Follow-up study on Otago exercise program on fear of falling in central hemiplegia patients in communities_West China Medical Journal

Authors：

 QIAOYuhua , CAOHongjun , LIANYing , NIYuchun

Department of Neurology, Pangang General Hospital, Panzhihua, Sichuan 617023, P. R. China;

Corresponding?author：

QIAOYuhua, Email: aimin2006120@163.com

Keywords：

Central hemiplegia; Fear of falling; Otago exercise

DOI：

10.7507/1002-0179.201510008

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effect of Otago exercise program (OEP) on fear of falling in central hemiplegia patients in communities. Methods We collected the clinical data of 61 central hemiplegia patients in the Department of Neurology of Pangang General Hospital from January to June 2014. They were randomly divided into treatment group (n=30) and control group (n=31) after discharge. The treatment group had OEP, while the control group had not. After 20 weeks of follow-up, we evaluated fall self-efficacy, balance and mobility of patients in the two groups. Results The OEP adherence rate was 73.3% for the treatment group. In the treatment group, modified fall efficacy scale (MFES) score and Berg balance scale (BBS) score were significantly higher than those before intervention (P<0.05); time up and go test (TUGT) score was significantly lower than that before intervention (P<0.05). In the control group, MFES score, BBS score and TUGT score were not significantly changed (P>0.05). After intervention, MFES score and BBS score of the treatment group were significantly higher than those of the control group (P<0.05), but TUGT score was not significantly different (P>0.05). Conclusion OEP for central hemiplegia patients after discharge can reduce fall self-efficacy and increase balance ability of the patients.

Citation： QIAOYuhua, CAOHongjun, LIANYing, NIYuchun. Follow-up study on Otago exercise program on fear of falling in central hemiplegia patients in communities. West China Medical Journal, 2017, 32(1): 17-20. doi: 10.7507/1002-0179.201510008 Copy

1.	?Tinetti ME, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol, 1993, 48(11): 35-38.
2.	Campbell J, Robertson C, Gardner M,et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ, 1997, 315(7115): 1065-1069.
3.	中華醫學會神經病學分會, 中華醫學會神經病學分會腦血管病學組. 中國腦出血診治指南(2014). 中華神經科雜志, 2015, 48(6): 435-438.
4.	中華醫學會神經病學分會, 中華醫學會神經病學分會腦血管病學組. 中國急性缺血性腦卒中診治指南2014. 中華神經科雜志, 2015, 48(4): 246-249.
5.	郝燕萍, 劉雪琴. 修汀版跌倒效能量表在我國老年人群中的測試研究. 中華護理雜志, 2007, 42(1): 19-21.
6.	Berg KO, Wood DS, Williams JT. Measuring balance in the elderly: preliminary evelopment of an instrument. Physiother Can, 1989, 41(10): 304-311.
7.	李敏, 甕長水, 畢素清, 等. 計時起立一行走測驗評估腦卒中患者功能性步行能力的信度和同時效度. 中國臨床康復, 2004, 8(31): 6819-6821.
8.	趙俐紅, 楊蓉, 涂雙燕, 等. 腦卒中患者再入院及相關危險因素的研究現狀. 華西醫學, 2015, 30(7): 1971-1974.
9.	謝曉川, 饒莉. 急性缺血性腦卒中溶栓治療研究進展. 華西醫學, 2016, 31(9): 1610-1613.
10.	宮偉. 奧塔戈運動項目對社區老年人跌倒效能影響的研究. 長春: 吉林大學, 2011: 10-21.
11.	Dukyoo J, Juhee L, Lee SM. A meta-analysis of fear of falling treatment programs for the elderly. West J Nurs Res, 2009, 31(1): 6-16.
12.	Schmid AA, Van Puymbroeck M, Altenburger PA,et al. Poststroke balance improves with yoga: a pilot study. Stroke, 2012, 43(9): 2402-2407.
13.	Ullmann G, Williams G, Hussey James,et al. Effects of feldenkrais exercises on balance, mobility, balance confidence, and gait performance in community-dwelling adults age 65 and older. J Altern Complement Med, 2010, 16(1): 97-105.
14.	Kuptniratsaikul V, Praditsuwan R, Assantachai P,et al. Effectiveness of simple balancing training program in elderly patients with history of frequent falls. Clin Interv Aging, 2011, 6(6): 111-117.
15.	Liu-Ambrose T, Donaldson MG, Ahamed Y,et al. Otago home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. J Am Geriatr Soc, 2008, 56(10): 1821-1830.

1. ?Tinetti ME, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol, 1993, 48(11): 35-38.
2. Campbell J, Robertson C, Gardner M,et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ, 1997, 315(7115): 1065-1069.
3. 中華醫學會神經病學分會, 中華醫學會神經病學分會腦血管病學組. 中國腦出血診治指南(2014). 中華神經科雜志, 2015, 48(6): 435-438.
4. 中華醫學會神經病學分會, 中華醫學會神經病學分會腦血管病學組. 中國急性缺血性腦卒中診治指南2014. 中華神經科雜志, 2015, 48(4): 246-249.
5. 郝燕萍, 劉雪琴. 修汀版跌倒效能量表在我國老年人群中的測試研究. 中華護理雜志, 2007, 42(1): 19-21.
6. Berg KO, Wood DS, Williams JT. Measuring balance in the elderly: preliminary evelopment of an instrument. Physiother Can, 1989, 41(10): 304-311.
7. 李敏, 甕長水, 畢素清, 等. 計時起立一行走測驗評估腦卒中患者功能性步行能力的信度和同時效度. 中國臨床康復, 2004, 8(31): 6819-6821.
8. 趙俐紅, 楊蓉, 涂雙燕, 等. 腦卒中患者再入院及相關危險因素的研究現狀. 華西醫學, 2015, 30(7): 1971-1974.
9. 謝曉川, 饒莉. 急性缺血性腦卒中溶栓治療研究進展. 華西醫學, 2016, 31(9): 1610-1613.
10. 宮偉. 奧塔戈運動項目對社區老年人跌倒效能影響的研究. 長春: 吉林大學, 2011: 10-21.
11. Dukyoo J, Juhee L, Lee SM. A meta-analysis of fear of falling treatment programs for the elderly. West J Nurs Res, 2009, 31(1): 6-16.
12. Schmid AA, Van Puymbroeck M, Altenburger PA,et al. Poststroke balance improves with yoga: a pilot study. Stroke, 2012, 43(9): 2402-2407.
13. Ullmann G, Williams G, Hussey James,et al. Effects of feldenkrais exercises on balance, mobility, balance confidence, and gait performance in community-dwelling adults age 65 and older. J Altern Complement Med, 2010, 16(1): 97-105.
14. Kuptniratsaikul V, Praditsuwan R, Assantachai P,et al. Effectiveness of simple balancing training program in elderly patients with history of frequent falls. Clin Interv Aging, 2011, 6(6): 111-117.
15. Liu-Ambrose T, Donaldson MG, Ahamed Y,et al. Otago home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. J Am Geriatr Soc, 2008, 56(10): 1821-1830.

Previous Article
Next Article
Efficacy of physician-nurse-pharmacist collaboration on cardiovascular disease risk factors in diabetes patients: a systematic review

West China Medical Journal

Follow-up study on Otago exercise program on fear of falling in central hemiplegia patients in communities

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content