- 會議論文
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【論文摘要】椅子瑜珈結合Wii Fit訓練對社區老年人跌倒預防與平衡控制的影響
【論文摘要】Effects Of Chair Yoga Combined With Wii Fit Training On Fall Prevention And Balance Control For Community-Dwelling Older Adults
摘要
目的：基於椅子瑜伽的訓練可以提供高水平的平衡挑戰，值得將其作為老年人預防跌倒的有效策略。然而，很少有研究將椅子瑜伽和傳統體適能作為對照組來進行比較。此外，運動訓練結合認知比單獨訓練更有效，Wii fit訓練被廣泛用於改善靜態和動態平衡、認知和減少跌倒。然而，目前沒有研究探討椅子瑜伽結合Wii Fit訓練計劃對老年人預防跌倒和平衡控制的影響。方法：本研究招募24名年齡在65歲以上的社區老年人，將他們隨機分配到三組：（1）椅子瑜珈組（n=8）；（2）椅子瑜珈+Wii Fit組（n=8）；及（3）傳統體適能組（n=8）當成控制組。每次訓練90分鐘，每週兩次，為期12週。預防跌倒和平衡控制參數包含：國際跌倒效能量表（FES-I）、台灣版蒙特利爾認知評估（MoCA-T）、動態平衡評估包括Tinetti平衡步態評估量表（BGA）、計時起走（TUG）測試，靜態平衡評估包括在測力板上睜眼或閉眼時壓力中心（COP）的內側（mediolateral, ML）和前後（anteroposterior, AP）的位移量。重複測量變異數分析用於檢測組間和測試前後在預防跌倒和平衡參數的比較，p<0.05表示有統計學差異。結果與結論：椅子瑜伽或瑜珈+WiiFit訓練在跌倒預防（MoCA、FES- I及TUG）和傳統體適能一樣皆有明顯效益。三種訓練介入皆能提昇閉眼雙腳站立時的平衡；而在閉眼單腳站立時，椅子瑜伽或瑜珈+Wii fit的介入能有效增進ML方向的平衡；功能性體適能的介入則無明顯變化。
並列摘要
Objective: Previous studies suggested that chair yoga-based exercise can provide a high-level balance challenge, its worth making it effective strategy for older adults to prevent falls. However, few studies have compared chair yoga with traditional fitness as a control group. In addition, exercise training combined with cognition is more effective than training alone. The Wii fit training was widely used improve static and dynamic balance, cognition, and reduce falls. However, no study is to explore the effects of the chair yoga combined with Wii Fit training program on fall prevention and balance control for older adults. Methods: 24 community-dwelling older adults aged 65 years and above, and randomly assigned them to three groups: (1) chair yoga group (n=8); (2) chair yoga + Wii Fit group (n=8); and (3) traditional fitness group (n=8) as the control group. Each training session lasted 90 minutes and was conducted twice a week for 10 weeks. Fall prevention and balance control parameters included the Falls Efficacy Scale-International (FES-I), the Taiwanese version of the Montreal Cognitive Assessment (MoCA-T), dynamic balance assessment including Tinetti Balance Gait Assessment Scale (BGA), timed up and go (TUG) test, and the static balance assessment included mediolateral (ML) and anteroposterior (AP) displacements of center of pressure (COP) by eye-opened or eye-closed while standing on a force plate. Two-way repeated measure ANOVA was used to detect the differences in fall prevention and balance parameters among groups and between pre- and post-tests, and p<0.05 represented a statistical difference. Results & Conclusions: Both chair yoga and chair yoga + Wii Fit training had significant benefits for fall prevention (MoCA, FES-I, and TUG) and were as effective as traditional fitness intervention. All three interventions improved balance during eyes-closed double-leg stance, while chair yoga or chair yoga + Wii Fit intervention was effective in improving balance in the ML direction during eyes-closed single-leg stance. There was no significant change in functional fitness intervention.