Otago运动对老年人平衡功能和跌倒效能干预效果的Meta分析

Intervention effect of Otago exercise on balance function and fall efficiency in the elderly: a Meta-analysis

目的:系统评价奥塔戈(Otago)运动对老年人平衡功能和跌倒效能的影响。方法:计算机检索Web of Science、PubMed、CINAHL、the Cochrane Library、EMbase及中国知网、万方数据、维普数据库和中国生物医学文献数据库中关于Otago运动对老年人平衡功能及跌倒效能影响的文献,检索时限为数据库建库至2021年8月26日。由2名研究者独立对文献进行筛选、资料提取及方法学质量评价,采用RevMan 5.3软件进行Meta分析。结果:共纳入12项随机对照试验。Meta分析结果显示,Otago运动可提高老年人静态平衡能力[MD=3.78,95%CI(2.97,4.59),P<0.000 01]、移动能力[MD=-3.27,95%CI(-4.88,-1.65),P<0.000 1],增强跌倒效能[MD=10.70,95%CI(5.98,15.42),P<0.000 01]。结论:现有证据表明,Otago运动能够提高老年人的平衡功能及移动能力,增强跌倒效能,但尚需高质量、大样本、多中心的随机对照研究加以验证。

Objective:To systematically evaluate the effect of Otago exercise on balance function and fall efficiency in the elderly.Methods:Literatures on Otago exercise on balance function and fall efficiency in the elderly were searched from Web of Science, PubMed, CINAHL,the Cochrane Library, EMbase, CNKI,WanFang Database, VIP and CBM.The retrieval time was from inception to August 26,2021.Two researchers independently screened the literature, extracted data and evaluated the methodological quality.RevMan 5.3 software was used for Meta-analysis.Results:A total of 12 randomized controlled trials were included.Meta-analysis results showed that Otago exercise could improve the static balance ability[MD=3.78,95%CI(2.97,4.59),P<0.000 01],mobility[MD=-3.27,95%CI(-4.88,-1.65),P<0.000 1],and enhance the fall efficiency [MD=10.70,95%CI(5.98,15.42),P<0.000 01].Conclusions:Current evidence shows that Otago exercise can improve the balance function and mobility of the elderly and enhance the efficiency of falls, but it still needs to be verified by high-quality, large sample and multi center randomized controlled studies.