在社区居住的高风险老年人中,家庭炼计划对后续跌倒的影响:随机临床试验
Teresa Liu-Ambrose1,2,3, Jennifer C Davis2,4, John R Best1,2,3
1Aging, Mobility, and Cognitive Neuroscience Lab, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
JAMA
|June 5, 2019
概括
家庭炼计划显著降低了已经跌倒的老年人的后续跌倒. 这种力量和平衡重训是有效的二次跌倒预防.
科学领域:
- 老年学
- 康复医学
- 公共卫生
背景情况:
- 对于老年人来说, 跌倒是一个主要问题, 尤其是那些有跌倒史的人.
- 有效的防摔策略对于保持老年人的独立性和生活质量至关重要.
研究的目的:
- 评估家庭运动计划在降低高风险老年人后续跌倒的有效性.
- 评估力量和平衡再培训作为二次防摔策略的影响.
主要方法:
- 一个为期12个月的随机临床试验,涉及70岁以上的成年人,他们在过去的一年内经历过跌倒.
- 参与者被分配到家庭强度和平衡炼计划或老年医生的常规护理.
- 在12个月的研究期间,主要测量结果是自报告的跌倒数量.
主要成果:
- 与常规护理组相比,在家进行运动的后续跌倒率明显较低.
- 跌倒的发病率比率为0. 64 (95% CI,0. 46- 0. 90),有利于运动干预.
- 参与者没有报告与运动计划相关的不良事件.
结论:
- 家庭力量和平衡再培训计划是治疗老年人的第二次跌倒预防的有效措施.
- 这些发现支持将此类运动计划纳入高风险老年人群的临床实践.
- 建议进行进一步的研究,以在不同的临床环境中复制这些发现.
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