School of Allied Health, Australian Catholic University, Brisbane, Australia.
Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia.
J Physiother. 2019 Oct;65(4):200-207. doi: 10.1016/j.jphys.2019.08.007. Epub 2019 Sep 11.
Does motor imagery training improve measures of balance, mobility and falls in older adults without a neurological condition?
Systematic review and meta-analysis of randomised controlled trials.
Adults aged at least 60 years and without a neurological condition.
Three or more sessions of motor imagery training.
The primary outcomes were balance measures (such as single leg stance and Berg Balance scale) and mobility measures (such as gait speed and the Timed Up and Go test). Falls were a secondary outcome measure. Risk of bias was evaluated using the PEDro Scale, and overall quality of evidence was assessed using the Grades of Research, Assessment, Development and Evaluation (GRADE) approach.
Twelve trials including 356 participants were included in the systematic review and 10 trials (316 participants) were included in the meta-analyses. All trials included either apparently healthy participants or older adults after orthopaedic surgery. There was evidence that motor imagery training can significantly improve balance (SMD 1.03, 95% CI 0.25 to 1.82), gait speed (MD 0.13 m/s, 95% CI 0.04 to 0.22) and Timed Up and Go (MD 1.64 seconds, 95% CI 0.79 to 2.49) in older adults; however, the quality of evidence was very low to low. No data regarding falls were identified.
Motor imagery training improves balance and mobility in older adults who do not have a neurological condition. These results suggest that motor imagery training could be an adjunct to standard physiotherapy care in older adults, although it is unclear whether or not the effects are clinically worthwhile.
PROSPERO CRD42017069954.
运动想象训练是否能改善无神经系统疾病的老年人的平衡、移动能力和跌倒？
系统评价和随机对照试验的荟萃分析。
年龄至少 60 岁且无神经系统疾病的成年人。
三次或更多次运动想象训练。
主要结果是平衡测量（如单腿站立和伯格平衡量表）和移动能力测量（如步态速度和计时起立和行走测试）。跌倒为次要结果测量。使用 PEDro 量表评估偏倚风险，使用研究、评估、发展和评价（GRADE）方法评估整体证据质量。
系统评价纳入了 12 项试验（356 名参与者），荟萃分析纳入了 10 项试验（316 名参与者）。所有试验均包括明显健康的参与者或骨科手术后的老年人。有证据表明，运动想象训练可以显著改善平衡（SMD 1.03，95%CI 0.25 至 1.82）、步态速度（MD 0.13 m/s，95%CI 0.04 至 0.22）和计时起立和行走（MD 1.64 秒，95%CI 0.79 至 2.49）；然而，证据质量为低至极低。未发现有关跌倒的数据。
运动想象训练改善了无神经系统疾病的老年人的平衡和移动能力。这些结果表明，运动想象训练可能是老年患者标准物理治疗的辅助手段，尽管尚不清楚其效果是否具有临床意义。
PROSPERO CRD42017069954。
