Han Liang, Xi Xiaoming, Wang He, Kan Mengfan, Yu Shaohong
Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, CHN.
Physical Medicine and Rehabilitation, Rehabilitation Center, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing, CHN.
Cureus. 2024 Aug 7;16(8):e66375. doi: 10.7759/cureus.66375. eCollection 2024 Aug.
Falls have become an important public health problem that seriously affects the quality of survival of older adults and are a major cause of fractures, death, and reduced quality of life. With the advent of an aging society, the social, economic, and medical burdens of falls in older adults are increasing. Currently, there is a lack of effective means to prevent falls in older adults, and traditional health education and clinical interventions are not effective. It is urgent to find a safe and effective training method that can improve balance function and is suitable for the elderly. Low-intensity blood flow restriction training (BFRT) is an emerging training modality that, by restricting blood flow to the limbs and combining it with low-intensity exercise, can effectively improve muscle mass, aerobic capacity, and bone density, and has been shown to enhance somatic function in older adults. However, the effectiveness and specific mechanisms of BFRT in preventing falls in older adults are unclear. Based on recent research progress, this paper explores the possibility of BFRT in preventing falls in older adults by analyzing its positive effects on muscle mass, balance function, and cognitive function, the risk factors of falling in the elderly are summarized, as well as its potential role in reducing fall risk factors. It aims to provide new thinking for academia and clinical practice and to provide a scientific basis for reducing the risk of falls in the elderly.
跌倒已成为一个重要的公共卫生问题,严重影响老年人的生存质量,是导致骨折、死亡和生活质量下降的主要原因。随着老龄化社会的到来,老年人跌倒的社会、经济和医疗负担日益加重。目前,缺乏有效的预防老年人跌倒的手段,传统的健康教育和临床干预效果不佳。迫切需要找到一种安全有效的训练方法,既能改善平衡功能又适合老年人。低强度血流限制训练(BFRT)是一种新兴的训练方式,通过限制肢体血流并结合低强度运动,可有效增加肌肉量、提高有氧能力和骨密度,已被证明能增强老年人的躯体功能。然而,BFRT预防老年人跌倒的有效性及具体机制尚不清楚。基于近期的研究进展,本文通过分析BFRT对肌肉量、平衡功能和认知功能的积极作用,探讨其预防老年人跌倒的可能性,总结老年人跌倒的危险因素以及BFRT在降低跌倒危险因素方面的潜在作用。旨在为学术界和临床实践提供新的思路,为降低老年人跌倒风险提供科学依据。