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一项以本体感受为重点的居家运动计划,旨在减少虚弱和衰弱前期的社区居住老年人跌倒。

A home-based exercise program focused on proprioception to reduce falls in frail and pre-frail community-dwelling older adults.

机构信息

Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, 46007 Valencia, Spain; Frailty and Cognitive Impairment Research Group (FROG), University of Valencia, 46010 Valencia, Spain.

Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, 46007 Valencia, Spain; Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, FISABIO. Crtra. Corbera km 1, 46600 Valencia, Spain; Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Jaume Roig, s/n, 46010 Valencia, Spain.

出版信息

Geriatr Nurs. 2020 Jul-Aug;41(4):436-444. doi: 10.1016/j.gerinurse.2020.01.017. Epub 2020 Mar 18.

DOI:10.1016/j.gerinurse.2020.01.017
PMID:32199736
Abstract

Frailty and falls are closely associated with each other as well as with disability, hospitalization, and death. Exercise can reduce these risks in both robust and frail older people. This before-after, non-randomized intervention study assessed a one-year proprioception training program with individual daily home exercises in 564 community-dwelling people aged 70 years and over, with different frailty phenotypes. After the exercise program, we observed a moderate reduction in the mean number of falls, fear of falls, body mass index and body fat percentage in frail and pre-frail participants. These results suggest that a home proprioception program may be a viable alternative to complex multicomponent exercise programs in settings where these are not feasible, since home proprioception can reach a larger population at a lower cost, and it affords clear benefits.

摘要

虚弱和跌倒密切相关,也与残疾、住院和死亡有关。运动可以降低强壮和虚弱老年人的这些风险。这项前后非随机干预研究评估了一项为期一年的本体感受训练计划,该计划包括 564 名 70 岁及以上、具有不同虚弱表型的社区居住者的个体日常家庭运动。在运动计划后,我们观察到虚弱和衰弱前期参与者的跌倒次数、跌倒恐惧、体重指数和体脂百分比均有适度减少。这些结果表明,家庭本体感受计划可能是复杂的多成分运动计划的可行替代方案,因为家庭本体感受可以以更低的成本覆盖更多的人群,并带来明显的益处。

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