The Effects of Feldenkrais Classes on the Health and Function of an Ageing Australian Sample: A Pilot Study~!2009-09-14~!2010-03-04~!2010-04-13~!

S. Hillier, L. Porter, Kate Jackson, J. Petkov
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引用次数: 9

Abstract

Participation in regular physical activity has a variety of health benefits including increased levels of function and independence for people who are ageing. The inclusion of motor learning principles into exercise programs is proposed to increase functional benefits. The presence of these principles in the Feldenkrais Method (FM) suggests this may be a beneficial program for the ageing population. Objective: A proof of concept study was conducted to determine the effectiveness of an eight week movement class based on the FM when compared to a generic balance class. Method: A pseudo-randomized controlled pilot study was conducted in an Australian community based organization of healthy people post-retirement, n=22. Self-perceived health and functional status were measured by the Short-Form 36 (SF-36) and Patient-Specific Functional Scale (PSFS) respectively. Objective functional assessment, by a blinded assessor, included the Timed Up and Go Test (TUGT), Functional Reach Test (FRT), Single Leg Stance time (SLS) and Walk on Floor Eyes Closed (WOFEC) measures. Results: There was a significant time effect for all measures except the WOFEC. Post hoc analysis demonstrated significant improvements for both the FM and generic groups in the SF-36, PSFS and FRT and for the FM group only in the SLS test. Conclusions: Classes based on the FM are effective in improving health and functional measures in a healthy ageing population, equally so with the generic class. Considerations for future research include a randomized controlled trial in a rehabilitation setting, with a larger sample size and appropriate measures to detect relevant change in functional levels.
Feldenkrais课程对澳大利亚老年人健康和功能的影响:一项试点研究
参加有规律的体育活动对健康有多种好处,包括提高老年人的功能水平和独立性。建议将运动学习原则纳入锻炼计划以增加功能益处。费登奎斯方法(FM)中存在的这些原则表明,这可能是一个有利于人口老龄化的计划。目的:进行了一项概念验证研究,以确定基于FM的八周运动课程与一般平衡课程相比的有效性。方法:采用伪随机对照先导研究,在澳大利亚某社区健康退休人员组织中进行,n=22。自我感知健康和功能状态分别采用SF-36 (Short-Form 36)和PSFS (Patient-Specific functional Scale)测量。客观功能评估,由盲法评估,包括计时起走测试(TUGT),功能到达测试(FRT),单腿站立时间(SLS)和闭眼在地板上行走(WOFEC)措施。结果:除WOFEC外,其余措施均有显著的时间效应。事后分析表明,FM组和普通组在SF-36、PSFS和FRT方面都有显著改善,FM组仅在SLS测试中有显著改善。结论:基于FM的课程在改善健康老龄化人口的健康和功能措施方面是有效的,与一般课程同样有效。未来研究的考虑包括在康复环境中进行随机对照试验,样本量更大,并采取适当措施检测功能水平的相关变化。
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