Arkkukangas Marina, Bååthe Karin Strömqvist, Ekholm Anna, Tonkonogi Michail
Research and Development in Sörmland, Eskilstuna, Sweden.
Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
BMC Public Health. 2021 Apr 17;21(1):744. doi: 10.1186/s12889-021-10775-z.
Falls and fall-related injuries are major threats not only for older adults but also for younger age groups such as working-age adults. It has been shown that it is possible to reduce the risk of falls and fall-related injuries, to some extent. However, interventions aiming at reducing both the risk of falls and mitigating fall-related injuries through teaching safe falling techniques are still sparsely investigated. The aim with this study was to investigate the effect of a 10-week workplace-based judo inspired exercise programme (Judo4Balance). The measures in the study include physical functions, fall-related self-efficacy and safe falling techniques.
A total of 142 working-age adults participated in this non-randomised controlled study. The participants were allocated to the Judo4Balance group (n = 79), or to a waiting list control group (n = 63). The mean age was 47 years (18-68). The recruitment period was from May 2018 to October 2019. A total of 128 participants were included in the analysis. Logistic Regression models were used to analyse the outcomes: physical function, balance and fall-related self-efficacy as well as falling techniques (backwards and forwards).
At the 10-week follow-up, the results displayed significant differences between the two groups in all measurements, except for the fall-related self-efficacy with OR = 1.8. Techniques for falling forwards and backwards displayed the highest OR = 124.1 and OR = 98.9. Physical function and balance showed OR = 3.3 and OR = 6.4.
This exercise programme under study displayed significant differences in strength, balance and safe falling techniques between the groups. It is suggested that these functions, which were studied here, can effectively be trained in working-age adults by using the Judo4Balace exercise programme. Thus, it may be beneficial to further investigate and include training in proper falling techniques when designing fall prevention exercise programmes. Furthermore, it may be a novel way of addressing fall-related injuries, which are of utmost importance to prevent in near future.
NCT04294342 . Registered 4 March 2020 - The Impact of Specifically Adapted Judo-based Training Program on Risk Factors for Falls Among Adults - Full Text View - ClinicalTrials.gov.
跌倒及与跌倒相关的伤害不仅是老年人面临的重大威胁，也是工作年龄成年人等较年轻群体面临的重大威胁。研究表明，在一定程度上降低跌倒及与跌倒相关伤害的风险是可能的。然而，通过教授安全跌倒技巧来降低跌倒风险并减轻与跌倒相关伤害的干预措施仍鲜有研究。本研究的目的是调查一项为期10周的基于工作场所的柔道启发式锻炼计划（Judo4Balance）的效果。该研究中的测量指标包括身体功能、与跌倒相关的自我效能感和安全跌倒技巧。
共有142名工作年龄成年人参与了这项非随机对照研究。参与者被分配到Judo4Balance组（n = 79）或等待名单对照组（n = 63）。平均年龄为47岁（18 - 68岁）。招募期为2018年5月至2019年10月。共有128名参与者纳入分析。使用逻辑回归模型分析结果：身体功能、平衡能力、与跌倒相关的自我效能感以及跌倒技巧（向前和向后）。
在10周随访时，除与跌倒相关的自我效能感（OR = 1.8）外，两组在所有测量指标上均显示出显著差异。向前和向后跌倒技巧的OR值最高，分别为124.1和98.9。身体功能和平衡能力的OR值分别为3.3和6.4。
本研究中的锻炼计划在两组之间的力量、平衡能力和安全跌倒技巧方面显示出显著差异。建议通过Judo4Balace锻炼计划，这些在此研究中的功能可以在工作年龄成年人中得到有效训练。因此，在设计预防跌倒锻炼计划时，进一步研究并纳入正确跌倒技巧的训练可能是有益的。此外，这可能是一种解决与跌倒相关伤害的新方法，而预防这些伤害在不久的将来至关重要。
NCT04294342。于2020年3月4日注册 - 特定改编的基于柔道的训练计划对成年人跌倒风险因素的影响 - 全文查看 - ClinicalTrials.gov。
