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穿梭平衡练习对老年男性步态速度、姿势控制和生活质量的影响:一项随机对照试验。

Effects of shuttle balance exercises on gait speed, postural control, and quality of life in older males: A randomized controlled trial.

机构信息

Department of Health and Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.

Department of Sports Injuries and Corrective Exercises, Faculty of Sports Sciences, Shahid Bahonar University of Kerman, Kerman, Iran.

出版信息

Physiother Res Int. 2024 Oct;29(4):e2135. doi: 10.1002/pri.2135.

Abstract

BACKGROUND AND PURPOSE

Enhancing physical function and quality of life in older adults at higher risk of falls is challenging because of the lack of established interventions. This study examines the impact of a 6-week balance training program using the shuttle balance device on gait speed, postural control, and quality of life in older men.

METHODS

This single-blinded randomized controlled trial was conducted in a research laboratory. Thirty-two participants aged ≥60 years were randomly assigned to either an experimental group (EG; n = 16) or a control group (CG; n = 14). The EG participated in a 6-week shuttle balance exercise program, while the CG maintained regular physical activity routines. The main outcome measures included gait speed (assessed via the timed up and go test), postural control (assessed via center of pressure data on a force plate), and quality of life (evaluated using the SF-36 questionnaire).

RESULTS

Post-intervention, the EG showed significant improvements compared with the CG (p < 0.05). The 95% confidence intervals for the differences between groups were as follows: closed eyes (CE) mean velocity (-39.07, -0.13), CE sway area (-48.86, -0.18), SF-36 total score (9.01, 16.81), SF-36 physical functioning (7.00, 24.81), SF-36 physical role functioning (1.80, 27.57), SF-36 pain (15.01, 36.82), SF-36 general health state (7.48, 26.08), SF-36 vitality (5.60, 28.35), and SF-36 mental health (0.21, 21.12).

DISCUSSION

A 6-week shuttle balance training program significantly improves postural control and quality of life in older males. These findings suggest the potential effectiveness of shuttle balance exercises in enhancing physical function and well-being in this population. Further research is needed to validate these findings and explore the long-term effects with larger sample sizes.

摘要

背景与目的

由于缺乏既定的干预措施,提高高跌倒风险的老年人的身体功能和生活质量极具挑战性。本研究旨在探讨使用穿梭平衡仪进行为期 6 周的平衡训练计划对老年男性步态速度、姿势控制和生活质量的影响。

方法

本单盲随机对照试验在研究实验室进行。32 名年龄≥60 岁的参与者被随机分配到实验组(EG;n=16)或对照组(CG;n=14)。EG 参加了为期 6 周的穿梭平衡运动计划,而 CG 则保持常规的体育活动。主要观察指标包括步态速度(采用计时起坐测试评估)、姿势控制(通过测力板上的压力中心数据评估)和生活质量(采用 SF-36 问卷评估)。

结果

干预后,EG 与 CG 相比有显著改善(p<0.05)。组间差异的 95%置信区间如下:闭眼(CE)平均速度(-39.07,-0.13),CE 摆动面积(-48.86,-0.18),SF-36 总分(9.01,16.81),SF-36 身体功能(7.00,24.81),SF-36 身体角色功能(1.80,27.57),SF-36 疼痛(15.01,36.82),SF-36 总体健康状况(7.48,26.08),SF-36 活力(5.60,28.35),SF-36 心理健康(0.21,21.12)。

讨论

为期 6 周的穿梭平衡训练计划可显著改善老年男性的姿势控制和生活质量。这些发现表明穿梭平衡练习有可能增强该人群的身体功能和幸福感。需要进一步的研究来验证这些发现,并探索更大样本量的长期效果。

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