探戈舞蹈锻炼对有近期跌倒史老年患者平衡能力的影响  

Effect of Tango Training on the Balance Ability of Elder Patients with History of Fall

作　　者：刘睿[1] 张明[2] 尚大伟[2] 姚卫宇[1] 

机构地区：[1]湛江师范学院体育科学学院,广东湛江524048 [2]广东医学院附属医院,广东湛江524001

出　　处：《中国运动医学杂志》2009年第6期635-638,共4页Chinese Journal of Sports Medicine

摘　　要：目的:观察探戈舞蹈锻炼对有近期跌倒史老年患者平衡能力的影响。方法:舞蹈组为35例有近期跌倒史老年患者,志愿参加探戈舞蹈锻炼,每天活动时间大约80～100min,每周至少坚持5天,4个月为1个学期(疗程)。对照组为37例同龄、同性别参与散步活动者,活动形式为匀速平路步行,活动时间相同,速度在50～70m/min,每周活动频度和疗程与实验组相同。两组对象实验前后分别接受Berg平衡量表(BBS)、单腿支撑时间(OLS)、步速、步长、起立-行走测试(TUGT)和平衡功能测试仪评估。结果:(1)两组对象实验前BBS、OLS、步速、步长和TUGT等指标分布接近(P均>0.05),两组实验后BBS、OLS、步速和步长等指标明显上升,而TUGT则明显下降;与实验后对照组比较,舞蹈组BBS、OLS、步长均显著增加,TUGT显著减少(P均<0.01～0.05)。(2)两组实验后睁眼和闭眼左右摆幅指数和单位面积轨迹长等指标明显上升,而外周面积、矩形面积、总轨迹长、单位轨迹长则明显下降;与实验后对照组比较,舞蹈组睁眼和闭眼左右摆幅指数和闭眼单位面积轨迹长显著增加,而睁眼和闭眼总轨迹长、外周面积以及闭眼单位轨迹长则显著减少(P均<0.01～0.05)。结论:与散步活动比较,探戈舞蹈锻炼改善有近期跌倒史老年患者各项平衡能力指标更为明显。Aim To study the effect of tango training on the balance ability of elder patients with history of fall. Methods A total of 35 elder patients with recent history of fall underwent tango training voluntarily for 4 months, 80～ 100 minutes a day, ≥5 days a week. At the same time,another age and sex matched 37 subjects underwent walking activities at the speed of 50 ～ 70 m/min. Balance ability of all subjects was evaluated by the Berg Balance Scale（BBS）,one-leg stancetime （OLS）,gait speed （GS）, step length （SL）,timed up and go test（TUGT）,and equilibrium function test before and after tango training. Results At the beginning,BBS,OLS,GS,SL,and TUGT in two groups were similar （P〉0.05）. A significant increase in BBS,OLS,GS and SL,and a reduction in TUGT in the two groups appeared after tango training. As compared with the control group, a remarkable increase in BBS, OLS, GS and SL, and a reduction in TUGT in the tango group were observed after training（P〈0.01 ～0.05 ）. During eyes open or eyes closed, amplitude of oscillation from side to side and unit area trail length increased significantly in the two groups, but peripheral area, square area, total trail length,and unit trail length in the two groups reduced after tango training. As compared with the control group,amplitude of oscillation from side to side and unit area trail length increased significantly, but peripheral area, square area, total trail length, and unit trail length decreased remarkably in the tango training group （P〈0.01 ～0.05）. Conclusion As compared to walking training,tango training improves balance ability of elder patients with recent history of fall more significantly.

关 键 词：老年人 跌倒史 探戈舞 健身锻炼 平衡能力 

分 类 号：R455[医药卫生—运动医学]