文章摘要
陈秀恩,郑洁皎,施海涛,李勇.认知注意力、平衡功能双重任务训练对预防老年人跌倒的临床研究[J].中国康复,2016,31(3):215-217
认知注意力、平衡功能双重任务训练对预防老年人跌倒的临床研究
Clinical research on cognitive attention and balance function training in the prevention of falls in the elderly
  
DOI:
中文关键词: 认知  平衡  双重任务  跌倒
英文关键词: cognition  balance  dual task  fall
基金项目:复旦大学附属华东医院优秀青年人才培养项目(HDYQ2014008);上海市科委“科技创新行动计划”医学与农业领域重点项目(13411951100);上海申康医院发展中心新兴前沿技术项目(SHDC12014126);上海加快中医药事业发展三年行动计划(ZY3-LCPT-1-1008)
作者单位
陈秀恩 复旦大学附属华东医院康复科上海 200040 
郑洁皎 复旦大学附属华东医院康复科上海 200040 
施海涛 复旦大学附属华东医院康复科上海 200040 
李勇 复旦大学附属华东医院康复科上海 200040 
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中文摘要:
  目的:探讨认知注意力、平衡功能双重任务训练对预防老年人跌倒的作用。方法:选取有提高平衡能力预防跌倒意愿的老年人60例,随机分为2组各30例,观察组进行认知注意力、平衡功能双重任务训练;对照组进行常规平衡功能训练。训练前后均采用平衡功能检测训练系统评定平衡功能,用连线测试评定认知注意力。结果:治疗4周后,观察组在面向前睁眼及闭眼状态模式下前后平均摆幅、左右平均摆幅、重心轨迹长、矩形面积、外周面积及连线测试所用时间均较治疗前及对照组明显下降(P<0.05),单位面积轨迹长及连线正确率较治疗前及对照组明显提高(P<0.05);对照组仅重心轨迹长和外周面积均较治疗前明显下降(P<0.05),其余参数治疗前后比较差异无统计学意义。结论:认知注意力、平衡功能双重任务训练效果明显,对预防老年人跌倒有正向作用。
英文摘要:
  Objective: To explore the effects of cognitive attention and balance function training on the prevention of falls in the elderly. Methods: Sixty elderly people who had the willingness to improve balance ability and prevent falls were recruited and randomly divided into control group (30 cases) and test group (30 cases): the experimental group with dual task training of cognitive attention and balance function; the control group with routine balance training. The treatment in the two groups was performed once every day, 30 min every time, 5 days every week, a total of 4 weeks. All the research subjects were assessed by the balance function testing and training system before and after the training, and the cognitive attention was assessed by the connection test. Results: The balance function in the experimental group was significantly better than in the control group (P<0.05). There was significant difference in the balance function of the test group (P<0.05) before and after the test. Conclusion: The dual task training effect of cognitive attention and balance function is obvious, which has positive effect on preventing falls in the elderly.
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