文献New Intervention Program for Preventing Falls among Frail Elderly People The Effects of Perturbed Walking Exercise Using a Bilateral Separated Treadmill.pdfVIP

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文献New Intervention Program for Preventing Falls among Frail Elderly People The Effects of Perturbed Walking Exercise Using a Bilateral Separated Treadmill.pdf

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New Intervention Program for Preventing Falls among Frail Elderly People: The Effects of Perturbed Walking Exercise Using a Bilateral Separated Treadmill Shimada, Hiroyuki PhD, PT; Obuchi, Shuichi PhD, PT; Furuna, Taketo PT; Suzuki, Takao MD, PhD Am J Phys Med Rehabil (2004);83:493–499. Objective: To determine the effects of a perturbed walking exercise using a bilateral separated treadmill in physically disabled elderly. Method: Participants of the study were 32 long-term care facility residents and outpatients aged 66–98 years. Participants were randomly assigned to a usual exercise group or to a treadmill exercise group. Perturbed gait exercise on a treadmill continued for 6 months. Number of falls and time to first fall during a 6- month period, balance and gait functions, and reaction time were evaluated before and after intervention. Results: The treadmill exercise group showed significant improvement in balance and reaction time when compared with the usual exercise group. Number of falls in the treadmill exercise group was 21% lower than that in the usual exercise group. Conclusions: Gait training with unexpected perturbation seems to have a beneficial impact on physical function in disabled elderly individuals. The results suggest that this program may be used as an exercise intervention to reduce falls in institutional settings.