虚拟现实程序和运动想象训练对孤立老年人平衡和跌倒效能的益处:一项随机对照试验。

Benefits of Virtual Reality Program and Motor Imagery Training on Balance and Fall Efficacy in Isolated Older Adults: A Randomized Controlled Trial.

机构信息

Department of Medical Sciences, Nambu University, 23, Cheomdanjungang-ro, Gwangsan-gu, Gwangju 62271, Korea.

Department of Physical Therapy, Nambu University, 23, Cheomdanjungang-ro, Gwangsan-gu, Gwangju 62271, Korea.

出版信息

Medicina (Kaunas). 2022 Oct 28;58(11):1545. doi: 10.3390/medicina58111545.

Abstract

Background and Objectives: for isolated older adults, alternative training indoors to maintain balance is essential; however, related studies are lacking. To improve the balance of isolated older adults and reduce their fear of falling, we aimed to examine the balance−keeping effect of a virtual reality (VR) program and motor imagery training (MIT) and propose training that could improve physical activity among older adults. Methods: a total of 34 older adults admitted to a convalescent hospital were assessed. VR (n = 12) and MIT (n = 10) groups completed their assigned intervention in six weeks, whereas the control group (CG) (n = 12) did not. The follow−up was performed after two weeks. Results: in group × time interactions, body center movement area, open and closed eyes balance scores, and fall efficacy were significantly different (p < 0.05). In contrast with the VR group, the MIT group did not show a significant difference in the open or closed eyes balance scores depending on the period. However, there was a significant difference between the MIT group and CG in the open eyes balance score post-test (d = 1.13, 95% confidence interval, 0.40−12.33). Conclusions: we propose VR and MIT as training methods to prevent physical weakness in isolated older adults.

摘要

背景与目的

对于独居的老年人来说,室内替代训练以保持平衡至关重要;然而,相关研究却很少。为了提高独居老年人的平衡能力,降低其跌倒恐惧,我们旨在检验虚拟现实(VR)训练和运动意象训练(MIT)对平衡的保持效果,并提出可以提高老年人身体活动水平的训练方法。方法:共评估了 34 名入住疗养院的老年人。VR 组(n = 12)和 MIT 组(n = 10)在六周内完成了指定的干预,而对照组(CG)(n = 12)则没有。在两周后进行随访。结果:在组间×时间交互作用中,身体中心移动面积、睁眼和闭眼平衡评分以及跌倒效能均有显著差异(p < 0.05)。与 VR 组相比,MIT 组在睁眼和闭眼平衡评分方面在不同时间点均无显著差异。然而,MIT 组与 CG 组在睁眼平衡评分后测时存在显著差异(d = 1.13,95%置信区间,0.40−12.33)。结论:我们提出 VR 和 MIT 作为训练方法,以预防独居老年人的身体虚弱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e985/9692723/a8292eb2b645/medicina-58-01545-g001.jpg

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