Department of Physical Education and Sports Sciences, Aristotle University of Thessaloniki, Thermi, 57001, Thessaloniki, Greece.
Department of Physiotherapy, Faculty of Health Sciences, International Hellenic University-Alexander Campus, 57 400 Sindos, P.O. Box 141, Thessaloniki, Greece.
Eur Geriatr Med. 2022 Aug;13(4):893-906. doi: 10.1007/s41999-022-00656-y. Epub 2022 May 24.
The pandemic has led to the isolation and social exclusion of older adults and cut them off from any exercise activity. Thus, it is more than ever necessary to implement organized interventions to prevent falls in older people as they remain a global health problem associated with serious injuries, chronic disability, and high costs for the healthcare system. Otago exercise program (OEP) can effectively reduce the number of falls.
To study the effect of a 6 months modified video supported OEP in balance, functional ability, fear of falls and number of falls in Greek older people who have fallen.
150 fallers aged 65-80 years [Median age 70 (67-74), 88.7% women] were divided into two groups (intervention and control). Primary outcomes included changes in Short FES-I, CONFbal scale, 4-Stage Balance test, BBS, TUG test and number of falls, while the secondary outcome consists of the monthly adherence to exercise after the intervention. Analysis of variance with repeated measures was applied.
There were statistically significant between groups differences after 6 months with the OEP group to shows improved values in TUG time score (17.8 vs 3.9%, p < 0.001, 95% CI), 4-Stage Balance Test (6.85 vs 1.09%, p < 0.05 95% CI), 30-Second Chair Stand Test 7.35 vs 2.93%, p < 0.001), BBS score (13.27 vs 3.89%, p < 0.001, 95% CI), Short FES-I (35.78 vs 13.01%, p < 0.001, 95% CI) and number of falls (69.12 vs 18.70%, p < 0.001, 95% CI). All the above differences remained statistically significant in the 12 months follow-up (p < 0.05), when differences in the CONFbal score were also observed (p < 0.001, 95% CI). No differences were found in adherence to OEP (p > 0.05).
A modified OEP decreases the number of falls, improves the balance and functional ability of older adults and reduces the fear of falling. However, it did not contribute to satisfactory adherence to exercise.
TRIAL REGISTRATION NUMBER/DATE OF REGISTRATION: NCT04330053/April 1, 2020.
疫情导致老年人隔离和社会孤立，使他们无法进行任何锻炼活动。因此，现在比以往任何时候都更有必要实施有组织的干预措施，以预防老年人跌倒，因为跌倒仍然是一个与严重伤害、慢性残疾和医疗系统高成本相关的全球性健康问题。奥塔哥锻炼计划（OEP）可以有效地减少跌倒的次数。
研究 6 个月改良视频支持的 OEP 在平衡、功能能力、跌倒恐惧和希腊跌倒老年人跌倒次数方面的效果。
将 150 名 65-80 岁的跌倒老年人（中位年龄 70（67-74）岁，88.7%为女性）分为两组（干预组和对照组）。主要结局包括短 FES-I、CONFbal 量表、4 阶段平衡测试、BBS、TUG 测试和跌倒次数的变化，而次要结局包括干预后每月锻炼的依从性。应用重复测量方差分析。
经过 6 个月的 OEP 治疗后，与对照组相比，OEP 组在 TUG 时间评分（17.8%对 3.9%，p<0.001，95%CI）、4 阶段平衡测试（6.85%对 1.09%，p<0.05，95%CI）、30 秒椅站测试（7.35%对 2.93%，p<0.001）、BBS 评分（13.27%对 3.89%，p<0.001，95%CI）、短 FES-I（35.78%对 13.01%，p<0.001，95%CI）和跌倒次数（69.12%对 18.70%，p<0.001，95%CI）方面均有统计学意义。在 12 个月的随访中，所有上述差异均具有统计学意义（p<0.05），同时观察到 CONFbal 评分的差异（p<0.001，95%CI）。OEP 的依从性没有差异（p>0.05）。
改良 OEP 可减少老年人跌倒次数，改善其平衡和功能能力，降低跌倒恐惧。然而，它并没有促进对运动的满意依从性。
试验注册号/注册日期：NCT04330053/2020 年 4 月 1 日。
