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：

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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.	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑出血诊治指南(2014). 中华神经科杂志, 2015, 48(6): 435-438.
4.	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014. 中华神经科杂志, 2015, 48(4): 246-249.
5.	郝燕萍, 刘雪琴. 修汀版跌倒效能量表在我国老年人群中的测试研究. 中华护理杂志, 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, 瓮长水, 毕素清, 等. 计时起立一行走测验评估脑卒中患者功能性步行能力的信度和同时效度. 中国临床康复, 2004, 8(31): 6819-6821.
8.	赵俐红, 杨蓉, 涂双燕, 等. 脑卒中患者再入院及相关危险因素的研究现状. 华西医学, 2015, 30(7): 1971-1974.
9.	谢晓川, 饶莉. 急性缺血性脑卒中溶栓治疗研究进展. 华西医学, 2016, 31(9): 1610-1613.
10.	宫伟. 奥塔戈运动项目对社区老年人跌倒效能影响的研究. 长春: 吉林大学, 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. 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑出血诊治指南(2014). 中华神经科杂志, 2015, 48(6): 435-438.
4. 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014. 中华神经科杂志, 2015, 48(4): 246-249.
5. 郝燕萍, 刘雪琴. 修汀版跌倒效能量表在我国老年人群中的测试研究. 中华护理杂志, 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, 瓮长水, 毕素清, 等. 计时起立一行走测验评估脑卒中患者功能性步行能力的信度和同时效度. 中国临床康复, 2004, 8(31): 6819-6821.
8. 赵俐红, 杨蓉, 涂双燕, 等. 脑卒中患者再入院及相关危险因素的研究现状. 华西医学, 2015, 30(7): 1971-1974.
9. 谢晓川, 饶莉. 急性缺血性脑卒中溶栓治疗研究进展. 华西医学, 2016, 31(9): 1610-1613.
10. 宫伟. 奥塔戈运动项目对社区老年人跌倒效能影响的研究. 长春: 吉林大学, 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.

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