Balance recovery training for fall prevention in retirement communities

退休社区预防跌倒的平衡恢复训练

基本信息

批准号：
8701465
负责人：
MICHAEL L MADIGAN
金额：
$ 23.03万
依托单位：
TEXAS ENGINEERING EXPERIMENT STATION
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-01 至 2016-05-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The goal of this translational research study is to evaluate the efficacy and feasibility of balance recovery training as an on-site fall prevention exercise intervention for older adults living in retirement communities. Falls are the leading cause of injuries and injury-related deaths among older adults over the age of 65 in the United States. While it is generally accepted that exercise helps prevent falls, exercise does not always reduce the number of falls, and it remains unclear which types of exercise are most effective at preventing falls. Balance recovery training (BRT) is a novel exercise intervention that has that has the potential to decrease the number of falls among older adults by improving their balance recovery ability after common balance perturbations such as tripping. BRT involves repeatedly exposing individuals to postural perturbations in a safe, controlled setting that allows reactive balance recovery to be practiced and improved. We will administer BRT on-site at continuing care retirement communities over four weeks to older adult fallers and determine its effects on balance recovery ability over the following six months compared to another group of older adult fallers performing Tai Chi as an alternative exercise intervention. To further address the potential for BRT to be translated into typical practice within retirement communities, we will also collect data on facilitators and barriers to the long-term sustainability of BRT in retirement communities using qualitative methods. These quantitative (balance recovery ability) and qualitative (implementation process) measures will provide the basis for a subsequent large practical clinical trial to test the effectiveness of BRT on reducing the number of falls among older adults.

描述（由申请人提供）：这项转化研究的目标是评估平衡恢复训练作为生活在退休社区的老年人现场预防跌倒运动干预的有效性和可行性。跌倒是美国 65 岁以上老年人受伤和受伤相关死亡的主要原因。虽然人们普遍认为运动有助于预防跌倒，但运动并不总是能减少跌倒次数，而且目前还不清楚哪种类型的运动对于预防跌倒最有效。平衡恢复训练（BRT）是一种新颖的运动干预措施，通过提高老年人在绊倒等常见平衡干扰后的平衡恢复能力，有可能减少老年人跌倒的次数。 BRT 涉及在安全、受控的环境中反复让个体暴露于姿势扰动，从而练习和改善反应性平衡恢复。我们将在持续护理退休社区对老年跌倒者进行现场 BRT，为期四个星期，并确定其在接下来的六个月内对平衡恢复能力的影响，并与另一组以太极拳作为替代运动干预的老年跌倒者进行比较。为了进一步挖掘 BRT 转化为退休社区典型实践的潜力，我们还将收集有关 BRT 在退休中长期可持续发展的促进因素和障碍的数据使用定性方法的社区。这些定量（平衡恢复能力）和定性（实施过程）措施将为后续大型实际临床试验提供基础，以测试BRT在减少老年人跌倒次数方面的有效性。