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老年人预防跌倒的平衡运动循环训练：一项随机对照交叉试验

Balance Exercise Circuit for fall prevention in older adults: a randomized controlled crossover trial.

作者信息

Costa Juliana N A, Ribeiro Alexandre L A, Ribeiro Daniele B G, Neri Silvia G R, Barbosa Daniel F, Avelar Bruna P, Safons Marisete P

机构信息

Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília - DF, Brasil.

Faculdade de Educação Física, Universidade de Brasília, Brasília - DF, Brasil.

出版信息

J Frailty Sarcopenia Falls. 2022 Jun 1;7(2):60-71. doi: 10.22540/JFSF-07-060. eCollection 2022 Jun.

DOI:10.22540/JFSF-07-060
PMID:35775091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9175283/
Abstract

OBJECTIVES

This study aimed to assess the immediate and short-term effects of the Balance Exercise Circuit (BEC) on muscle strength, postural balance, and quality of life, with the aim of preventing falls in older adults.

METHODS

Twenty-two volunteers participated in this randomized controlled crossover study. Group A performed BEC training in the initial 3 months and received no intervention in the following 3 months. Group B received no intervention during the first 3 months and then participated in BEC training for the next 3 months. In addition, participants were followed for an additional 3 months. Muscle strength, postural balance, functional mobility, and quality of life were assessed, respectively, using an isokinetic dynamometer, force platform, TUG test, and the WHOQOL.

RESULTS

After 3 months of training, Group A presented improved balance and rate of force development (RFD), while Group B presented improvements in RFD, TUG performance, and WHOQOL physical and psychological domains. Regarding the short-term effects, the participants maintained the training effects in WHOQOL balance, RFD, and the social domain. In addition, the number of falls decreased during follow-up.

CONCLUSION

The BEC intervention improved muscle strength, postural balance, and quality of life in older adults, in addition to reducing the risk of falls.

TRIAL REGISTRATION

Brazilian Registry of Clinical Trials (ReBEC) - RBR-5nvrwm.

摘要

目的

本研究旨在评估平衡运动循环训练（BEC）对老年人肌肉力量、姿势平衡和生活质量的即时及短期影响，以预防老年人跌倒。

方法

22名志愿者参与了这项随机对照交叉研究。A组在最初3个月进行BEC训练，随后3个月不接受干预。B组在最初3个月不接受干预，然后在接下来的3个月参与BEC训练。此外，对参与者进行了额外3个月的随访。分别使用等速测力计、测力平台、定时起立行走测试（TUG）和世界卫生组织生活质量量表（WHOQOL）评估肌肉力量、姿势平衡、功能活动能力和生活质量。

结果

经过3个月的训练，A组的平衡能力和力量发展速率（RFD）有所改善，而B组的RFD、TUG表现以及WHOQOL身体和心理领域均有改善。关于短期影响，参与者在WHOQOL平衡、RFD和社会领域维持了训练效果。此外，随访期间跌倒次数减少。

结论

BEC干预除了降低跌倒风险外，还改善了老年人的肌肉力量、姿势平衡和生活质量。

试验注册

巴西临床试验注册中心（ReBEC） - RBR-5nvrwm。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c40d/9175283/75eacbef3c0f/JFSF-7-060-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c40d/9175283/9f5280f604cd/JFSF-7-060-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c40d/9175283/07f3f1fe64e2/JFSF-7-060-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c40d/9175283/75eacbef3c0f/JFSF-7-060-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c40d/9175283/9f5280f604cd/JFSF-7-060-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c40d/9175283/07f3f1fe64e2/JFSF-7-060-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c40d/9175283/75eacbef3c0f/JFSF-7-060-g003.jpg

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