基于大脑外直流刺激的预防性炼计划对社区居住的老年人的身体功能和降低跌倒效率的影响
1Department of Physical Therapy, Graduate School, Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul 01795, Republic of Korea.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
结合小脑跨直流刺激 (c-tDCS) 和经过修改的奥塔戈运动计划 (OEP),改善了老年人的力量和动态平衡. 短期干预并没有显著影响静态平衡或跌倒疗效.
科学领域:
- 老年学和康复科学 老年学和康复科学
- 神经科学和运动控制
- 临床试验和干预研究研究.
背景情况:
- 跌倒是老年人受伤的重要原因,与肌肉力量,平衡和感官集成的下降有关.
- 运动计划对于预防跌倒是有效的,但将它们与小脑直流跨刺激 (c-tDCS) 结合起来需要进一步研究.
- 关于c-tDCS和运动干预措施在老年人中预防跌倒的协同效应的证据有限.
研究的目的:
- 为了研究大脑小直流刺激 (c-tDCS) 与经过修改的奥塔戈运动计划 (OEP) 对老年人的影响.
- 评估这种联合干预措施对下肢强度,动态和静态平衡以及跌倒功效的影响.
- 将c-tDCS + OEP组的结果与假刺激 + OEP对照组进行比较.
主要方法:
- 一项随机对照试验,涉及26名居住在社区的老年人 (平均年龄为71-74岁).
- 参与者被分配到c-tDCS + OEP组或假 + OEP组,每周干预两次,持续四周.
- 结果措施包括五次坐立测试 (FTSST),定时上升和移动 (TUG),静态平衡 (速度平均) 和布效率尺度-韩国 (FES-K),评估干预前后.
主要成果:
- 与假装组相比,c-tDCS + OEP 组在下肢力量 (FTSST) 和动态平衡 (TUG) 中的改善显著更大 (p < 0.05).
- 对于静态平衡或跌倒功效 (p > 0.05) 两组之间没有发现显著差异.
- 改善FTSST和TUG的效应大小中等 (r = 0.44和r = 0.56分别).
结论:
- 将c-tDCS与基于OEP的运动计划相结合,可以提高老年人的下肢力量和动态平衡.
- 短期干预 (4周) 没有显著改善静态平衡或跌倒疗效.
- 建议进行更长的干预期和更大的样本大小的进一步研究,以确认发现并探索潜在机制.
相关概念视频
Community Based Intervention
297
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
297
What are Populations and Communities?
37.6K
Overview
37.6K
Oxidation-Reduction Reactions
75.5K
Oxidation–Reduction Reactions
75.5K
Free-falling Bodies: Example
31.7K
An object falling without any air resistance under the influence of gravitational force is said to be in free-fall. For free-falling bodies, the acceleration due to gravity is constant, irrespective of their mass. Free-fall is experienced not only by objects falling downward, but also by all objects whose motion is influenced by gravitational force alone. The dynamics of free-fall motion can be calculated using kinematic equations of motion, since free-fall acceleration is constant.
The...
The...
31.7K
Free-falling Bodies: Introduction
11.8K
All objects, neglecting air resistance, fall with the same acceleration towards the Earth's center due to the force exerted by the Earth's gravity. This experimentally determined fact is unexpected because we are so accustomed to the effects of air resistance and friction that we expect light objects to fall slower than heavier ones. People believed that a heavier object had a greater acceleration when falling until Galileo Galilei (1564–1642) proved otherwise. We now know this is...
11.8K
Directing and Steric Effects in Disubstituted Benzene Derivatives
4.0K
When disubstituted benzenes undergo electrophilic substitution, the product distribution depends on the directing effect of both substituents. When the directing effects of both substituents reinforce each other, a single product is obtained. For example, bromination of p-nitrotoluene occurs ortho to the methyl group and meta to the nitro group, which is the same position, resulting in a single product. However, if the directing effects of the two groups oppose each other, the...
4.0K


