularly self-administered by community-dwelling elderly. The program aims to promote sensory reweighting, facilitate motor control, improve gaze stabilization, and stimulate continuous improvement by being constantly challenging. Forty participants aged 60 to 80 years performed 6 weeks of BEEP training, on average for 16 min four times weekly, in a randomized one-arm crossover design. One-leg standing time improved 32% with eyes open (EO), 206% with eyes closed (EC) on solid surface, and 54% EO on compliant surface ( < .001). Posturography confirmed balance improvements when perturbed on solid and compliant surfaces with EO and EC ( ≤ .033). Walking, step stool, and Timed Up and Go speeds increased ( ≤ .001), as did scores in Berg Balance and balance confidence scales ( ≤ .018). Multimodal balance exercises offer an efficient, cost-effective way to improve balance control and confidence in elderly.
开发并评估一种多模式平衡增强运动计划（BEEP）的效果，该计划旨在供社区居住的老年人定期自行实施。该计划旨在促进感觉重新加权，促进运动控制，改善注视稳定，并通过不断挑战来刺激持续改善。40名年龄在60至80岁之间的参与者采用随机单组交叉设计，进行了6周的BEEP训练，平均每周四次，每次16分钟。在坚实表面上，单腿站立时间睁眼（EO）时提高了32%，闭眼（EC）时提高了206%；在顺应性表面上，睁眼时提高了54%（P<0.001）。姿势描记法证实，在坚实和顺应性表面上，无论睁眼还是闭眼时受到干扰，平衡均有改善（P≤0.033）。步行、踩凳子以及定时起立行走速度均有所提高（P≤0.001），伯格平衡量表和平衡信心量表得分也有所提高（P≤0.018）。多模式平衡运动为改善老年人的平衡控制和信心提供了一种有效且经济高效的方法。
