Doctor of Physical Therapy Program, Department of Health Professions, University of Central Florida, Orlando.
Doctor of Physical Therapy Program, Sanford School of Medicine of the University of South Dakota, Sioux Falls.
J Geriatr Phys Ther. 2019 Oct/Dec;42(4):224-229. doi: 10.1519/JPT.0000000000000190.
The Otago exercise program is a strengthening, balance, and walking program designed to decrease falls among community-dwelling older adults. Few studies have examined the effects of the Otago program in an assisted living environment. The purpose of the current study was to assess the effects of an Otago-based home exercise program in decreasing falls and the risk of falls among older adults living in an assisted living facility.
A retrospective chart review of 30 individuals residing at either of 2 assisted living facilities in central Florida was undertaken. Participants had a mean age of 87 years, were at risk for falls as determined by the Tinetti Performance-Oriented Mobility Assessment (POMA), and were provided with an Otago-based intervention by home health physical therapy. The outcome measures were the number of falls in the previous year, the number of falls in the year following the intervention, and Tinetti POMA scores pre- and post-intervention.
The mean (SD) number of falls significantly decreased from 1.4 (0.9) to 0.5 (0.7) fall per person per year after home health physical therapy with the tailored Otago based-exercise intervention. The intervention resulted in a statistically significant improvement in Tinetti POMA scores from 11.8 (2.5) to 17.6 (3.8).
An Otago-based strengthening, balance, and walking home exercise program can potentially be used to decrease the number of falls and the risk of falling among older adults residing in an assisted living facility.
奥塔哥锻炼计划是一种强化、平衡和行走计划，旨在减少社区居住的老年人跌倒。很少有研究在辅助生活环境中检查奥塔哥计划的效果。本研究的目的是评估基于奥塔哥的家庭锻炼计划在减少跌倒和居住在辅助生活设施中的老年人跌倒风险方面的效果。
对佛罗里达州中部的 2 家辅助生活设施中居住的 30 名个体进行了回顾性图表审查。参与者的平均年龄为 87 岁，根据 Tinetti 表现导向移动评估（POMA）确定有跌倒风险，并且接受了家庭健康物理治疗提供的基于奥塔哥的干预。结果测量是前一年的跌倒次数、干预后一年的跌倒次数以及干预前后的 Tinetti POMA 评分。
平均（SD）人数显著下降从 1.4（0.9）至 0.5（0.7）每人每年跌倒后家庭健康物理治疗与定制的基于奥塔哥的锻炼干预。干预后 Tinetti POMA 评分从 11.8（2.5）显著提高至 17.6（3.8）。
基于奥塔哥的强化、平衡和行走家庭锻炼计划可能可用于减少居住在辅助生活设施中的老年人跌倒的数量和跌倒风险。
