奥塔戈运动项目对老年脑卒中患者跌倒的影响

目的探讨奥塔戈运动项目对老年脑卒中患者跌倒的预防作用。方法将上海市某三级甲等综合性医院出院的56例老年脑卒中患者随机分为干预组（28例）和对照组（28例）。出院后两组均由研究者定期电话随访，对照组保持原有的日常生活活动，干预组接受16周的奥塔戈运动。结果干预16周后，干预组行奥塔戈运动依从率为76．92％；两组跌倒发生次数和移动能力比较，差异无统计学意义（均P〉0．05）；干预组平衡力得分高于干预前水平和对照组同期水平（均P〈0．05）。结论奥塔戈运动项目可以提高老年脑卒中患者的平衡力水平，对改善患者躯体功能有一定效果；该运动项目对是否可以预防老年脑卒中患者跌倒还有待于进一步研究。

Effect of an Otago exercise program on fall prevention in elderly stroke patients

Objective To evaluate the effect of an Otago Exercise Program （OEP） on fall prevention in elderly stroke patients. Me- thods Fifty-six elderly stroke patients discharged from a tertiary hospital in Shanghai were randomly assigned to an intervention group （n=28） and a control group （n=28）. Both groups were given regular telephone follow-up. Patients in the control group were asked to maintain their current daily life activities, while their counterparts in the intervention group were required to perform Otago exercise for 16 weeks. Results Adherence to Otago exercise training was observed in 76.92% of patients in the intervention group at the end of the intervention. After the intervention, no significant differences in falls and mobility were found between the two groups （P〉0.05 for both）. The balance score in the intervention group was significantly higher than the baseline values and the control group after the intervention （P〈0.05 for both）. Conclusion OEP could improve balance capacity of elderly stroke pa- tients, which means it could improve physical function, but the effect on preventing falls in elderly stroke patients should be fur- ther studied.