Arnold Cathy M, Walker-Johnston JoAnn, Lanovaz Joel L, Lattimer Lauren J
School of Physical Therapy, College of Medicine.
Community Therapies, Saskatoon Health Region, Saskatoon, Sask.
Physiother Can. 2017;69(4):323-332. doi: 10.3138/ptc.2016-27EP.
The purpose of this study was to determine the effect of a unique exercise programme (Fall Arrest Strategy Training, or FAST) on upper body strength, range of motion (ROM), and fall risk in older women. FAST was designed to improve upper body capacity to prevent injury when a fall cannot be avoided. A quasi-randomized site design included 71 older women (aged 67-95 y, mean age 83 years), who participated either in a standard fall prevention programme (Staying on Your Feet, or SOYF; =29) or in SOYF combined with FAST (=42). The women were measured three times-at baseline, after the 12-week intervention, and again 12 weeks later-for upper body strength, ROM, and fall risk factors (fall risk questionnaire, balance, mobility, and leg strength). No significant differences were found in age, physical activity, or cognitive or functional status between the SOYF-standard and the SOYF-FAST groups. Both groups improved their fall risk status after the intervention, with no significant differences between them; however, the SOYF-FAST group showed greater improvements in upper extremity strength and ROM (=0.007). FAST can feasibly be integrated into fall prevention programming, with additional gains in upper body strength and ROM in older women.
本研究的目的是确定一项独特的锻炼计划（跌倒预防策略训练，即FAST）对老年女性上肢力量、活动范围（ROM）和跌倒风险的影响。FAST旨在提高上肢能力，以便在无法避免跌倒时预防受伤。一种半随机分组设计纳入了71名老年女性（年龄67 - 95岁，平均年龄83岁），她们要么参加标准的跌倒预防计划（站稳脚跟，即SOYF；n = 29），要么参加SOYF与FAST相结合的计划（n = 42）。在基线、12周干预后以及12周后再次对这些女性进行测量，评估上肢力量、ROM以及跌倒风险因素（跌倒风险问卷、平衡能力、活动能力和腿部力量）。在SOYF标准组和SOYF - FAST组之间，年龄、身体活动、认知或功能状态方面未发现显著差异。两组在干预后跌倒风险状况均有所改善，且两组之间无显著差异；然而，SOYF - FAST组在上肢力量和ROM方面有更大改善（P = 0.007）。FAST可以切实地纳入跌倒预防计划中，能使老年女性在上肢力量和ROM方面获得额外提升。
