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首页> 外文期刊>International journal of rehabilitation research: Internationale Zeitschrift fur Rehabilitationsforschungon >Moving forward in fall prevention: an intervention to improve balance among patients in a quasi-experimental study of hospitalized patients
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Moving forward in fall prevention: an intervention to improve balance among patients in a quasi-experimental study of hospitalized patients

机译：预防跌倒的进展：一项住院患者的准实验研究中的干预措施，旨在改善患者之间的平衡

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We investigated the effectiveness of three different rehabilitative programs: group exercise, individual core stability or balance training intervention with a stabilometric platform to improve balance ability in elderly hospitalized patients. We used a prospective quasi-experimental study design. Twenty-eight patients, 39.3% women [age (mean +/- SD) 72.4 +/- 6.5 years], known to have had at least a fall in the last 12 months, were consecutively assigned to one of the following three groups: group exercise intervention, individual core stability or balance training with a stabilometric platform (five sessions a week for 3 weeks in each group). Outcomes were collected at baseline and immediately following the intervention period. In each intervention group, patients showed improvement in balance and mobility, shown as an improvement in the three functional tests score (the Tinetti scale, the Berg Balance Scale, and the Time Up and Go test) (all, P<0.05), whereas, generally, the changes in the score of the test of the stabilometric platform (Postural Stability Test and Fall Risk Test) were not significant for all the interventions. No significant group-by-time interaction was detected for any of the intervention groups, which suggests that the groups improved in the same way. These findings indicate that participation in an exercise program can improve balance and functional mobility, which might contribute toward the reductions of the falls of elderly hospitalized patients and the subsequent fall-related costs. Functional scales might be more appropriate than an instrumental test (Postural Stability Test and Fall Risk Test of the Biodex Balance System) in detecting the functional improvement because of a rehabilitative intervention.
机译：我们研究了三种不同的康复计划的有效性：小组锻炼，个人核心稳定性或使用稳定平台进行平衡训练干预以改善老年住院患者的平衡能力。我们使用了前瞻性的准实验研究设计。 28名患者（39.3％的妇女[年龄（平均+/- SD）72.4 +/- 6.5岁]，已知在最近12个月内至少有过跌倒，被连续分配到以下三组之一：小组锻炼干预，个人核心稳定性或使用稳定平台的平衡训练（每组每周5节，共3周）。在基线和干预期之后立即收集结果。在每个干预组中，患者的平衡和活动能力均得到改善，表现为三个功能测试得分（Tinetti量表，Berg平衡量表和Time Up and Go检验）的改善（所有，P <0.05），而，总体而言，稳定度平台测试（姿势稳定性测试和跌倒风险测试）得分的变化对所有干预措施均不显着。对于任何干预组，均未检测到显着的逐时交互作用，这表明各组以相同的方式得到了改善。这些发现表明，参加锻炼计划可以改善平衡度和功能活动性，这可能有助于减少老年住院患者的跌倒以及随之而来的跌倒相关费用。由于进行了康复干预，功能量表可能比仪器测试（Biodex平衡系统的姿势稳定性测试和跌倒风险测试）更适合检测功能改善。

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