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穿着压缩衣对社区居住的老年人平衡控制的急性和适应期影响。

Acute and Acclimated Effects of Wearing Compression Garments on Balance Control in Community-Dwelling Older Adults.

机构信息

Department of Physical Therapy, Angelo State University, San Angelo, TX, USA.

出版信息

Motor Control. 2024 Apr 5;28(3):326-340. doi: 10.1123/mc.2023-0117. Print 2024 Jul 1.

Abstract

Falls are very serious health concerns among older adults. Providing additional cutaneous and proprioceptive feedback to older adults may enhance their balance control and therefore reduce the incidents of falls. This study aimed to investigate the acute and acclimated effect of wearing waist-to-above-ankle compression garments (CGs) on balance control in community-dwelling older adults. Thirty-one older adults participated in the study. The Timed Up and Go, Berg Balance Scale, and the Fall Risk Test of the Biodex Balance System were used in a random order to examine balance control in three testing sessions 1 week apart. Results indicated wearing CGs had a significant impact on the Timed Up and Go test (p < .001), Berg Balance Scale (p = .001), and the Fall Risk Test (p = .001). For the Timed Up and Go test, participants exhibited significant improvement in both the acute (8.68 vs. 7.91 s) and acclimated effect (7.91 vs. 7.41 s) of wearing CGs. For the Berg Balance Scale, participants showed significant improvement after wearing CGs for 1 week in comparison to the no CGs condition (55.77 vs. 55.39 points). For the Fall Risk Test, participants showed a significant improvement in the acute effect of wearing CGs in comparison to the no CGs condition (1.55° vs. 1.31°). This exploratory study showed that wearing waist-to-above-ankle CGs provided a positive impact on balance control in healthy community-dwelling older adults. It lays the foundation for future studies with a larger sample size to investigate the potential benefits of wearing CGs in individuals with balance control deficits and/or other comorbidities.

摘要

老年人中,跌倒被视为严重的健康问题。为老年人提供额外的皮肤和本体感觉反馈,可能会增强他们的平衡控制能力,从而减少跌倒的发生。本研究旨在探讨穿腰部至踝关节以上压缩服(CG)对社区居住的老年人平衡控制的急性和适应影响。31 名老年人参与了这项研究。使用定时起身和行走测试、伯格平衡量表和 Biodex 平衡系统的跌倒风险测试,在 1 周的 3 个测试间隔中,以随机顺序检查平衡控制。结果表明,穿 CG 对定时起身和行走测试(p<0.001)、伯格平衡量表(p=0.001)和跌倒风险测试(p=0.001)有显著影响。对于定时起身和行走测试,参与者在穿 CG 的急性(8.68 秒对 7.91 秒)和适应效果(7.91 秒对 7.41 秒)方面都有显著的改善。对于伯格平衡量表,与不穿 CG 条件相比,参与者在穿 CG 后 1 周的得分有显著提高(55.77 分对 55.39 分)。对于跌倒风险测试,与不穿 CG 条件相比,参与者在穿 CG 的急性效果方面有显著提高(1.55°对 1.31°)。这项探索性研究表明,穿腰部至踝关节以上 CG 对健康社区居住的老年人的平衡控制有积极影响。它为未来的研究奠定了基础,这些研究将有更大的样本量,以调查在平衡控制缺陷和/或其他合并症患者中穿 CG 的潜在益处。

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