老年人平衡能力评估及干预的研究进展

doi:10.3761/j.issn.0254-1769.2019.04.026

摘要/Abstract

摘要：

老年人由于机体功能下降易发生跌倒,跌倒是造成老年人伤亡的主要原因,而平衡能力下降与跌倒发生密切相关。该文从静态和动态稳态平衡、主动性平衡、反应性平衡及四肢肌力方面对老年人的平衡能力评估及干预进行综述,旨在为预防老年人跌倒提供借鉴。

关键词: 老年人, 平衡能力, 护理评估, 干预, 综述

Key words: Aged, Balance Function, Nursing Assessment, Intervention, Review

李燕,黄丽华. 老年人平衡能力评估及干预的研究进展[J]. 中华护理杂志, 2019, 54(4): 603-608.

参考文献 53

[1]	潘洪志. 我国人口老龄化对经济增长的影响及对策研究[J]. 商业经济,2018(7):116-117.
[2]	卓乘风,邓峰. 人口老龄化、区域创新与产业结构升级[J]. 人口与经济,2018(1):48-60.
[3]	Davis JC,Best JR,Khan KM,et al.Slow processing speed predicts falls in older adults with a falls history:1-year prospective cohort study[J]. J Am Geriatr Soc,2017,65(5):916-923. DOI URL
[4]	Park SH.Tools for assessing fall risk in the elderly:a systematic review and meta-analysis[J]. Aging Clin Exp Res,2018, 30(1):1-16. DOI URL
[5]	崔敏,于康,李春微,等. 老年人肌肉衰减症和跌倒发生率及营养和运动干预相关研究进展的系统综述[J]. 中华临床营养杂志,2017,25(5):278-285.
[6]	van Wyk A,Eksteen CA,Becker PJ,et al. A cross-sectional survey and cross-sectional clinical trial to determine the prevalence and management of eye movement disorders and vestibular dysfunction in post-stroke patients in the sub-acute phase:protocol[J]. Front Neurol,2016,7(9):140.
[7]	燕铁斌,窦祖林. 实用瘫痪康复[M]. 北京:人民卫生出版社,1999:134-137.
[8]	Pollock AS,Durward BR,Rowe PJ,et al.What is balance?[J]. Clin Rehabil,2000,14(4):402-406. DOI URL
[9]	Trombetti A,Reid KF,Hars M,et al.Age-associated declines in muscle mass,strength,power,and physical performance:impact on fear of falling and quality of life[J]. Osteoporos Int,2016, 27(2):463-471. DOI URL
[10]	王博民,徐红旗. 人体平衡能力测评方法综述[J]. 中国学校体育(高等教育),2016,3(6):63-68.
[11]	Kristensen MT,Nielsen A,Topp UM,et al.Number of test trials needed for performance stability and interrater reliability of the one leg stand test in patients with a major non-traumatic lower limb amputation[J]. Gait Posture,2014,39(1):424-429. DOI URL
[12]	袁金风,张秋霞,陆阿明. 闭眼单脚站立方法在体质测试中的应用[J]. 中国组织工程研究,2013,17(33):6049-6054.
[13]	Milá de la Roca-Morales AM,Andreo-Marroig JF,Santos-Pérez S,et al. Instability in patients with CANVAS:can computerized dynamic posturography help in diagnosis?[J]. J Int Adv Otol,2018,14(1):130-134.
[14]	Hobert MA,Maetzler W,Aminian K,et al.Technical and clinical view on ambulatory assessment in Parkinson's disease[J]. Acta Neurol Scand,2014,130(3):139-147. DOI URL
[15]	Horak F,King L,Mancini M.Role of body worn movement monitor technology for balance and gait rehabilitation[J]. Phys Ther,2015,95(3):461-470. DOI URL
[16]	于卫华,王莉,徐忠梅. 社区老年人常速行走步态特征与跌倒的相关性研究[J]. 中华护理杂志,2017,52(1):44-48.
[17]	徐忠梅,于卫华,吴梦余,等. 老年2型糖尿病患者双重任务行走步态特征及其与害怕跌倒的相关性研究[J]. 中华护理杂志,2018,53(1):22-26.
[18]	Berg KO,Wood-Dauphinee S,Williams JT,et al.Measuring balance in the elderly:preliminary development of an instrument[J]. Physiother Can,1989,41(6):304-311. DOI URL
[19]	Downs S,Marquez J,Chiarelli P.The Berg Balance Scale has high intra- and inter-rater reliability but absolute reliability varies across the scale:a systematic review[J]. J Physiother,2013,59(2):93-99. DOI URL
[20]	Tinetti ME.Performance-oriented assessment of mobility problems in elderly patients[J]. J Am Geriatr Soc,1986,34(2):119-126. DOI URL
[21]	蒋强. 单脚站立提踵训练对静态平衡能力的影响[J]. 现代养生,2017,8(16):287.
[22]	Fisseha B,Janakiraman B,Yitayeh A,et al.Effect of square stepping exercise for older adults toprevent fall and injury related to fall:systematic reviewand meta-analysis of current evidences[J]. J Exerc Rehabil,2017,13(1):23-29. DOI URL
[23]	Yves J G,Reto WK,Andre L,et al.A best practice fall prevention exercise programto improve balance,strength/power,andpsychosocial health in older adults:studyprotocol for a randomized controlled trial[J]. BMC Geriatrics,2013,13(1):105-118. DOI URL
[24]	Duncan PW,Weiner DK,Chandler J,et al.Functional reach:a new clinical measure of balance[J]. J Gerontol,1990,45(6):M192-197. DOI URL
[25]	Podsiadlo D,Richardson S.The timed “Up & Go”:a test of basic functional mobility for frail elderly persons[J]. J Am Ge-riatr Soc,1991,39(2):142-148. DOI URL
[26]	Wrisley DM,Walker ML,Echternach JL,et al.Reliability of the dynamic gait index in people with vestibular disorders[J]. Arch Phys Med Rehabil,2003,84(10):1528-1533. DOI URL
[27]	Kuptniratsaikul V,Praditsuwan R,Assantachai P,et al.Effectiveness of simple balancing training program in elderly patients with history of frequent falls[J]. Clin Interv Aging,2011, 6(1):111-117.
[28]	Ayers EI,Tow AC,Holtzer R,et al.Walking while talking and falls in aging[J]. Gerontology,2014,60(2):108-113. DOI URL
[29]	马威,马振水,赵小勇. 太极拳运动与健身秧歌对老年女性平衡能力影响的对比研究[J]. 课程教育研究,2016,6(17):206.
[30]	Sungkarat S,Boripuntakul S,Chattipakorn N,et al.Effects of Tai Chi on cognition and fall risk in older adults with mild cognitive impairment:a randomized controlled trial[J]. J Am Geriatr Soc,2017,65(4):721-727. DOI URL
[31]	陈天天. 大众健美操对中老年女性平衡能力影响的研究[D].苏州:苏州大学,2014.
[32]	洪都,徐军,林梅,等. 简化太极拳运动对减轻社区老年人害怕跌倒的效果研究[J]. 中华护理杂志,2018,53(10):1224-1229.
[33]	叶盛,陈利群,石丹,等. 运动锻炼对社区老年人跌倒预防效果的证据总结[J]. 中华护理杂志,2017,52(9):1112-1118.
[34]	Jacobs JV,Horak FB,Van Tran K,et al.An alternative clinical posturalstability test for patients with Parkinson's disease[J]. J Neurol 2006,253(11):1404-1413. DOI URL
[35]	原莉雯. 山西省老年人平衡能力与肌力、柔韧性、反应时的相关性研究[D]. 太原:中北大学,2013.
[36]	Okubo Y,Schoene D,Lord SR.Step training improves reaction time,gait and balance and reduces falls in older people:a systematic review and meta-analysis[J]. Br J Sports Med,2017, 51(7):586-593. DOI URL
[37]	杨蕾,程亮. 8 w振动训练对老年女性下肢关节肌力和耐力的影响[J]. 中国老年学杂志,2015,35(5):1250-1252.
[38]	Guerra RS,Amaral TF.Comparison of hand dynamometers in elderly people[J]. J Nutr Health Aging,2009,13(10):907-912. DOI URL
[39]	Maritz CA,Silbernagel KG.A prospective cohort study on the effect of a balance training program,including calf muscle strengthening,in community-dwelling older adults[J]. J Geriatr Phys Ther,2016,39(3):125-131. DOI URL
[40]	Tiedemann A,Shimada H,Sherrington C,et al.Thecomparative ability of eight functional mobility tests for predicting fallsin community-dwelling older people[J]. Age Ageing,2008,37(4):430-435. DOI URL
[41]	Granacher U,Muehlbauer T,Bridenbaugh S,et al.Effects of a salsa dance training on balance and strength performance in older adults[J]. Gerontology,2012,58(4):305-312. DOI URL
[42]	Bean JF,Kiely DK,LaRose S,et al. Is stair climb power aclinically relevant measure of leg power impairments in at-risk olderadults?[J]. Arch Phys Med Rehabil,2007,88(5):604-609. DOI URL
[43]	Aagaard P,Suetta C,Caserotti P,et al.Role of the nervous system in sarcopenia and muscle atrophy with aging:strength training as a countermeasure[J]. Scand J Med Sci Sports,2010, 20(1):49-64. DOI URL
[44]	Benavent-Caballer V,Rosado-Calatayud P,Segura-Ortí E,et al.The effectiveness of a video-supported group-based Otago exercise programme on physical performance in community-dwelling older adults:a preliminary study[J]. Physiotherapy,2016, 102(3):280-286. DOI URL
[45]	李莺,程云,赵丽蓉,等. 奥塔戈运动对老年脑卒中患者害怕跌倒的影响[J]. 中华护理杂志,2014,49(12):1442-1447.
[46]	皮红英,库洪安,赵婷. 下肢肌力训练对老年人平衡及运动能力的影响[J]. 解放军护理杂志,2017,34(12):51-54.
[47]	张宁宁. 不同强度抗阻训练对糖耐量受损老年人糖代谢的调节与强度无关[J]. 基因组学与应用生物学,2018,37(5):2243-2249.
[48]	刘国华. 弹力带抗阻训练对延缓老年女性骨骼肌衰减的效果[J]. 吉林体育学院学报,2018,34(2):34-38.
[49]	Magnus CR,Boychuk K,KIm SY,et al.At-home resistance tubing strength training increases shoulder strength in the trained and untrained limb[J]. Scand J Med Sci Sports,2014, 24(3):586-593. DOI URL
[50]	Menant JC,Steele JR,Menz HB,et al.Optimizing footwear for older people at risk of falls[J]. J Rehabil Res Dev,2008,45(8):1167-1181. DOI URL
[51]	李晶. 跌倒管理信息系统的建立及应用[J]. 中华护理杂志,2017,52(11):1347-1349.
[52]	冯佳,俞申妹. 可穿戴呼叫铃系统质量改进的实践研究[J]. 中华护理杂志,2017,52(3):353-355.
[53]	陈瑜,姜小鹰,朱秀兰. 养老机构老年人跌倒预防知信行问卷的信度和效度研究[J]. 中华护理杂志,2016,13(3)165-169.

老年人平衡能力评估及干预的研究进展

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