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一项以平衡为重点的运动计划对提高有跌倒风险的老年人功能健康的有效性:一项随机对照试验。

Effectiveness of a balance-focused exercise program for enhancing functional fitness of older adults at risk of falling: A randomised controlled trial.

作者信息

Zhao Yanan, Chung Pak-Kwong, Tong Tom K

机构信息

Department of Physical Education, Nanjing Normal University, Nanjing, China.

Department of Physical Education, Hong Kong Baptist University, Hong Kong, China.

出版信息

Geriatr Nurs. 2017 Nov-Dec;38(6):491-497. doi: 10.1016/j.gerinurse.2017.02.011. Epub 2017 Mar 27.

Abstract

This study examined the effectivenss of a balance-focused training program (i.e., Exercise for Balance Improvement Program, ExBP) in improving functional fitness of older nonfallers at risk of falling. Sixty-one participants were randomly assigned to receive 16 weeks of ExBP or Tai Chi (TC) training, or no treatment (CON) with an 8-week follow-up. The Senior Fitness Test battery was applied to assess functional fitness. After the intervention, results revealed significant improvements in all fitness components in the ExBP group. Compared with the CON group, the ExBP group demonstrated more improvements in lower extremity muscle strength, agility and balance, and aerobic endurance. The ExBP group also displayed more improvements in aerobic endurance than the TC group in posttest and follow-up test. Therefore, the balance-focused exercise can be applied as an effective way in improving overall functional fitness among older nonfallers who are at risk of falling.

摘要

本研究考察了一项以平衡为重点的训练计划(即平衡改善锻炼计划,ExBP)对改善有跌倒风险的非跌倒老年人群功能适应性的效果。61名参与者被随机分配接受16周的ExBP或太极拳(TC)训练,或不接受治疗(CON),并进行为期8周的随访。采用老年体能测试组套来评估功能适应性。干预后,结果显示ExBP组所有体能指标均有显著改善。与CON组相比,ExBP组在下肢肌肉力量、敏捷性和平衡能力以及有氧耐力方面有更大改善。在测试后和随访测试中,ExBP组在有氧耐力方面的改善也比TC组更多。因此,以平衡为重点的锻炼可作为一种有效方法,用于改善有跌倒风险的非跌倒老年人群的整体功能适应性。

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