社区居住老年人在进行 24 周的双重任务训练后（可变和固定优先级），对跌倒的担忧、平衡信心、生活质量和抑郁症状：一项随机对照试验。

Concern About Falling, Confidence in Balance, Quality of Life, and Depression Symptoms in Community-Dwelling Older Adults After a 24-week Dual-Task Training With Variable and Fixed Priority: A Randomized Controlled Trial.

机构信息

Department of Physical Therapy, 117113University of Pernambuco, Brazil.

Master's and Doctoral Programs in Rehabilitation and Functional Performance, 117113University of Pernambuco, Brazil.

出版信息

Res Aging. 2022 Oct-Dec;44(9-10):658-668. doi: 10.1177/01640275221073993. Epub 2022 Feb 27.

DOI:10.1177/01640275221073993

PMID:35225079

Abstract

OBJECTIVE

To evaluate the effect of a 24-week dual-task training with progression from variable to fixed priority on the concern about falling, confidence in balance, quality of life, and depression symptoms in community-dwelling older adults.

METHODS

A total of 60 participants (60-80 y.o.) were randomly allocated into a dual-task training group with progression from variable to fixed priority (experimental group) or into a dual-task training group with variable priority (control group).

RESULTS

No between-group difference was observed after the intervention. A significant time effect showed a reduction in concern about falling [mean difference (MD) = -2.91)] and depression symptoms (MD = -1.66), an increase in the physical function (MD = 7.86), overall mental health (MD = 5.82), perception of vitality, energy, and less fatigue (MD = 10.45), general perception of overall health (MD = 6.81), and their health compared to the last year (MD = 11.89).

CONCLUSION

The experimental protocol was not superior to the control one. However, both protocols improved these outcomes.

摘要

目的

评估 24 周的双重任务训练，从可变优先级进展到固定优先级，对社区居住的老年人的跌倒担忧、平衡信心、生活质量和抑郁症状的影响。

方法

共 60 名参与者（60-80 岁）被随机分配到从可变优先级进展到固定优先级的双重任务训练组（实验组）或可变优先级的双重任务训练组（对照组）。

结果

干预后两组之间没有差异。时间效应显著，跌倒担忧减少[平均差异（MD）=-2.91]和抑郁症状（MD=-1.66），身体功能（MD=7.86）、整体心理健康（MD=5.82）、活力、能量和疲劳感的感知（MD=10.45）、整体健康状况的总体感知（MD=6.81）以及与去年相比的健康状况（MD=11.89）都有所增加。