多组分运动方案对养老院老年人跌倒风险的影响：系统评价。

The effect of a multicomponent exercise programme onelderly adults' risk of falling in nursing homes: A systematic review.

机构信息

Physical Therapy Department, General Directorate of Medical Services, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Pak Med Assoc. 2020 Apr;70(4):699-704. doi: 10.5455/JPMA.292007.

DOI:10.5455/JPMA.292007

PMID:32296218

Abstract

OBJECTIVE

To determine the effect of a multi-component exercise programme on elderly adults' risk of falling in nursing homes.

METHODS

A computerised search of published randomised controlled trials in the English language was performed using PubMed, Cochrane Library, the Cumulative Index of Nursing and Allied Health Literature, Physiotherapy Evidence Database (PEDro), and the Institute for Scientific Information up to December 2017. We included highquality articles that reported a score of ≥5 on the Physiotherapy Evidence Databasescale which compared multicomponent exercise with a single exercise programme in nursing homes, with the risk of falling as an outcome, among participants aged ≥65 years.

RESULTS

A total of 8 articles, comprising 382 participants, were included. All these articles scored 6-8 points out of 10 on the PEDro scale, with an average of 6.7 points. The mean age of participants in the included articles was ranged from 76±8.0 to 92±2.0 years, and286 (75%) participants were females. A multi-component exercise programme in the experimental group, which had 204 (53.4%) subjects significantly reduced the risk of falling in nursing homes compared to a single-exercise programme, which was used in the control group that had 178(46.6%) subjects.

CONCLUSIONS

A multi-component exercise programme was found to be useful for reducing elderly adults' risk of falling in nursing homes.

摘要

目的

确定多组分运动方案对养老院中老年人跌倒风险的影响。

方法

使用计算机检索 PubMed、Cochrane 图书馆、护理与健康相关文献累积索引、物理治疗证据数据库（PEDro）和科学信息研究所，检索截至 2017 年 12 月发表的英文随机对照试验。我们纳入了高质量的文章，这些文章在物理治疗证据数据库评分中得分≥5，比较了养老院中多组分运动与单一运动方案，以跌倒风险为结局，纳入年龄≥65 岁的参与者。

结果

共纳入 8 篇文章，包含 382 名参与者。这些文章在 PEDro 量表上的评分均为 6-8 分，平均得分为 6.7 分。纳入文章中参与者的平均年龄为 76±8.0 至 92±2.0 岁，286 名（75%）参与者为女性。实验组采用多组分运动方案，其中 204 名（53.4%）受试者跌倒风险显著降低，而对照组采用单一运动方案，其中 178 名（46.6%）受试者跌倒风险无显著降低。