Department of Physical Therapy and Occupational Therapy, Universidade Estadual Paulista (UNESP), Marília, São Paulo, Brazil.
Department of Physical Therapy and Occupational Therapy, Universidade Estadual Paulista (UNESP), Marília, São Paulo, Brazil; Postgraduate Program in Human Development and Technologies, Universidade Estadual Paulista (UNESP), Rio Claro, São Paulo, Brazil.
J Bodyw Mov Ther. 2021 Oct;28:172-179. doi: 10.1016/j.jbmt.2021.07.043. Epub 2021 Aug 8.
Institutionalized older adults have fewer opportunities to participate in daily living activities and tasks in an independent manner, with greater deleterious effects on the physiological losses inherent to aging and with increased gait and balance impairment compared to community-dwelling older adults. The use of a treadmill for rehabilitation, with or without partial weight support, has been studied in different groups, but not on institutionalized older adults.
To assess the effects of a treadmill walking program on the postural balance and quality of life of institutionalized older adults.
Thirty-seven institutionalized older adults: intervention group (n = 23, 75.7 ± 7.8 years) and control group (n = 14, 78.9 ± 10.2 years). A total of 10 weeks of treadmill walking, twice a week (intervention group) vs. no training (control group). Postural balance was assessed by the Tinetti test, 6-min walk test (6MWT), and 10-m walk test and Quality of life with the WHOQOL-Bref questionnaire.
Significant improvement was observed in balance parameters (6MWT distance: p < 0.001; gait speed 6MWT: p < 0.001; gait speed 10MWT: p < 0.001; Tinetti scale: p = 0.001), and in the physical (p = 0.01), psychological (p = 0.002), self-assessed quality of life (p = 0.01) and overall quality of life domains (p = 0.002).
Treadmill walking program had positive effects on the postural balance and quality of life of institutionalized older adults.
机构化的老年人参与日常生活活动和任务的机会较少，且以独立的方式进行，这对衰老所固有的生理丧失有更大的不利影响，与社区居住的老年人相比，步态和平衡受损程度更高。在不同人群中，已经研究了使用跑步机进行康复治疗，包括有或没有部分体重支持，但尚未在机构化的老年人中进行研究。
评估跑步机步行计划对机构化老年人姿势平衡和生活质量的影响。
37 名机构化老年人：干预组（n=23，75.7±7.8 岁）和对照组（n=14，78.9±10.2 岁）。共进行 10 周的跑步机步行，每周两次（干预组）与无训练（对照组）。姿势平衡通过 Tinetti 测试、6 分钟步行测试（6MWT）和 10 米步行测试进行评估，生活质量采用 WHOQOL-Bref 问卷进行评估。
平衡参数（6MWT 距离：p<0.001；6MWT 步态速度：p<0.001；10MWT 步态速度：p<0.001；Tinetti 量表：p=0.001）以及身体（p=0.01）、心理（p=0.002）、自我评估生活质量（p=0.01）和整体生活质量领域（p=0.002）均有显著改善。
跑步机步行计划对机构化老年人的姿势平衡和生活质量有积极影响。
