Abstract
Improvement of balance function of the elderly by gaze stabilization training based on vestibule-eye reflex
  
DOI:
EN KeyWords: vestibule-eye reflex  gaze stabilization training  elderly  balance function
Fund Project:2021年度宜兴市科技创新专项资金“陶都之光”科技攻关计划(社会发展类)指导性计划项目(序号7)
作者单位
刘程 宜兴市第二人民医院(宜兴市职业病防治院)康复医学科江苏 宜兴 214221 
吴嫄 宜兴市第二人民医院(宜兴市职业病防治院)康复医学科江苏 宜兴 214221 
王梦奇 宜兴市第二人民医院(宜兴市职业病防治院)康复医学科江苏 宜兴 214221 
杨洪慧 宜兴市第二人民医院(宜兴市职业病防治院)心血管内科江苏 宜兴 214221 
鲁俊 南京医科大学第一附属医院康复医学中心南京 210029 
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EN Abstract:
  Objective: To explore the effect of gaze stabilization training based on vestibule-eye reflex on the balance function of the elderly. Methods: A total of 100 elderly people who were physically healthy in Yixing NO.2 People’s Hospital from December 2020 to January 2022 were selected as the subjects of this study. They were divided into intervention group and control group according to the method of random number table, with 50 cases in each group. The control group received general physical therapy training, and the intervention group received gaze stabilization training on the basis of the control group. Before, immediate and 3 months after the intervention, the Berg Balance Scale (BBS) was applied to assess the balance ability of the subjects, the specific activity balance confidence scale (ABC) was used to measure the confidence of all subjects, and the balance instrument was used to measure the fall risk of all subjects. Before intervention, immediate after intervention, and 3 months(after) of intervention, timed up and go test (TUG) was performed. All subjects were followed up for 1 year, and the fall rate was recorded and calculated. The BBS score, TUG time, ABC score, fall risk and fall rate in the two groups were compared before, immediate and 3 months after the intervention. Results: The BBS score and ABC score in the intervention group and the control group increased obviously after the intervention, while the TUG time and fall risk decreased obviously after the intervention (P<0.05), the BBS score and ABC score after 3 months of intervention were obviously higher than those before and immediate after intervention, and the TUG time and fall risk were obviously reduced as compared with those before and immediate after intervention (P<0.05). After intervention and 3 months after intervention, the BBS score and ABC score in the intervention group were obviously higher than those in the control group, and the TUG time and fall risk were obviously reduced as compared with those in the control group (P<0.05). The results of one-year follow-upshowed that the fall rate of patients in the intervention group (6.00%, 3/50) was obviously lower than that in the control group (22.00%, 11/50) (χ2=5.316, P=0.021). Conclusion: The gaze stabilization training based on vestibule-eye reflex can effectively improve the balance function and confidence of the elderly, reduce their fall risk and improve their quality of life.
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