Keywords:walking, balance, fall, body weight support treadmill training, การหกล้ม, การเดิน, การทรงตัว, การฝึกเดินบน สายพานเลื่อนด้วยเครื่องพยุงน้ำหนักตัว
Objective: To study the effects of a partial body weight support treadmill training (PBSTT) program in improving balance, and walking of elderly community-dwellers with a history of fall and perception of poor balance
Study designs: Experimental and comparative study
Settings: Rehabilitation Department, Samrong General Hospital
Subjects: Elderly peoples aged more than 60 years with self-perceived poor balance or a history of fall within six months.
Methods: Training consisted of walking with PBSTT and progressive difficulty 2 times/week for 6 weeks. Participants were evaluated with Berg Balance Scale (BBS), Time Up and Go test (TUGT), gait speed, cadence and step length before, immediate after completion of the training and 6 months later. Data were compared between before and after the training.
Results: There were 40 participants (7 men and 33 women) with average age of 68.6 years. Twenty eight of them reported at least one fall within 6 months prior to the study, and the calculated rate of falls was 1.45 time/person/year. The rate of fall at 6 months follow up was 0.05 time/person/year. Calculated reduction of fall is 95.07%. BBS, TUGT, comfortable gait speed, and average step length after completion of the 6 week training and at 6 months follow up were significantly different from before training data with p value <0.01 and <0.05 respectively. There was a significant statistical difference in cadence before and immediately after training at p value 0.05 but not between before and at 6 months post training.
Conclusion: Six-week or 12 times program of walking with PBSTT could reduce the rate of fall, increase in gait speed and improve balance of community dwelling elderly persons with balance problems.
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