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太极拳预防老年人跌倒:培训师评估项目

Taiji (Tai Chi) For Fall Prevention in the Elderly: Training the Trainers Evaluation Project.

作者信息

Bartimole Lucy, Fristad Mary A

机构信息

Shift Grandview, Columbus, OH.

Department of Psychiatry and Behavioral Health, The Ohio State Wexner Medical Center, 1670 Upham Drive Suite 460G, Columbus, OH 43210-1250.

出版信息

Explore (NY). 2017 May-Jun;13(3):198-200. doi: 10.1016/j.explore.2017.02.004. Epub 2017 Feb 24.

DOI:10.1016/j.explore.2017.02.004
PMID:28342686
Abstract

Falls in the elderly are common and a major, costly health problem. Taiji addresses many issues related to fall risk. We determined whether intensive weekend training can sufficiently train persons who have baseline familiarity with Taiji to model and teach fundamentals of Taiji to the elderly. Prior to training, registrants received a manual, video and online links for review and practice. Assessments were completed pre-/post-training. Training occurred in four cities of one state. 34 adults completed training, two did not complete evaluations (ns = 12, 13, 4, and 5 at the four sites). Each training course consisted of two 9-hour days that educated prospective instructors on issues pertinent to the elderly, evaluation techniques, warm-up and cool-down movements and seated and standing Taiji postures. Assessments included pre-/post-knowledge test, Timed Up, and Go and Functional Reach Assessment. Nearly all participants with pre-/post-assessments (30/32, 94%) demonstrated adequate skills post-training. Knowledge of Taiji increased significantly from pre- to post-training (P < .01). Brief, intensive weekend training can increase the available workforce to train the elderly in fundamentals of Taiji for fall prevention.

摘要

老年人跌倒很常见,是一个严重且代价高昂的健康问题。太极拳解决了许多与跌倒风险相关的问题。我们确定了强化周末培训是否能够充分训练那些对太极拳有一定基础了解的人,使其能够向老年人示范和教授太极拳的基本要领。在培训前,注册者会收到一本手册、视频和在线链接以供复习和练习。培训前后均完成了评估。培训在一个州的四个城市进行。34名成年人完成了培训,两人未完成评估(四个地点的人数分别为12、13、4和5)。每个培训课程为期两天,每天9小时,向准教练传授与老年人相关的问题、评估技术、热身和放松动作以及坐姿和站姿太极拳姿势。评估包括培训前后的知识测试、计时起立行走测试和功能性伸展评估。几乎所有接受培训前后评估的参与者(30/32,94%)在培训后都展示出了足够的技能。从培训前到培训后,对太极拳的了解显著增加(P < .01)。简短的强化周末培训可以增加可用于向老年人教授太极拳基本要领以预防跌倒的劳动力。

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