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神经反馈和体感训练对老年人平衡和身体表现的影响:一项平行、单盲、随机对照试验。

The effect of neurofeedback and somatosensory exercises on balance and physical performance of older adults: a parallel single-blinded randomized controlled trial.

机构信息

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

Neuroscience Research Center, Institute of Neuropharmacology and Department of Psychiatry, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Sci Rep. 2024 Oct 15;14(1):24087. doi: 10.1038/s41598-024-74980-7.

Abstract

This study examines the effects of a 5-week program of neurofeedback combined with somatosensory exercises on balance and physical performance in older adults, with the goal of addressing age-related declines in sensory processing and motor function. Sixty older adult men with balance disorders were randomly assigned to one of three groups: neurofeedback combined with somatosensory training, somatosensory training alone, or a control group. The interventions were administered over 5 weeks, with participants attending three sessions per week. Assessments were conducted both before and after the intervention period, including measurements of static balance using the Stork test, dynamic balance using the Timed Up and Go (TUG) test, and physical performance using the Continuous Scale Physical Functional Performance-10 (CS-PFP-10) test. The findings revealed significant improvements in balance and physical performance among participants who received either neurofeedback combined with somatosensory training or somatosensory training alone. Specifically, the Stork test (with both open and closed eyes) showed significant increases in duration, while the TUG test indicated reductions in completion times for both intervention groups (p = 0.001), suggesting enhanced balance and mobility. Additionally, the CS-PFP-10 test results demonstrated a significant difference following the interventions (p = 0.001). These findings suggest that incorporating neurofeedback training into somatosensory exercises may provide additional benefits for older adults in improving balance and mobility.

摘要

本研究旨在探讨为期五周的神经反馈与体感训练相结合的方案对老年人平衡和身体表现的影响,以解决与年龄相关的感觉处理和运动功能下降问题。60 名患有平衡障碍的老年男性被随机分配到三个组之一:神经反馈与体感训练相结合、体感训练单独进行或对照组。干预措施在五周内进行,参与者每周参加三次会议。在干预期前后进行评估,包括使用 Stork 测试测量静态平衡、使用 Timed Up and Go (TUG) 测试测量动态平衡以及使用连续量表身体功能表现-10 (CS-PFP-10) 测试测量身体表现。研究结果显示,接受神经反馈与体感训练或体感训练单独治疗的参与者在平衡和身体表现方面均有显著改善。具体来说,Stork 测试(睁眼和闭眼)的持续时间显著增加,而 TUG 测试表明两个干预组的完成时间都有所减少(p=0.001),表明平衡和移动能力得到了增强。此外,CS-PFP-10 测试结果表明干预后有显著差异(p=0.001)。这些发现表明,将神经反馈训练纳入体感训练可能为改善老年人平衡和移动能力提供额外益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0175/11480452/614422f1f168/41598_2024_74980_Fig1_HTML.jpg

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