眼球运动训练对老年人踩踏精确性影响的研究

doi:10.3761/j.issn.1672-9234.2020.12.012

摘要/Abstract

摘要：

目的探讨眼球运动训练干预对老年人踩踏精确性的改善效果。方法对26名老年人进行眼球运动训练,每次20~30 min,2次/周,共4周。干预前及干预后,使用多目标踩踏任务（multitarget stepping task,MTST）测试对老年人踩踏精确性进行测量。结果干预后,参与者完成MTST测试的用时缩短（Z=3.022,P=0.003）、步数减少（Z=2.865,P=0.004）、规避失败个数下降（Z=3.700,P<0.001）、踩踏失败个数下降（Z=2.673,P=0.008）。结论眼球运动训练可以改善老年人的踩踏精确性。

关键词: 意外跌倒, 运动试验, 眼球运动, 老年人, 意外跌倒, 运动试验, 眼球运动, 老年人

Abstract:

Objective To explore the effects of eye movement training on stepping accuracy in older people.Methods A total of 26 participants received the training twice a week with 20~30 minutes each time and the training lasted for 4 weeks.Before and after the intervention,the Multitarget stepping task（MTST） was used to measure the stepping accuracy of the older people. Results The performance of the participants in MTST was improved after the intervention. The performance time（Z=3.022,P=0.003）and number of steps（Z=2.865,P=0.004）were reduced. The numbers of avoidance failures（Z=3.700,P<0.001） and stepping failures（Z=2.673,P=0.008）decreased. Conclusion Eye movement training can improve the stepping accuracy of older people.

Key words: Accidental Falls, Exercise Test, Eye Movements, Aged, Accidental Falls, Exercise Test, Eye Movements, Aged

陈健新, 张瑞丽, 李玉芝, 张慧鑫. 眼球运动训练对老年人踩踏精确性影响的研究[J]. 中华护理教育, 2020, 17(12): 1115-1118.

CHEN Jian-xin, ZHANG Rui-li, LI Yu-zhi, ZHANG Hui-xin. The effects of an eye movement training on stepping accuracy in older people/[J]. Chinese Journal of Nursing Education, 2020, 17(12): 1115-1118.

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参考文献 22

[1]	肖涟, 李迪, 全芳, 等. 1856例老年人损伤和中毒的外因分析[J]. 中国病案, 2018,19(12):60-62.
[2]	Berg WP, Murdock LA. Age-related differences in locomotor tar-geting performance under structural interference[J]. Age Ageing, 2011,40(3):324-329. doi: 10.1093/ageing/afr029 pmid: 21444327
[3]	Ellmers TJ, Cocks AJ, Doumas M, et al. Gazing into thin air:the dual-task costs of movement planning and execution during adaptive gait[J]. PLoS One, 2016,11(11):e0166063. pmid: 27824937
[4]	Uiga L, Cheng KC, Wilson MR, et al. Acquiring visual information for locomotion by older adults:a systematic review[J]. Ageing Res Rev, 2015,20:24-34. doi: 10.1016/j.arr.2014.12.005 pmid: 25576650
[5]	Crowdy KA, Kaur-Mann D, Cooper HL, et al. Rehearsal by eye movement improves visuomotor performance in cerebellar patients[J]. Exp Brain Res, 2002,146(2):244-247. pmid: 12195526
[6]	Pusswald G, Steinhoff N, Müller C. Coupling acoustic feedback to eye movements to reduce spatial neglect[J]. Top Stroke Rehabil, 2013,20(3):262-269. pmid: 23841974
[7]	Kang KY, Yu KH. The effects of eye movement training on gait function in patients with stroke[J]. J Phys Ther Sci, 2016,28(6):1816-1818. pmid: 27390423
[8]	Park JH. The effects of eyeball exercise on balance ability and falls efficacy of the elderly who have experienced a fall:a single-blind,randomized controlled trial[J]. Archives of Gerontology and Geriatrics, 2017,68:181-185. pmid: 27835770
[9]	刘意, 张洪波. 双眼视与低视力[M]. 郑州: 郑州大学出版社, 2012.
[10]	Yamada M, Higuchi T, Tanaka B, et al. Measurements of stepping accuracy in a multitarget stepping task as a potential indicator of fall risk in elderly individuals[J]. J Gerontol A Biol Sci Med Sci, 2011,66A(9):994-1000.
[11]	Yamada M, Higuchi T, Mori S, et al. Maladaptive turning and gaze behavior induces impaired stepping on multiple footfall targets during gait in older individuals who are at high risk of falling[J]. Archives of Gerontology and Geriatrics, 2012,54(2):e102-e108. doi: 10.1016/j.archger.2011.08.012 pmid: 21908059
[12]	Caetano MJD, Menant JC, Schoene D, et al. Sensorimotor and cog-nitive predictors of impaired gait adaptability in older people[J]. J Gerontol A Biol Sci Med Sci, 2017,72(9):1257-1263. doi: 10.1093/gerona/glw171 pmid: 27573810
[13]	Sun R, Cui C, Shea JB. Aging effect on step adjustments and stability control in visually perturbed gait initiation[J]. Gait Posture, 2017,58:268-273. doi: 10.1016/j.gaitpost.2017.08.013 pmid: 28837917
[14]	Caetano MJD, Lord SR, Schoene D, et al. Age-related changes in gait adaptability in response to unpredictable obstacles and stepping targets[J]. Gait Posture, 2016,46:35-41. doi: 10.1016/j.gaitpost.2016.02.003 pmid: 27131174
[15]	Tseng SC, Stanhope SJ, Morton SM. Visuomotor adaptation of voluntary step initiation in older adults[J]. Gait Posture, 2010,31(2):180-184. doi: 10.1016/j.gaitpost.2009.10.001 pmid: 19889542
[16]	Domínguez-Zamora FJ, Gunn SM, Marigold DS. Adaptive gaze strategies to reduce environmental uncertainty during a sequential visuomotor behaviour[J]. Sci Rep, 2018,8(1):14112. pmid: 30237587
[17]	Rodrigues ST, Polastri PF, Carvalho JC, et al. Saccadic and smooth pursuit eye movements attenuate postural sway similarly[J]. Neuroscience Letters, 2015,584:292-295. pmid: 25450141
[18]	Young WR, Hollands MA. Can telling older adults where to look reduce falls? Evidence for a causal link between inappropriate visual sampling and suboptimal stepping performance[J]. Exp Brain Res, 2010,204(1):103-113. doi: 10.1007/s00221-010-2300-9
[19]	张庆来. 姿势控制理论与老年人跌倒研究进展[J]. 首都体育学院学报, 2018,30(6):569-576.
[20]	Seferlis F, Chimona TS, Papadakis CE, et al. Age related changes in ocular motor testing in healthy subjects[J]. J Vestib Res, 2015,25(2):57-66. doi: 10.3233/VES-150548 pmid: 26410670
[21]	Eibenberger K, Ring M, Haslwanter T. Sustained effects for training of smooth pursuit plasticity[J]. Exp Brain Res, 2012,218(1):81-89. doi: 10.1007/s00221-012-3009-8 pmid: 22349496
[22]	Reed-Jones RJ, Dorgo S, Hitchings MK, et al. Vision and agility training in community dwelling older adults:incorporating visual training into programs for fall prevention[J]. Gait Posture, 2012,35(4):585-589. doi: 10.1016/j.gaitpost.2011.11.029 pmid: 22206782