Pilotstudie av genomförbarheten av Judo4Balance: Ett fallförebyggande träningsprogram för äldre personer i eget boende

Marina Arkkukangas; Karin Strömqvist Bååthe; Julia Hamilton; Anna  Ekholm; Michail Tonkonogi

doi:10.52585/icvs.v1i1.7

Författare

Marina Arkkukangas Forskning och utveckling i Sörmland; Akademin för hälsa, vård och välfärd, avdelning för fysioterapi, Mälardalens högskola; Institutionen för neurovetenskap, Fysioterapi, Uppsala universitet
Karin Strömqvist Bååthe Akademin utbildning, hälsa och samhälle, Medicinsk vetenskap, Idrott och hälsa, Högskolan Dalarna
Julia Hamilton Sabbatsbergsgeriatriken, Region Stockholm
Anna Ekholm Forskning och utveckling i Sörmland
Michail Tonkonogi Akademin utbildning, hälsa och samhälle, Medicinsk vetenskap, Idrott och hälsa, Högskolan Dalarna

DOI:

https://doi.org/10.52585/icvs.v1i1.7

Abstract

Studien undersöker genomförbarheten av ett nytt judoinspirerat träningsprogram för äldre personer, Judo4Balance. Vi utvärderade genomförbarheten inför en fullskalig studie genom att följa studieprocess, resurshantering och vetenskapliga aspekter. Ytterligare utfallsmått var fysisk funktion, tilltro till egen förmåga att utföra aktiviteter utan att falla samt falltekniker.

Interventionen bedömdes vara genomförbar, med vissa ändringar i träningsprogrammets längd. Vi kunde se signifikanta förbättringar av fysisk funktion och falltekniker. När det gäller tilltro till egen förmåga att utföra aktiviteter utan att falla fann vi ingen motsvarande skillnad.

Judo4Balance är ett genomförbart och effektivt träningsprogram för äldre personer. Studien bidrar till ett säkert och noggrant planerat protokoll för en större studie. Resultaten tyder på att interventionen kan vara effektiv för att förebygga fallolyckor och minska risken för skador vid ett eventuellt fall.

Pilot study of the feasibility of Judo4Balance – a fall preventive exercise programme targeting older adults living in their own homes

The aim of this study was to assess the feasibility of Judo4Balance, a novel judo-inspired exercise intervention for community-dwelling older adults. The feasibility of carrying out a full-scale study was evaluated by the following: the study process, resource management and scientific aspects. The outcome measures evaluated were physical performance, fall related self-efficacy and fall techniques (backwards and forwards) among the older adults.

The intervention was judged to be feasible in the different settings, with some changes regarding duration of the intervention. Significant improvements were seen in physical performance and fall techniques, but not for fall related self-efficacy.

Judo4Balance is a feasible intervention for active older adults. This study will provide a safe and thoroughly planned protocol for the planned study and provides indication of appropriate setting depending on the target group. The results suggest that the intervention could be efficent in preventing fall accidents, or lower the risk of injury in case of a fall.

Referenser

Agostinho MF, Philippe AG, Marcolino GS, Pereira ER, Busso T, Candau RB m fl. Perceived training intensity and performance changes quantification in judo. The Journal of strength and conditioning research. 2015;29(6):1570-7. https://doi.org/10.1519/JSC.0000000000000777

Fallolyckor på arbetet. Afa Försäkring; 2018.

Franchini E, Del Vecchio FB, Matsushigue KA, Artiloli GG. Physiological profiles of elite judo athletes. Sports medicine. 2011;41:147-166. https://doi.org/10.2165/11538580-000000000-00000

Garne-Dalgaard A, Mann S, Bredahl TVG, Stochkendahl MJ. Implementation strategies, and barriers and facilitators for implementation of physical activity at work: a scoping review. Chiropractic and manual therapies. 2019;27:48. https://doi.org/10.1186/s12998-019-0268-5

Gawel J, Vengrow D, Collins J, Brown S, Buchanan A, Cook C. The short physical performance battery as a predictor for long term disability or institutionalization in the community dwelling population aged 65 years old or older. Physical therapy reviews. 2013;17(1):37-44. https://doi.org/10.1179/1743288X11Y.0000000050

Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson ML m fl. Interventions for preventing falls in older people living in the community. Cochrane database of systematic reviews. 2012(9):CD007146. https://doi.org/10.1002/14651858.CD007146.pub3

Groen BE, Weerdesteyn V, Duysens JJ. Martial arts fall techniques decrease the impact forces at the hip during sideways falling. Journal of biomechanics. 2007;40(2):458-62. https://doi.org/10.1016/j.jbiomech.2005.12.014

Guralnik, JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir GV m fl. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. The Journals of gerontology: Series A. 2000;55(4):221-31. https://doi.org/10.1093/gerona/55.4.M221

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG m fl. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of gerontology. 1994;49(2):85-94. https://doi.org/10.1093/geronj/49.2.M85

Han L, Yang F. Strength or power, which is more important to prevent slip-related falls? Human movement science. 2015;44:192-200. https://doi.org/10.1016/j.humov.2015.09.001

Hellström K, Lindmark B. Fear of falling in patients with stroke: a reliability study. Clinical rehabilitation. 1999;13(6):509-517. https://doi.org/10.1191/026921599677784567

Hellström K, Lindmark B, Wahlberg B, Fugl-Meyer AR. Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke: a prospective investigation. Journal of rehabilitation medicine. 2003;35(5):202-207. https://doi.org/10.1080/16501970310000836

Hellström K, Sandström M, Heideken Wågert P, Sandborgh M, Söderlund A, Thors Adolfsson E m fl. Fall-related self-efficacy in instrumental activities of daily living is associated with falls in older community-living people. Physical and occupational therapy in geriatrics. 2013;31(2):128-139. https://doi.org/10.3109/02703181.2013.792912

Jung H, Shin HH, Choi YW, Kim KM. The relationship between fall efficacy and activity level in older adults. Physical and occupational therapy in geriatrics. 2015;33(1):53-63. https://doi.org/10.3109/02703181.2014.985865

Kelsey JL, Procter-Gray E, Hannan MT, Li W. Heterogeneity of falls among older adults: Implications for public health prevention. American journal of public health. 2012;102(11):2149-2156. https://doi.org/10.2105/AJPH.2012.300677

Lacroix A, Hortobágyi T, Beurskens R, Granacher U. Effects of supervised vs unsupervised training programs on balance and muscle strength in older adults: A systematic review and meta-analysis. Sports medicine. 2017;47(11):2341-2361. https://doi.org/10.1007/s40279-017-0747-6

Lauretani F, Ticinesi A, Gionti L, Prati B, Nouvenne A, Tana C m fl. Short-physical performance battery (SPPB) score is associated with falls in older outpatients. Aging clinical and experimental research. 2019;31:1435-1442. https://doi.org/10.1007/s40520-018-1082-y

Leonhardt R, Becker C, Groß M, Mikolaizak AS. Impact of the backward chaining method on physical and psychological outcome measures in older adults at risk of falling: a systematic review. Aging clinical and experimental research. 2020;32(6):985-997. https://doi.org/10.1007/s40520-019-01459-1

Liu CJ, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane database of systematic reviews. 2009(3):CD002759. https://doi.org/10.1002/14651858.CD002759.pub2

Nosraty L, Jylhä M, Raittila T, Lumme-Sandt K. Perceptions by the oldest old of successful aging, Vitality 90+ study. Journal of aging studies: 2015;32:50-58. https://doi.org/10.1016/j.jaging.2015.01.002

Peel NM. Epidemiology of falls in older age. Canadian journal on aging. 2011;30(1):7-19. https://doi.org/10.1017/S071498081000070X

Rivera-Torres S, Fahey TD, Rivera MA. Adherence to exercise programs in older adults: Informative report. Gerontology and geriatric medicine. 2019;5:2333721418823604. https://doi.org/10.1177/2333721418823604

Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age and ageing. 2006;35:37-41. https://doi.org/10.1093/ageing/afl084

Sherrington C, Michaleff ZA, Fairhall N, Paul SS, Tiedemann A, Whitney J, Cumming RG, Herbert RD, Close JCT, Lord SR. Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. British journal of sports medicine. 2017;51(24):1750-1758. https://doi.org/10.1136/bjsports-2016-096547

Thabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios LP m fl. A tutorial on pilot studies: the what, why and how. BMC Medical research methodology. 2010;10:1. https://doi.org/10.1186/1471-2288-10-1

Tinetti ME, Gordon C, Sogolow E, Lapin P, Bradley EH. Fall-risk evaluation and management: Challenges in adopting geriatric care practices. The Gerontologist. 2006;46(6):717-725. https://doi.org/10.1093/geront/46.6.717

World health organisation. WHO global report on falls prevention in older age. World health organization; 2007.