中华护理杂志 ›› 2025, Vol. 60 ›› Issue (3): 297-302.DOI: 10.3761/j.issn.0254-1769.2025.03.006
收稿日期:2024-08-21
出版日期:2025-02-10
发布日期:2025-01-22
通讯作者:
蒋艳,E-mail:hxhljy2018@163.com作者简介:张雪:女,本科(硕士在读),E-mail:3080681659@qq.com
基金资助:
ZHANG Xue(
), CAI Yan, WANG Cong, JIANG Yan(
)
Received:2024-08-21
Online:2025-02-10
Published:2025-01-22
摘要:
随着老龄化进程加速,老年人跌倒已成为严重的公共卫生问题,不仅严重影响老年人的生活质量,还带来了沉重的社会负担。认知-运动双任务训练能提高老年人的认知及运动功能,是预防老年人跌倒的重要干预手段。该文通过综述认知-运动双任务训练的实施形式、作用机制及在预防老年人跌倒中的应用现状,以期为老年人实施认知-运动双任务训练提供参考。
张雪, 蔡燕, 王聪, 蒋艳. 认知-运动双任务训练在预防老年人跌倒中的研究进展[J]. 中华护理杂志, 2025, 60(3): 297-302.
ZHANG Xue, CAI Yan, WANG Cong, JIANG Yan. Research progress on cognitive-motor dual-task training for preventing falls in older adults[J]. Chinese Journal of Nursing, 2025, 60(3): 297-302.
| [1] |
王玉梅, 李凌, 熊莉娟, 等. 老年人跌倒预防临床实践指南的质量评价及内容分析[J]. 中华护理杂志, 2019, 54(11):1729-1734.
DOI URL |
|
Wang YM, Li L, Xiong LJ, et al. Quality evaluation and content analysis of existing clinical practice guidelines related to fall prevention in the elderly[J]. Chin J Nurs, 2019, 54(11):1729-1734.
DOI URL |
|
| [2] |
Florence CS, Bergen G, Atherly A, et al. Medical costs of fatal and nonfatal falls in older adults[J]. J Am Geriatr Soc, 2018, 66(4):693-698.
DOI PMID |
| [3] | 黄鑫, 张玉萍, 龙兴霞, 等. 住院患者发生晕厥相关性跌倒的现状及危险因素研究[J]. 中华急危重症护理杂志, 2021, 2(6):531-534. |
| Huang X, Zhang YP, Long XX, et al. Status and risk factors of syncope related falls of inpatients[J]. Chin J Emerg Crit Care Nurs, 2021, 2(6):531-534. | |
| [4] | 王越, 刘鲁蓉. 1990—2019年中国老年人跌倒发生与死亡趋势及其年龄-时期-队列模型分析[J]. 中国循证医学杂志, 2024, 24 (7):783-791. |
| Wang Y, Liu LR. Trends and age-period-cohort model analysis of incidence and mortality of falls among the elderly in China from 1990 to 2019[J]. Chin J Evid Based Med, 2024, 24(7):783-791. | |
| [5] | Montero-Odasso M, van der Velde N, Martin FC, et al. World guidelines for falls prevention and management for older adults:a global initiative[J]. Age Ageing, 2022, 51(9):afac205. |
| [6] |
Pang MYC, Yang L, Ouyang HX, et al. Dual-task exercise reduces cognitive-motor interference in walking and falls after stroke[J]. Stroke, 2018, 49(12):2990-2998.
DOI PMID |
| [7] |
梁雷超, 吕娇娇, 黄灵燕, 等. 认知-姿势控制双任务在老年人跌倒研究中的应用进展[J]. 中国康复理论与实践, 2016, 22(11):1289-1293.
DOI |
| Liang LC, Lü JJ, Huang LY, et al. Advance in cognitive and postural control dual-task in falls of older people(review)[J]. Chin J Rehabil Theory Pract, 2016, 22(11):1289-1293. | |
| [8] |
Mirelman A, Rochester L, Maidan I, et al. Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults(V-TIME):a randomised controlled trial[J]. Lancet, 2016, 388(10050):1170-1182.
DOI PMID |
| [9] | Strouwen C, Molenaar EALM, Münks L, et al. Training dual tasks together or apart in Parkinson’s disease:results from the DUALITY trial[J]. Mov Disord, 2017, 32(8):1201-1210. |
| [10] |
Sturnieks DL, Hicks C, Smith N, et al. Exergame and cognitive training for preventing falls in community-dwelling older people:a randomized controlled trial[J]. Nat Med, 2024, 30(1):98-105.
DOI PMID |
| [11] | 安淑敏, 高月乔, 方云. 双重任务训练在老年糖尿病伴轻度认知障碍患者中的应用[J]. 中华护理教育, 2021, 18(9):777-783. |
| An SM, Gao YQ, Fang Y. The effects of physical-cognitive dual-task training based on self-determination theory in older diabetic patients with mild cognitive impairment[J]. Chin J Nurs Educ, 2021, 18(9):777-783 | |
| [12] |
Rezola-Pardo C, Irazusta J, Mugica-Errazquin I, et al. Effects of multicomponent and dual-task exercise on falls in nursing homes:the ageing on dual-task study[J]. Maturitas, 2022, 164:15-22.
DOI PMID |
| [13] | Molhemi F, Monjezi S, Mehravar M, et al. Effects of virtual reality vs conventional balance training on balance and falls in people with multiple sclerosis:a randomized controlled trial[J]. Arch Phys Med Rehabil, 2021, 102(2):290-299. |
| [14] |
Al-Yahya E, Dawes H, Smith L, et al. Cognitive motor interference while walking:a systematic review and meta-analysis[J]. Neurosci Biobehav Rev, 2011, 35(3):715-728.
DOI PMID |
| [15] | Ercan Yildiz S, Fidan O, Gulsen C, et al. Effect of dual-task training on balance in older adults:a systematic review and meta-analysis[J]. Arch Gerontol Geriatr, 2024, 121:105368. |
| [16] | 赵小燕, 黄秀秀, 万巧琴. 运动结合认知训练在轻度认知障碍和阿尔茨海默病患者中应用的整合性综述[J]. 中华护理教育, 2021, 18(12):1098-1105. |
| Zhao XY, Huang XX, Wan QQ. The effects of exercise combined with cognitive training in people with mild cognitive impairment and Alzheimer’s disease:an integrated review[J]. Chin J Nurs Educ, 2021, 18(12):1098-1105. | |
| [17] | Mack M, Stojan R, Bock O, et al. Cognitive-motor multitasking in older adults:a randomized controlled study on the effects of individual differences on training success[J]. BMC Geriatr, 2022, 22(1):581. |
| [18] | Trombini-Souza F, Nogueira RTSA, Serafim ACB, et al. Concern about falling,confidence in balance,quality of life,and depression symptoms in community-dwelling older adults after a 24-week dual-task training with variable and fixed priority:a randomized controlled trial[J]. Res Aging, 2022, 44(9/10):658-668. |
| [19] | 丰有燕, 权宏磊, 郑洁皎. 可变优先级认知-运动双任务训练对老年脑卒中患者平衡功能的影响[J]. 中国康复医学杂志, 2022, 37(6):754-759. |
| Feng YY, Quan HL, Zheng JJ. Effect of variable priority cognitive-motor dual-task training on balance function in elderly stroke patients[J]. Chin J Rehabil Med, 2022, 37(6):754-759. | |
| [20] |
Schoene D, Valenzuela T, Lord SR, et al. The effect of interactive cognitive-motor training in reducing fall risk in older people:a systematic review[J]. BMC Geriatr, 2014, 14:107.
DOI PMID |
| [21] | Kumkwan Y, Utriyaprasit K, Tankumpuan T, et al. Recovery after ischemic stroke:effects of FuekFone home-based program on upper limb and cognitive function[J]. Int J Nurs Sci, 2024, 11(4):414-420. |
| [22] | 徐建光, 王彤, 单春雷, 等. 虚拟现实技术应用于感觉-运动功能康复的专家共识[J]. 中国康复医学杂志, 2024, 39(4):461-470. |
| Xu JG, Wang T, Shan CL, et al. Expert consensus on the application of virtual reality technology in sensory-motor rehabilitation[J]. Chin J Rehabil Med, 2024, 39(4):461-470. | |
| [23] | 俞晴, 徐东娥, 马硕, 等. 虚拟现实技术预防老年人跌倒有效性的Meta分析[J]. 中国护理管理, 2021, 21(4):532-539. |
| Yu Q, Xu DE, Ma S, et al. Effects of virtual reality training on falls prevention in the older adults:a Meta-analysis[J]. Chin Nurs Manag, 2021, 21(4):532-539. | |
| [24] | 董蕾, 刘佳, 赵琴, 等. 脑卒中患者虚拟现实康复体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(9):1130-1137. |
| Dong L, Liu J, Zhao Q, et al. Experience of virtual reality rehabilitation of stroke patients:a Meta-synthesis of qualitative studies[J]. Chin J Nurs, 2024, 59(9):1130-1137. | |
| [25] | Spanò B, Lombardi MG, De Tollis M, et al. Effect of dual-task motor-cognitive training in preventing falls in vulnerable elderly cerebrovascular patients:a pilot study[J]. Brain Sci, 2022, 12(2):168. |
| [26] | Kahya M, Moon S, Ranchet M, et al. Brain activity during dual task gait and balance in aging and age-related neurodegenerative conditions:a systematic review[J]. Exp Gerontol, 2019, 128:110756. |
| [27] | Bayot M, Dujardin K, Tard C, et al. The interaction between cognition and motor control:a theoretical framework for dual-task interference effects on posture,gait initiation,gait and turning[J]. Clin Neurophysiol, 2018, 48(6):361-375. |
| [28] | Khan MJ, Kannan P, Wong TW, et al. A systematic review exploring the theories underlying the improvement of balance and reduction in falls following dual-task training among older adults[J]. Int J Environ Res Public Health, 2022, 19(24):16890. |
| [29] | Miyake A, Friedman NP, Emerson MJ, et al. The unity and diversity of executive functions and their contributions to complex “Frontal Lobe” tasks:a latent variable analysis[J]. Cogn Psychol, 2000, 41(1):49-100. |
| [30] |
Schoene D, Delbaere K, Lord SR. Impaired response selection during stepping predicts falls in older people:a cohort study[J]. J Am Med Dir Assoc, 2017, 18(8):719-725.
DOI PMID |
| [31] | Seidler RD, Bernard JA, Burutolu TB, et al. Motor control and aging:links to age-related brain structural,functional,and biochemical effects[J]. Neurosci Biobehav Rev, 2010, 34(5):721-733. |
| [32] | 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. |
| [33] | Ye JY, Chen R, Chu H, et al. Dual-task training in older adults with cognitive impairment:a meta-analysis and trial sequential analysis of randomized controlled trials[J]. Int J Nurs Stud, 2024, 155:104776. |
| [34] | Belleville S, Bherer L. Biomarkers of cognitive training effects in aging[J]. Curr Transl Geriatr Exp Gerontol Rep, 2012, 1(2):104-110. |
| [35] | Wollesen B, Wildbredt A, van Schooten KS, et al. The effects of cognitive-motor training interventions on executive functions in older people:a systematic review and meta-analysis[J]. Eur Rev Aging Phys Act, 2020, 17:9. |
| [36] |
Eggenberger P, Theill N, Holenstein S, et al. Multicomponent physical exercise with simultaneous cognitive training to enhance dual-task walking of older adults:a secondary analysis of a 6-month randomized controlled trial with 1-year follow-up[J]. Clin Interv Aging, 2015, 10:1711-1732.
DOI PMID |
| [37] | Cadore EL, Moneo AB, Mensat MM, et al. Positive effects of resistance training in frail elderly patients with dementia after long-term physical restraint[J]. Age, 2014, 36(2):801-811. |
| [38] |
宗小燕, 朱灵智, 王雪菲, 等. 居家运动方案在老年骨质疏松合并衰弱患者中的应用研究[J]. 中华护理杂志, 2024, 59(10):1171-1179.
DOI URL |
|
Zong XY, Zhu LZ, Wang XF, et al. Application of a home-based exercise program in elderly patients with osteoporosis and frailty[J]. Chin J Nurs, 2024, 59(10):1171-1179.
DOI URL |
|
| [39] |
Wu T, Liu J, Hallett M, et al. Cerebellum and integration of neural networks in dual-task processing[J]. Neuroimage, 2013, 65:466-475.
DOI PMID |
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