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年龄模拟在健康年轻人中重现了老年人所经历的平衡功能挑战:一项观察性研究。

Age suit simulation replicates in healthy young adults the functional challenges to balance experienced by older adults: an observational study.

作者信息

Watkins Carole Anne, Higham Ellie, Gilfoyle Michael, Townley Charley, Hunter Sue

机构信息

School Of Allied Health Professions, Keele University, Keele, UK.

出版信息

BMJ Simul Technol Enhanc Learn. 2021 Jun 29;7(6):581-585. doi: 10.1136/bmjstel-2021-000867. eCollection 2021.

Abstract

BACKGROUND

Age simulation can have a positive effect on empathic understanding and perception of ageing. However, there is limited evidence for its ability to replicate objectively the physical and functional challenges of ageing.

OBJECTIVE

To observe whether age suit simulation can replicate in healthy young adults the physical and physiological balance disturbance and falls risk experienced by older adults.

METHODOLOGY

Healthy young adults aged 20-40 years (16 male) were recruited to the study using convenience sampling from a student population. Participants performed three validated balance tests-Functional Reach Test (FRT), Timed Up and Go (TUG) and Berg Balance Scale (BBS)-first without the age suit and then with the age suit, using a standardised protocol, following the same sequence.

RESULTS

30 participants completed all tests. Statistically significant differences between without-age-suit and with-age-suit performance were recorded for FRT distance (p<0.000005), time taken to complete the TUG (p<0.0005) and BBS score (p<0.001). A comparison of participant scores with normative FRT and TUG scores identified that the suit had 'aged' the majority of participants to the normative values for older adults (60+), with some reaching the values for individuals aged 70-89. However, no scores achieved the values indicative of increased falls risk.

CONCLUSIONS

The age suit is a valid educational tool that extends the value of age simulation beyond a more general empathising role, enabling those working with an older population to experience and understand the functional challenges to balance experienced by older adults as part of their training.

摘要

背景

年龄模拟对共情理解和衰老认知可能产生积极影响。然而,关于其客观复制衰老的身体和功能挑战能力的证据有限。

目的

观察年龄套装模拟是否能在健康的年轻成年人中复制老年人经历的身体和生理平衡障碍及跌倒风险。

方法

采用便利抽样法从学生群体中招募20 - 40岁的健康年轻成年人(16名男性)参与研究。参与者按照标准化方案,以相同顺序先不穿年龄套装,然后穿上年龄套装进行三项经过验证的平衡测试——功能性伸展测试(FRT)、定时起立行走测试(TUG)和伯格平衡量表(BBS)。

结果

30名参与者完成了所有测试。FRT距离(p<0.000005)、完成TUG所需时间(p<0.0005)和BBS评分(p<0.001)在不穿年龄套装和穿年龄套装时的表现上存在统计学显著差异。将参与者的分数与FRT和TUG的标准分数进行比较发现,该套装使大多数参与者“衰老”到老年人(60岁以上)的标准值,一些人达到了70 - 89岁个体的标准值。然而,没有分数达到表明跌倒风险增加的值。

结论

年龄套装是一种有效的教育工具,它将年龄模拟的价值扩展到更一般的共情角色之外,使与老年人群体打交道的人在培训中能够体验和理解老年人在平衡方面所面临的功能挑战。

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