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双重任务训练对老年人平衡能力的影响:系统评价和荟萃分析。

Effect of dual-task training on balance in older adults: A systematic review and meta-analysis.

机构信息

Department of Audiology, Eskisehir Osmangazi University, Buyukdere Neighborhood, Meşelik Campus, Eskisehir 26040, Turkey.

Department of Physical Therapy and Rehabilitation, Eskisehir Osmangazi University, Eskisehir, Turkey.

出版信息

Arch Gerontol Geriatr. 2024 Jun;121:105368. doi: 10.1016/j.archger.2024.105368. Epub 2024 Feb 9.

Abstract

PURPOSE

Our review aims to analyze the effect of dual-task training (DTT) on balance in healthy older adults.

METHODS

PubMed, EbscoHost, Web of Science (WOS), Scopus, Cochrane Library, MEDLINE, EBSCO Open Dissertations, ULAKBIM (TR Index) and YOK (Council of Higher Education Thesis Center) databases and the gray literature were searched. The quality of the studies was assessed with the Cochrane Risk of Bias tool and statistical analysis of the data was performed with Comprehensive Meta-Analysis (CMA) software. A funnel plot and Egger's test were used to detect publication bias. Fourteen studies with 691 participants were included.

RESULTS

According to the results of our study, DTT was found to have a significant benefit on balance in older adults than the non-intervention group (standardized mean difference (SMD): -0.691: -1.153, -0.229, 95 % confidence interval (CI)). Furthermore, DTT was superior to different intervention groups in improving balance in older adults (SMD: -0.229: -0.441, -0.016, 95 % CI).

CONCLUSION

The findings of this review suggest that DTT may be an effective intervention to improve balance in healthy older adults.

摘要

目的

我们的综述旨在分析双重任务训练(DTT)对健康老年人平衡能力的影响。

方法

我们检索了 PubMed、EbscoHost、Web of Science(WOS)、Scopus、Cochrane 图书馆、MEDLINE、EBSCO 开放论文集、ULAKBIM(TR 索引)和 YOK(高等教育委员会论文中心)数据库以及灰色文献。使用 Cochrane 偏倚风险工具评估研究质量,并使用 Comprehensive Meta-Analysis(CMA)软件对数据进行统计分析。使用漏斗图和 Egger 检验检测发表偏倚。纳入了 14 项研究,共 691 名参与者。

结果

根据我们的研究结果,与非干预组相比,DTT 对老年人的平衡能力有显著的益处(标准化均数差(SMD):-0.691:-1.153,-0.229,95%置信区间(CI))。此外,DTT 在改善老年人平衡能力方面优于不同的干预组(SMD:-0.229:-0.441,-0.016,95%CI)。

结论

本综述的结果表明,DTT 可能是改善健康老年人平衡能力的有效干预措施。

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