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社区居住老年人防跌倒舞蹈干预(DANCE)研究:一项分层、区组随机试验的研究方案。

Dancing Against falls iN Community-dwElling older adults (DANCE): a study protocol of a stratified, block-randomised trial.

机构信息

Department of Health Science and Technology, Aalborg University, Aalborg, Denmark

Practice and Development, Chartered Society of Physiotherapy, London, UK.

出版信息

Inj Prev. 2022 Feb;28(1):93-101. doi: 10.1136/injuryprev-2021-044224. Epub 2021 Sep 20.

Abstract

BACKGROUND

Unintentional falls among older adults are of primary importance due to their impact on quality of life. Falling accounts for 95% of hip fractures, leading to an approximately six times increased risk of death within the first 3 months. Furthermore, physical and cognitive parameters are risk factors for falls. The purpose of this study is to examine the effect of a 6-month salsa dance training intervention, compared with regular fitness circuit training and a control group.

METHODS

This study will include 180 older adults: 90 healthy patients and 90 patients with osteoporosis. Participants will be allocated randomly in either of the groups, stratified according to age. Training groups will receive 2 weekly 1-hour training sessions, continuously through 6 months. Participants will be tested at baseline and 6 and 18 months post baseline. Primary outcome will be number of falls and secondary outcomes include bone mineral density, body composition, pain evaluation, weekly physical activity, single-task and dual-task gait patterns, balance, Fullerton Functional Fitness Test and assessment of the mini-BESTest.

DISCUSSION

This study will investigate the effects of a specially designed dance training programme (Dancing Against falls iN Community-dwElling older adults (DANCE)) to reduce the risk of falling among older adults. The study will investigate the effect against an active and passive comparator, resulting in the possibility to state, if DANCE training should be an alternative to traditional training.

TRIAL REGISTRATION NUMBER

NCT03683849.

摘要

背景

老年人非故意跌倒非常重要,因为它会影响生活质量。跌倒导致 95%的髋部骨折,使 3 个月内死亡风险增加约 6 倍。此外,身体和认知参数也是跌倒的危险因素。本研究旨在比较 6 个月萨尔萨舞训练干预、常规健身循环训练和对照组,检验前者对老年人跌倒的影响。

方法

本研究将纳入 180 名老年人:90 名健康患者和 90 名骨质疏松症患者。根据年龄分层,参与者将被随机分配到任何一个组中。训练组将接受每周 2 次、每次 1 小时的训练,连续 6 个月。参与者将在基线、6 个月和 18 个月后进行测试。主要结果是跌倒次数,次要结果包括骨密度、身体成分、疼痛评估、每周身体活动、单任务和双任务步态模式、平衡、富尔顿功能健身测试和 mini-BESTest 评估。

讨论

本研究将调查专门设计的舞蹈训练计划(在社区居住的老年人中进行的舞蹈以预防跌倒(DANCING AGAINST FALLS iN COMMUNITY-DWELLING Older adults(DANCE))对降低老年人跌倒风险的影响。该研究将调查与积极和被动对照组的效果,从而可以确定 DANCE 训练是否应作为传统训练的替代方案。

临床试验注册号

NCT03683849。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e6/8788245/aea379151a57/injuryprev-2021-044224f01.jpg

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