King Emily C, Novak Alison C
Emily C. King, PhD, is Postdoctoral Fellow, University of Waterloo, Waterloo, Ontario, and Research Associate, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
Alison C. Novak, PhD, is Scientist, Toronto Rehabilitation Institute-University Health Network, Waterloo, Ontario; Assistant Professor, Department of Occupational Sciences and Occupational Therapy, University of Toronto; and Assistant Professor, Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada;
Am J Occup Ther. 2017 Nov/Dec;71(6):7106165030p1-7106165030p9. doi: 10.5014/ajot.2017.027136.
Bathroom assistive devices are used to improve safety during bathing transfers, but biomechanical evidence to support clinical recommendations is lacking. This study evaluated the effectiveness of common bathroom aids in promoting balance control during bathing transfers. Twenty-six healthy adults (12 young, 14 older) stepped into and out of a slippery bathtub while using a vertical grab bar on the side wall, a horizontal grab bar on the back wall, a bath mat, a side wall touch, or no assistance. Balance control was characterized using center of pressure measures and showed greater instability for older adults. The vertical grab bar and wall touch resulted in the safest (best controlled) transfers. The bath mat provided improved balance control in the axis parallel to the bathtub rim but was equivalent to no assistance perpendicular to the rim, in the direction of obstacle crossing. These results can support clinical recommendations for safe bathing transfers.
浴室辅助设备用于提高沐浴转移过程中的安全性，但缺乏支持临床建议的生物力学证据。本研究评估了常见浴室辅助工具在促进沐浴转移过程中平衡控制方面的有效性。26名健康成年人（12名年轻人，14名老年人）在使用侧壁上的垂直扶手、后壁上的水平扶手、防滑垫、侧壁触摸辅助或无辅助的情况下进出一个滑溜溜的浴缸。通过压力中心测量来表征平衡控制，结果显示老年人的不稳定性更大。垂直扶手和侧壁触摸辅助导致了最安全（控制最佳）的转移。防滑垫在与浴缸边缘平行的轴向上提供了更好的平衡控制，但在垂直于边缘、与越过障碍物方向上与无辅助情况相当。这些结果可为安全沐浴转移的临床建议提供支持。
