Yang Yijian, van Schooten Kimberley S, McKay Heather A, Sims-Gould Joanie, Hoang Raymond A, Robinovitch Stephen N
J Aging Phys Act. 2021 Feb 1;29(1):142-161. doi: 10.1123/japa.2019-0345. Epub 2020 Jul 28.
The objective of this study was to explore and synthesize evidence on the effectiveness and implementation of recreational therapy programs to enhance mobility outcomes (e.g., balance, functional performance, fall incidence) for older adults in long-term care. The authors conducted a scoping review of 66 studies following the PRISMA guidelines. Two independent reviewers evaluated each article, and a third reviewer resolved discrepancies. Randomized controlled studies provided strong to moderate evidence that tai chi programs, walking, dancing, and ball games improve flexibility, functional mobility, and balance. Studies assessing program implementation highlighted that program delivery was facilitated by clear instruction, encouragement, attendance documentation, and minimal equipment. This review elucidated the benefit of recreational therapy programs on mobility. It also identified the need for customized programs based on individuals' interests and their physical and mental abilities. These findings and recommendations will assist practitioners in designing effective and feasible recreational therapy programs for long-term care.
本研究的目的是探索和综合有关娱乐治疗项目有效性及实施情况的证据，以改善长期护理机构中老年患者的活动能力结果（如平衡能力、功能表现、跌倒发生率）。作者按照PRISMA指南对66项研究进行了范围综述。两名独立评审员评估每篇文章，第三名评审员解决分歧。随机对照研究提供了强有力到中等强度的证据，表明太极拳项目、步行、跳舞和球类游戏可改善灵活性、功能活动能力和平衡能力。评估项目实施情况的研究强调，清晰的指导、鼓励、出勤记录和最少的设备有助于项目开展。本综述阐明了娱乐治疗项目对活动能力的益处。它还确定了根据个人兴趣及其身心能力制定定制项目的必要性。这些研究结果和建议将有助于从业者为长期护理设计有效且可行的娱乐治疗项目。
