Wang Jixian, Li Yongfang, Yang Guo-Yuan, Jin Kunlin
Department of Rehabilitation Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Neuroscience and Neuroengineering Research Center, Med-X Research Institute and School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Aging Dis. 2024 Jan 24;16(2):714-737. doi: 10.14336/AD.2024.0124-1.
This review delves into the multifaceted aspects of age-related balance changes, highlighting their prevalence, underlying causes, and the impact they have on the elderly population. Central to this discussion is the exploration of various physiological changes that occur with aging, such as alterations in the vestibular, visual, proprioceptive systems, and musculoskeletal degeneration. We examine the role of neurological disorders, cognitive decline, and medication side effects in exacerbating balance issues. The review underscores the significance of early detection and effective intervention strategies in mitigating the risks associated with balance problems, such as falls and reduced mobility. It discusses the effectiveness of diverse intervention strategies, including exercise programs, rehabilitation techniques, and technological advancements like virtual reality, wearable devices, and telemedicine. Additionally, the review stresses the importance of a holistic approach in managing balance disorders, encompassing medication review, addressing comorbidities, and environmental modifications. The paper also presents future research directions, emphasizing the need for a deeper understanding of the complex mechanisms underlying balance changes with aging and the potential of emerging technologies and interdisciplinary approaches in enhancing assessment and intervention methods. This comprehensive review aims to provide valuable insights for healthcare providers, researchers, and policymakers in developing targeted strategies to improve the quality of life and ensure the well-being of the aging population.
本综述深入探讨了与年龄相关的平衡变化的多方面内容,强调了其普遍性、潜在原因以及对老年人群体的影响。本次讨论的核心是探索随着年龄增长而发生的各种生理变化,如前庭、视觉、本体感觉系统的改变以及肌肉骨骼的退化。我们研究了神经疾病、认知衰退和药物副作用在加剧平衡问题方面的作用。该综述强调了早期检测和有效干预策略在减轻与平衡问题相关风险(如跌倒和行动能力下降)方面的重要性。它讨论了各种干预策略的有效性,包括运动计划、康复技术以及虚拟现实、可穿戴设备和远程医疗等技术进步。此外,该综述强调了采用整体方法管理平衡障碍的重要性,包括药物审查、处理合并症和环境改造。本文还提出了未来的研究方向,强调需要更深入地了解与年龄相关的平衡变化背后的复杂机制,以及新兴技术和跨学科方法在改进评估和干预方法方面的潜力。这一全面综述旨在为医疗保健提供者、研究人员和政策制定者提供有价值的见解,以便制定有针对性的策略来提高老年人的生活质量并确保其福祉。