Department of Life Sciences, The Academic College at Wingate, Wingate Institute, Israel.
Neurology Department, The Hillel Yaffe Medical Centre, Israel.
Eur J Cardiovasc Nurs. 2019 Dec;18(8):736-743. doi: 10.1177/1474515119864201. Epub 2019 Jul 21.
Cardiovascular diseases are considered a leading factor in mortality and morbidity. The older adult population with cardiovascular diseases has a higher risk of falls as compared to a matched age healthy population.
To investigate the effect of stability and coordination training within a cardiac rehabilitation programme on fall risk in older adults with cardiovascular diseases enrolled in cardiac rehabilitation.
Twenty-six people with cardiovascular diseases (age 74±8) were divided randomly into intervention and control groups. The intervention group received 20 min of stability and coordination exercises as part of their 80 min cardiac rehabilitation programme, while the control group performed the traditional cardiac rehabilitation programme, twice a week, for 12 weeks. Balance assessment was based on three tests: the Timed Up and Go, Functional Reach and Balance Error Scoring System, which were measured twice before the intervention, once following the intervention and once four weeks after the termination of the intervention. A two-way analysis of variance (group × time) with repeated measures was performed to examine differences between groups and between assessments.
Seventy per cent of participants in the intervention group adhered to the programme, with significant improvement post-intervention in the Timed Up and Go ( < .01) and the Balance Error Scoring System ( < .05) with no changes among the control group.
Stability and coordination training alongside a traditional cardiac rehabilitation programme may improve static and dynamic balance, and muscle strength, skills that are considered major components in postural control. Clinicians who work in cardiac rehabilitation centres should consider including this training alongside the routine cardiac rehabilitation programme.
心血管疾病被认为是导致死亡和发病的主要因素。与年龄匹配的健康人群相比，患有心血管疾病的老年人群发生跌倒的风险更高。
调查心脏康复计划中稳定性和协调性训练对患有心血管疾病并参加心脏康复的老年人跌倒风险的影响。
将 26 名患有心血管疾病的老年人（年龄 74±8 岁）随机分为干预组和对照组。干预组在其 80 分钟的心脏康复计划中接受 20 分钟的稳定性和协调性练习，而对照组则每周进行两次传统的心脏康复计划，共 12 周。平衡评估基于三项测试：计时起立行走、功能性伸展和平衡错误评分系统，在干预前进行两次测量，干预后进行一次测量，干预结束后四周进行一次测量。采用双向方差分析（组×时间）和重复测量来检验组间和评估间的差异。
干预组 70%的参与者坚持了该计划，干预后计时起立行走（ <.01）和平衡错误评分系统（ <.05）显著改善，而对照组没有变化。
稳定性和协调性训练与传统的心脏康复计划一起进行，可能会改善静态和动态平衡以及肌肉力量，这些都是姿势控制的主要组成部分。在心脏康复中心工作的临床医生应该考虑将这种训练纳入常规的心脏康复计划中。
