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

作　　者：陈秀恩[1] 郑洁皎[1] 施海涛[1] 李勇[1] 

机构地区：[1]复旦大学附属华东医院康复科,上海200040

出　　处：《中国康复》2016年第3期215-217,共3页Chinese Journal of Rehabilitation

基　　金：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)

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。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（30cases）and test group（30cases）：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,5days every week,a total of 4weeks.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.

关 键 词：认知 平衡 双重任务 跌倒 

分 类 号：R493[医药卫生—康复医学]