نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری دانشگاه آزاد اسلامی واحد تهران مرکز
2 عضو هیئت علمی دانشکده تربیت بدنی دانشگاه خوارزمی
3 استادیار دانشگاه آزاد اسلامی، واحد تهران مرکزی
4 استادیار دانشگاه آزاد اسلامی واحد تهران مرکزی
چکیده
ترس از افتادن در سالمندان یکی از نگرانی های اصلی در این قشر است. ترس از افتادن می تواند پیامدهای منفی، ازجمله کاهش انجام کارهای زندگی روزمره و فعالیتهای فیزیکی و کاهش کیفیت زندگی را به همراه داشته باشد. دستکاری قیود تکلیف یکی از روش هایی است که به نظر میرسد می تواند بر بهبود شاخص های تعادلی و ترس از افتادن در سالمندان موثر باشد. از این رو تحقیق حاضر در نظر دارد به بررسی تاثیر دستکاری قیود تکلیف بر میزان ترس از افتادن و شاخص های تعادل سالمندان سالم بپردازد. به همین منظور 30 سالمند سالم به صورت تصادفی انتخاب و در دو گروه مداخله و کنترل تقسیم بندی شدند. گروه مداخله اقدام به انجام تمرینات دستکاری قیود تکلیف به مدت 8 هفته و به صورت 3 بار در هفته پرداختند. گروه کنترل نیز، طی مدت اجرای تحقیق به فعالیت عادی خود ادامه دادند. ترس از افتادن به وسیله پرسشنامه کارآمدی افتادن و شاخص های تعادلی با استفاده از آزمون برخاستن و راه رفتن بررسی شدند. نتایج تحقیق نشان داد اعمال پروتکل تمرینات دستکاری قیود تکلیف باعث کاهش ترس از افتادن و بهبود شاخص های تعادلی در گروه مداخله گردید. نتایج آزمون تحلیل کوواریانس با حذف اثر پیش آزمون نشان داد، هر دو متغیر در گروه مداخله بهبود معناداری را نسبت به گروه کنترل داشتند. نتایج این پژوهش نشان دهنده تأثیر تمرینات ب بر کاهش ترس از افتادن و بهبود تعادل سالمندان است.
کلیدواژهها
موضوعات
عنوان مقاله [English]
The effect of Task constraint manipulation on fear of falling, and balance in elder adults
نویسندگان [English]
- ZAhra malvandi 1
- Shahab Parvinpour 2
- Marzieh Balali 3
- Zahra Entezari 4
1 Islamic Azad University
2 Assistant professor of physical education and sport sciences faculty of kharazmi university
3 Islamic Azad University
4 Islamic Azad university
چکیده [English]
Fear of falling in the elderly is one of the main concerns in this population. This condition causes negative outcomes including reduced daily productivity, reduced physical activities, and lower quality of life. Manipulating task constraints is one of the methods that seems to be effective in improving balance indicators and fear of falling in the elderly. Therefore, the current research intends to investigate the effect of manipulation of task constraints on the level of fear of falling and balance indicators of healthy elderly people. For this purpose, 30 healthy elderly were randomly selected and divided into two intervention and control groups. The intervention group carried out exercises to manipulate task constraints for 8 weeks and 3 times a week. The control group also continued their normal activities during the research period. The fear of falling was evaluated by the efficiency of falling questionnaire and the balance indicators using the standing and walking test. The results of the research showed that the application of the exercise protocol for manipulating task constraints reduced the fear of falling and improved balance indicators in the intervention group. The results of the analysis of covariance by removing the pre-test effect showed that both variables in the intervention group had a significant improvement compared to the control group (P<0.05). The results of this research show the effect of exercises with the manipulation of task constraints on reducing the fear of falling and improving the balance of the elderly.
کلیدواژهها [English]
- Balance
- Task constraints
- Elderly
- Falling
- Sarabon N, Panjan A, Latash A. The effects of aging on the rambling and trembling components of postural sway: effects of motor and sensory challenges. Gait & Posture, 2013;38(4):637-42.
- Leirós-Rodríguez R, García-Soidán JL, Romo-Pérez V. Analyzing the use of accelerometers as a method of early diagnosis of alterations in balance in elderly people: a systematic review. Sensors. 2019;19(18):3883.
- Peel NM. Epidemiology of falls in older age. Canadian Journal on Aging/La Revue Canadienne du Vieillissement. 2011;30(1):7-19.
- Robinson E, Daly M. Explaining the rise and fall of psychological distress during the COVID‐19 crisis in the United States: longitudinal evidence from the understanding America study. British Journal of Health Psychology. 2021;26(2):570-87.
- Hoang OTT, Jullamate P, Piphatvanitcha N, Rosenberg E. Factors related to fear of falling among community‐dwelling older adults. Journal of Clinical Nursing. 2017;26(1-2):68-76.
- Najafi Gt, Ariapour S, Jafari Om. Epidemiology and relationship of fall and fear of falling in the elderly residing at kamrani nursing home, Tehran, Iran. Salmand: Iranian Journal of Aging. 2016;10(4):152-61.
- Shafizadeh M, Manson J, Fowler-Davis S, Ali K, Lowe AC, Stevenson J, et al. Effects of enriched physical activity environments on balance and fall prevention in older adults: a scoping review. Journal of Aging and Physical Activity. 2020;29(1):178-91.
- Gillespie L, Handoll H. Prevention of falls and fall-related injuries in older people. Injury Prevention. 2009;15(5):354-55.
- Clemson L, Stark S, Pighills AC, Torgerson DJ, Sherrington C, Lamb SE. Environmental interventions for preventing falls in older people living in the community. The Cochrane Database of Systematic Reviews. 2019. 2019(2).
- Shafizadeh M, Pavinpour Sh, Balali M, Samimi Pazhuh F, Broom D. Effects of locomotion task constraints on running in boys with overweight/obesity: the mediating role of developmental delays. Gait & Posture. 2021;86:354-9.
- Pedroso RV, Ayan C, Fraga FJ, da Silve TMV, Cancela JM, Santos-Galduroz-RF. Effects of functional-task training on older adults with Alzheimer’s disease. Journal of Aging and Physical Activity. 2018;26(1):97-105.
- Orishimo KF, Kremenic IK, Mullaney MJ, McHugh MP, Nocholas SJ. Adaptations in single-leg hop biomechanics following anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy. 2010;18(11):1587-93.
- del Pozo-Cruz B, Gusi N, Adsuar JC, del Pozo-Cruz J, Parraca JA, Hernandez-Mocholi M. Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: a cross-sectional study. Physiotherapy. 2013;99(3):194-200.
- Foroughan M, Jaafri Z, Shirin BP, Ghaem MFZ, Rahgozar M. Validation of mini-mental state examination (MMSE) in the elderly. population of Tehran; 2008, pp. 29-37.
- Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler Ch, Todd Ch. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age and Ageing. 2005;34(6):614-9.
- Khajavi D. Validation and reliability of Persian version of Fall Efficacy Scale-International (FES-I) in community-dwelling older adults. Iranian Journal of Ageing. 2013;8(2):39-47.
- Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991;39(2):142-8.
- Mathias S, Nayak U, Isaacs B. Balance in elderly patients: the "Get-up and Go" Test. Archives of Physical Medicine and Rehabilitation. 1986;67(6):387-89.
- Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. Journal of Geriatric Physical Therapy. 2006;29(2):64-8.
- Lin MR, Hwang HF, Hu MH, Isaac Wu HD, Wang YW, Huang FCh. Psychometric comparisons of the timed up and go, one‐leg stand, functional reach, and Tinetti balance measures in community‐dwelling older people. Journal of the American Geriatrics Society. 2004;52(8):1343-8.
- van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: validity and reliability of 3 walking tests. Archives of Physical Medicine and Rehabilitation. 2005;86(2):190-6.
- Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical therapy. 2000;80(9):896-903.
- Nithianantharajah J, Hannan AJ. Enriched environments, experience-dependent plasticity and disorders of the nervous system. Nature Reviews Neuroscience, 2006;7(9):697-709.
- Di Monaco M, Vallero F, Di Monaco R, Tappero R. Prevalence of sarcopenia and its association with osteoporosis in 313 older women following a hip fracture. Archives of Gerontology and Geriatrics. 2011;52(1):71-4.
- Voukelatos A, Cumming RG, Lord SR, Rissel Ch. A randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial. Journal of the American Geriatrics Society. 2007;55(8): 1185-91.
- Khazanin H, Daneshmandi H, Fakoor Rashid H. Effect of selected fall-proof exercises on fear of falling and quality of life in the elderly. Iranian Journal of Ageing. 2022;16(4):564-77.
- Aibar-Almazán A, Martinez-Amat A, Cruz-Diaz D, Torre-Cruz MJDL, Jimenez-Garcia J, Zagalaz-Anula N, et al. Effects of Pilates on fall risk factors in community-dwelling elderly women: A randomized, controlled trial. European Journal of Sport Science. 2019;19(10):1386-394.
- Yaali R, Naeimi Kia M, Gholami A. Effect of weight transfer training on static and dynamic balance of older women. Research in Sport Management and Motor Behavior. 2018;8(16):47-59.
- Toronjo-Hornillo L, Castaneda-Vazquez C, Campos-Mesa MC, Gonzalez-Campos G, Corral-Pernia J, Chacon-Borrego F, et al. Effects of the application of a program of adapted utilitarian judo (Jua) on the fear of falling syndrome (fof) for the health sustainability of the elderly population. International Journal of Environmental Research and Public Health. 2018;15(11):2526.
- Liu X, Shen PL, Tsai YS. Dance intervention effects on physical function in healthy older adults: a systematic review and meta-analysis. Aging Clinical and Experimental Research. 2021;33(2):253-63.
- Öztürk A, Simsek TT, Yumin T, Sertel M, Yumin M. The relationship between physical, functional capacity and quality of life (QoL) among elderly people with a chronic disease. Archives of Gerontology and Geriatrics. 2011;53(3):278-83.
- Robinovitch SN, Feldman F, Yang Y, Schonnop R, Lrung PM, Sarraf T. Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. The Lancet. 2013;381(9860): 47-54.
- Chamberlin ME, Fulwider BD, Sanders ShL, Medeiros JM. Does fear of falling influence spatial and temporal gait parameters in elderly persons beyond changes associated with normal aging? The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2005;60(9):1163-7.
- Buszard T, Farrow D, Reid M, Masters RSW. Scaling sporting equipment for children promotes implicit processes during performance. Consciousness and Cognition. 2014;30:247-55.
- Hill K, Womer M, Russell M, Blackberry I, McGann A. Fear of falling in older fallers presenting at emergency departments. Journal of Advanced Nursing. 2010;66(8):1769-79.
- Roos PE, Dingwell JB. Neuronal noise influences gait variability and fall risk in a dynamic walking model. in The annual meeting for the ASB, Providence, Rhode Island, 2010.
- Vieira ND, Testa D, Ruas PC, Salvina TF, Catai AM, Melo RC. The effects of 12 weeks Pilates-inspired exercise training on functional performance in older women: a randomized clinical trial. Journal of Bodywork and Movement Therapies. 2017;21(2):251-8.