普拉提对社区居住老年女性跌倒风险因素的影响：一项随机对照试验。
Effects of Pilates on fall risk factors in community-dwelling elderly women: A randomized, controlled trial.
机构信息
Department of Health Sciences, Faculty of Health Sciences, University of Jaén , Jaén , Spain.
Department of Psychology, University of Jaén , Jaén , Spain.
出版信息
Eur J Sport Sci. 2019 Nov;19(10):1386-1394. doi: 10.1080/17461391.2019.1595739. Epub 2019 Apr 16.
OBJECTIVE
the main objective was to analyze the effects that an exercise programme based on the Pilates method would have on balance confidence, fear of falling, and postural control among women ≥60 years old.
METHODS
a total of 110 women (69.15 ± 8.94 years) participated in this randomized, controlled trial that took place in Jaén (Spain). The participants were randomly assigned to either a control group ( = 55), which received no intervention, or to a Pilates group ( = 55), which carried out an exercise programme based on the Pilates method in 60-minute sessions for 12 weeks. The Falls Efficacy Scale-International and the activity-specific balance confidence scale were respectively used to assess fear of falling and balance confidence in performing activities of daily living. Postural control was evaluated using a stabilometric platform.
RESULTS
Regarding balance confidence, the Pilates group showed higher values compared to the control group (77.52 ± 18.27 vs 72.35 ± 16.39, Cohen's = 0.030). Women in the Pilates group showed lower fear of falling, compared to those of the control group (22.07 ± 5.73 vs 27.9 ± 6.95, Cohen's = 0.041). Finally, concerning static balance, participants of the Pilates group experienced statistically significant improvements on the velocity and anteroposterior movements of the centre of pressure with eyes open and closed respectively (Cohen's = 0.44 and 0.35 respectively).
CONCLUSION
A 12-week Pilates training programme has beneficial effects on balance confidence, fear of falling and postural stability, in elderly women.
目的
本研究主要分析基于普拉提方法的运动方案对 60 岁以上女性平衡信心、跌倒恐惧和姿势控制的影响。
方法
本随机对照试验共纳入 110 名女性（69.15±8.94 岁），这些参与者来自西班牙哈恩。将其随机分为对照组（n=55，未接受干预）和普拉提组（n=55，接受基于普拉提方法的运动方案，每周 60 分钟，持续 12 周）。采用跌倒效能感量表国际版和活动特异性平衡信心量表分别评估日常活动中的跌倒恐惧和平衡信心。使用平衡台评估姿势控制。
结果
普拉提组的平衡信心显著高于对照组（77.52±18.27 比 72.35±16.39，Cohen's =0.030）。普拉提组的跌倒恐惧显著低于对照组（22.07±5.73 比 27.9±6.95，Cohen's =0.041）。最后，关于静态平衡，普拉提组参与者在睁眼和闭眼时的中心压力速度和前后向移动方面均有显著改善（Cohen's =0.44 和 0.35）。
结论
12 周的普拉提训练方案对老年女性的平衡信心、跌倒恐惧和姿势稳定性有有益的影响。
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