Center for Complementary Medicine; Institute for Infection Prevention and Hospital Epidemiology, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
IFAEMM at the University of Witten/Herdecke, Freiburg, Germany.
BMC Geriatr. 2020 Mar 17;20(1):108. doi: 10.1186/s12877-020-1503-6.
In elderly poeple, multimorbidity and polypharmacy increase while sensory, motor and cognitive functions decrease. Falls occur in 30% of people aged 65 years and older at least once per year, with injuries at 10-20%. Reducing falls and enhancing physical, emotional and cognitive capacities are essential for healthy aging despite chronic disease. Eurythmy therapy (EYT) and Tai Chi train balance, mobility and concentrative and sensory capacities.
In eight trial sites (academic or community hospitals), 550 outpatients aged 65 years and older with chronic disease and increased risk of falling (history of imbalance, Berg Balance Scale (BBS) score ≤ 49) will be randomly assigned (1:1:1) to receive either EYT or Tai Chi (each provided in one-hour group sessions, twice, later once per week plus practice at home, for over 24 weeks) added to standard care or standard care alone. Standard care includes a detailed written recommendation on fall prevention and the visit of a primary care doctor. Seniors living a reclusive life or economically disadvantaged elderly will be particularly addressed. A motivation and communication concept supports the trial participants' compliance with trial procedures and practicing. Public and patient representatives are involved in the planning and conduction of the trial. Falls will be documented daily in a diary by the participants. These falls as well as injuries and complications will be ascertained during monthly phone visits. The falls efficacy scale, BBS, cognition (MoCA), Mood (GDS-15), quality of life (SF12), instrumental activities of daily living (IADL), use of medical and non-medical services (FIMA) and adherence will be assessed at months 3, 6, and 12 and inner correspondence with practices (ICPH) at month 6. The trial is funded by the Federal Ministry of Education and Research (BMBF 01GL1805).
This study will determine whether EYT and Tai Chi reduce falls, injurious falls, fear of falling and healthcare utilisation and improve mobility, cognition, mood, quality of life and functional independence. A reduction of fall risk and fear of falling and an improvement of mobility, autonomy, quality of life, mood, and cognition are highly relevant for older people to cope with aging and diseases and to reduce healthcare costs. TRAIL REGISTRATION: www.drks.de. DRKS00016609. Registered 30th July 2019.
老年人中，多种疾病和多种药物的使用同时伴随着感觉、运动和认知功能的下降。65 岁及以上人群中，每年至少有 30%的人会跌倒，其中 10-20%的人会受伤。尽管患有慢性病，但对于健康老龄化来说，降低跌倒风险和增强身体、情绪和认知能力至关重要。欧瑞姆疗法（Eurythmy therapy，EYT）和太极拳可训练平衡、移动能力以及专注和感知能力。
在 8 个试验点（学术或社区医院）中，将 550 名患有慢性病且有较高跌倒风险（平衡感差、Berg 平衡量表评分≤49 分）的 65 岁及以上门诊患者随机分配（1:1:1），分别接受 EYT 或太极拳（每组 1 小时，2 次，之后每周 1 次，加上在家练习，共 24 周）联合常规护理或仅接受常规护理。常规护理包括一份详细的书面跌倒预防建议和初级保健医生的就诊。特别关注独居生活或经济困难的老年人。一个动机和沟通概念支持试验参与者遵守试验程序和练习。公众和患者代表参与了试验的规划和实施。参与者将每天在日记中记录跌倒情况。每月通过电话访问来确定这些跌倒以及受伤和并发症的情况。在第 3、6 和 12 个月评估跌倒效能量表、Berg 平衡量表、认知（MoCA）、情绪（GDS-15）、生活质量（SF12）、日常生活活动工具（IADL）、医疗和非医疗服务的使用（FIMA）和依从性，在第 6 个月评估内部对应练习（ICPH）。该试验由联邦教育和研究部（BMBF 01GL1805）资助。
本研究将确定 EYT 和太极拳是否能降低跌倒、受伤跌倒、跌倒恐惧和医疗保健利用，并改善移动能力、认知、情绪、生活质量和功能独立性。降低跌倒风险和跌倒恐惧，以及改善移动能力、自主性、生活质量、情绪和认知能力，对老年人应对老龄化和疾病以及降低医疗保健成本非常重要。
www.drks.de。DRKS00016609。2019 年 7 月 30 日注册。
