中华护理杂志 ›› 2019, Vol. 54 ›› Issue (4): 603-608.DOI: 10.3761/j.issn.0254-1769.2019.04.026
收稿日期:2018-05-30
出版日期:2019-04-15
发布日期:2019-04-03
作者简介:李燕:女,本科(硕士在读),主管护师,E-mail:
Received:2018-05-30
Online:2019-04-15
Published:2019-04-03
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。
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.
| [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. |
| [1] | 黄盼盼, 李丽玲, 胡晓静. 先天性心脏病婴儿早期运动康复的研究进展[J]. 中华护理杂志, 2025, 60(9): 1050-1055. |
| [2] | 彭颖洁, 刘艾红, 朱文莉, 梅雨欣, 周萌, 关文静. 老年人预立医疗照护计划准备度评估工具的系统评价[J]. 中华护理杂志, 2025, 60(9): 1146-1153. |
| [3] | 冉凌霄, 王东敏, 许珂, 王聪, 曹华, 寸薇, 蒋艳. 基于人体三维模型的生物力学仿真在压力性损伤预防中应用的范围综述[J]. 中华护理杂志, 2025, 60(8): 1012-1018. |
| [4] | 靳雨佳, 江湖, 王晓萱, 易景娜, 梅永霞, 郭芝廷, 张振香, 林蓓蕾. 信息化风险沟通在心血管疾病一级预防中应用的范围综述[J]. 中华护理杂志, 2025, 60(8): 1019-1025. |
| [5] | 冯伟清, 陈研博, 蔡洹, 阮嘉慧, 何秀娴, 李琨. 卒中后疲劳纵向研究的范围综述[J]. 中华护理杂志, 2025, 60(7): 799-805. |
| [6] | 张程, 王霄一, 杨文娟, 刘梦如, 贺飞. 双向社会支持在老年维持性血液透析患者中的应用研究[J]. 中华护理杂志, 2025, 60(7): 813-818. |
| [7] | 吴丽萍, 肖丽娜, 赖菡青, 黄倩, 郭璇, 周迅. 老年类风湿关节炎患者对跌倒警觉体验的质性研究[J]. 中华护理杂志, 2025, 60(7): 836-841. |
| [8] | 何梦欣, 陈德凤, 李蓓, 董旭辉, 李佳宝, 杨扬, 徐要凯, 梁悦语. 智能化交互式认知运动干预在老年人跌倒预防中应用的范围综述[J]. 中华护理杂志, 2025, 60(7): 884-889. |
| [9] | 周楠, 智诗涵, 王萌, 张惠, 张丽红, 罗茂语, 何瑛, 顾炜. 性功能障碍干预在宫颈癌患者中应用的范围综述及护理启示[J]. 中华护理杂志, 2025, 60(7): 890-897. |
| [10] | 唐楠, 高远, 苏清清, 宋咪, 邱晨, 邵梦琪. 老年骨质疏松患者再骨折影响因素分析及护理对策[J]. 中华护理杂志, 2025, 60(6): 710-716. |
| [11] | 黄真真, 隋伟静, 董婧, 张君如, 张楚楚, 周泓廷, 张佳宇, 张娜, 庄一渝. 眼动追踪在ICU言语不能患者中应用的范围综述[J]. 中华护理杂志, 2025, 60(6): 757-763. |
| [12] | 李海娇, 魏栋帅, 王锐炎, 刘荣勋, 张超峰, 贾杰, 位彦鸽. 音乐干预在精神疾病患者康复护理中的应用进展[J]. 中华护理杂志, 2025, 60(6): 764-768. |
| [13] | 付琴, 张秀敏, 侯铭, 王彩虹, 李晓梅, 茆永琴, 李萍. 智能化体感运动在老年慢性阻塞性肺疾病患者居家肺康复中的效果评价[J]. 中华护理杂志, 2025, 60(5): 517-524. |
| [14] | 陈岚, 马慧敏, 方园, 张欢, 任菁南, 卢黎云, 吴湘靓, 刘畅, 金丁萍, 封秀琴. 热射病患者院内早期体温管理方案的构建及应用研究[J]. 中华护理杂志, 2025, 60(5): 561-568. |
| [15] | 田思颖, 常红. 即时适配干预在慢性病患者久坐与身体活动中应用的研究进展[J]. 中华护理杂志, 2025, 60(5): 619-623. |
| 阅读次数 | ||||||
|
全文 |
|
|||||
|
摘要 |
|
|||||
