认知-运动双重任务训练预防社区老年人跌倒的有效性：一项荟萃分析与系统评价。

Effectiveness of cognitive-motor dual task training in preventing falls in community older adults: A meta-analysis and systematic review.

作者信息

Gao Yan, Liu Naiquan

机构信息

Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, China.

Department of Nephrology, Shengjing Hospital of China Medical University, Shenyang, China.

出版信息

Geriatr Nurs. 2025 Jul-Aug;64:103366. doi: 10.1016/j.gerinurse.2025.05.005. Epub 2025 May 26.

DOI:10.1016/j.gerinurse.2025.05.005

PMID:40410069

Abstract

BACKGROUND

Cognitive-motor dual task training has shown great significance in reducing the risk of falls and improving gait and balance function in the older persons, and is increasingly emerging in the field of sports rehabilitation.However, the effects of cognitive-motor dual task training are not well-understood.

OBJECTIVE

To evaluate the effectiveness of cognitive-motor dual task training in preventing falls in community older adults.

DESIGN

Systematic review.

METHODS

A librarian-designed search of the Cochrane Library, PubMed, Web of Science, EMBASE, CINAHL, CBM, CNKI, and Wanfang databases was conducted to identify studies in English or Chinese on randomized controlled trials up to 10 May 2024. Two researchers independently screened the literature by reading the titles and abstracts of the trials to determine whether a study was eligible for inclusion. Primary and secondary outcomes were compared between the intervention and control groups. A fixed- or random-effects meta-analysis model was used to determine the mean difference, based on the results of the heterogeneity test.

RESULTS

Compared to traditional fall prevention interventions, cognitive-motor dual-task training can effectively improve the gait, static and dynamic(≥12-week) balance function of community older adults, enhance executive function, and reduce the risk of falls. The effect of dual-task training on enhancing lower-extremity muscle strength and reducing the fear of falling in community-dwelling older adults remains controversial.

CONCLUSIONS

Cognitive-motor dual-task training interventions could effectively prevent falls in community older individuals. Higher quality, larger sample size, and long-term follow-up studies are needed to further verify the long-term effectiveness of cognitive-motor dual-task training training in preventing falls in community older individuals.

NO PATIENT OR PUBLIC CONTRIBUTION

Our paper is a systematic review and meta-analysis and such details don't apply to our work.

摘要

背景

认知-运动双重任务训练在降低老年人跌倒风险、改善步态和平衡功能方面具有重要意义，且在运动康复领域中日益兴起。然而，认知-运动双重任务训练的效果尚未得到充分理解。

目的

评估认知-运动双重任务训练对预防社区老年人跌倒的有效性。

设计

系统评价。

方法

由图书馆员设计检索策略，检索Cochrane图书馆、PubMed、Web of Science、EMBASE、CINAHL、CBM、CNKI和万方数据库，以识别截至2024年5月10日的英文或中文随机对照试验研究。两名研究人员通过阅读试验的标题和摘要独立筛选文献，以确定一项研究是否符合纳入标准。比较干预组和对照组的主要和次要结局。根据异质性检验结果，使用固定效应或随机效应荟萃分析模型确定平均差异。