Effects of functional task training on physical performance in older adults: a systematic review and meta-analysis.

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

European Geriatric Medicine Pub Date : 2025-09-18 DOI:10.1007/s41999-025-01310-z

Raúl Nieves-Silva, Luis Chirosa-Ríos, Ignacio J Chirosa-Ríos, Darío Martinez-Garcia, Daniel Jimenez-Lupión, Daniel Jerez-Mayorga

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引用次数: 0

Abstract

Methods: A systematic search of PubMed, Web of Science, Scopus, and SPORTDiscus databases was conducted up to January 2025. Randomized controlled trials evaluating the effects of FTT on functional outcomes in adults aged ≥ 60 years were included. Data were extracted independently using predefined criteria focused on functional outcomes. Primary outcomes included the BBS, TUG, and 6-Minute Walk Test.

Results: Twelve trials with a total of 491 participants were included. Compared to control interventions, FTT demonstrated significant improvements in BBS (SMD = 1.03; 95% CI [0.18, 1.89]; p = 0.02), TUG (SMD = 0.85; 95% CI [0.10, 1.60]; p = 0.03), and 6MWT (SMD = 0.49; 95% CI [0.07, 0.91]; p = 0.02). Within-group analyses showed consistent enhancements post-FTT in functional performance. Heterogeneity was high in BBS and TUG outcomes and low for 6MWT.

Conclusions: Functional Task Training appears to be an effective approach to improve balance, mobility, and endurance in older adults. However, the certainty of evidence is limited, and findings should be interpreted with caution. These results support the integration of FTT into geriatric rehabilitation programs, while underscoring the need for future high-quality trials with standardized protocols and comprehensive outcome reporting.

查看原文本刊更多论文

功能任务训练对老年人体能表现的影响：一项系统回顾和荟萃分析。

方法：系统检索截至2025年1月的PubMed、Web of Science、Scopus和SPORTDiscus数据库。纳入了评估FTT对≥60岁成人功能结局影响的随机对照试验。数据是通过预先定义的功能结果标准独立提取的。主要结果包括BBS、TUG和6分钟步行测试。结果：纳入12项试验，共纳入491名受试者。与对照干预相比，FTT对BBS （SMD = 1.03; 95% CI [0.18, 1.89]; p = 0.02）、TUG （SMD = 0.85; 95% CI [0.10, 1.60]; p = 0.03）和6MWT （SMD = 0.49; 95% CI [0.07, 0.91]; p = 0.02）均有显著改善。组内分析显示，ftt后功能表现持续增强。BBS和TUG结果的异质性较高，而6MWT结果的异质性较低。结论：功能性任务训练似乎是改善老年人平衡、活动和耐力的有效方法。然而，证据的确定性是有限的，研究结果应谨慎解释。这些结果支持将FTT纳入老年康复计划，同时强调未来需要进行具有标准化方案和综合结果报告的高质量试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Geriatric Medicine GERIATRICS & GERONTOLOGY-

CiteScore

6.70

自引率

2.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine. The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.