Muñoz-Bermejo Laura, Barrios-Fernandez Sabina, Carlos-Vivas Jorge, Mendoza-Muñoz María, Pastor-Cisneros Raquel, Merellano-Navarro Eugenio, Gianikellis Konstantinos, Adsuar José Carmelo
Social Impact and Innovation in Health Research Group (InHEALTH), University of Extremadura, 06800 Mérida, Spain.
Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain.
Biology (Basel). 2022 Feb 11;11(2):290. doi: 10.3390/biology11020290.
Approximately one-third of elderly people aged over 65 who live in the community experience falls every year, with the proportion increasing with age. Moreover, of those who fall, about half will fall again in the following year. The falls' consequences include disability, morbidity, and mortality. Although many external and internal factors lead to falls, balance issues play a major role. Multi-component training programs (McTP) usually combine balance, strength, cardiorespiratory fitness, and flexibility, with studies reporting multiple benefits on the health-related quality of life. Halo Sport is a transcranial direct-current stimulation (tDCS) device with promising results for gait performance. This study aims to test the effectiveness of the introduction of a tCDS device to an McTP to prevent falls in older adults. The sample will consist of 46 people aged 65 years or older, randomly assigned to experimental (n = 23) and control (n = 23) groups. The experimental group will perform the McTP while wearing tDCS, and the control group will perform McTP without the device, for three sessions per week over 12 weeks. The main measures will provide information about (1) safety, (2) applicability, (3) balance, (4) number of falls, (5) physical fitness, (6) risk of falling, (7) fear of falling, (8) health-related quality of life, and (9) cognitive function. Among the practical implications of this program, it is intended to provide data on its safety and effectiveness to be implemented in different resources as a tool for the prevention of falls.
居住在社区中的65岁以上老年人中，每年约有三分之一的人会跌倒，且这一比例会随着年龄的增长而增加。此外，在那些跌倒过的人中，约有一半会在次年再次跌倒。跌倒的后果包括残疾、发病和死亡。尽管许多外部和内部因素都会导致跌倒，但平衡问题起着主要作用。多成分训练计划（McTP）通常将平衡、力量、心肺功能和柔韧性结合起来，有研究报告称其对健康相关生活质量有多种益处。Halo Sport是一种经颅直流电刺激（tDCS）设备，在步态表现方面有很有前景的效果。本研究旨在测试将tCDS设备引入McTP对预防老年人跌倒的有效性。样本将由46名65岁及以上的人组成，随机分为实验组（n = 23）和对照组（n = 23）。实验组将在佩戴tDCS的同时进行McTP，对照组将在不使用该设备的情况下进行McTP，每周进行三次，共12周。主要测量指标将提供有关以下方面的信息：（1）安全性，（2）适用性，（3）平衡能力，（4）跌倒次数，（5）身体素质，（6）跌倒风险，（7）跌倒恐惧，（8）健康相关生活质量，以及（9）认知功能。在该计划的实际意义中，旨在提供其安全性和有效性的数据，以便在不同资源中作为预防跌倒的工具加以实施。
