Olga Athanasiadou, Dimitrios Lytras, Paris Iakovidis, Konstantinos Kasimis, Georgios Koutras, Thomas Apostolou
{"title":"视频支持的考索恩-库克西运动计划对平衡缺陷和头晕的老年人的影响：一项初步随机试点研究。","authors":"Olga Athanasiadou, Dimitrios Lytras, Paris Iakovidis, Konstantinos Kasimis, Georgios Koutras, Thomas Apostolou","doi":"10.1111/ajag.13408","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To determine the safety and efficacy of a video-supported Cawthorne–Cooksey exercise program (CCEP) in improving balance, dizziness and decreasing fear of falling in older adults with balance deficits and dizziness.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Thirty-two older adults were divided into two groups (intervention and control). The intervention group followed a video-supported CCEP group, while the control group received written instructions to maintain their usual activity and counselling on fall prevention. Balance was assessed using the Berg Balance Scale (BBS), fear of falling with the Fall Efficacy Scale International (FES-I), and dizziness impact on daily life with the Dizziness Handicap Inventory (DHI) at baseline, the 4th week and at the 1-month follow-up. Analysis of variance with repeated measures was applied, and the level of significance was set at <i>p</i> < .05.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Statistically significant differences were found between groups at the 4th week, with the CCEP group showing significant improvement in all outcome measures (BBS, FES-I, DHI scores) (<i>p</i> < .05). These differences remained statistically significant at the 1-month follow-up (<i>p</i> < .05). No adverse effects were detected.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>A 4-week video-supported CCEP is safe and effective in improving balance, dizziness impact on daily life and fear of falling in older adults with age-related dizziness and imbalance.</p>\n </section>\n </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of a video-supported Cawthorne–Cooksey exercise program in older adults with balance deficits and dizziness: A preliminary randomised pilot study\",\"authors\":\"Olga Athanasiadou, Dimitrios Lytras, Paris Iakovidis, Konstantinos Kasimis, Georgios Koutras, Thomas Apostolou\",\"doi\":\"10.1111/ajag.13408\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To determine the safety and efficacy of a video-supported Cawthorne–Cooksey exercise program (CCEP) in improving balance, dizziness and decreasing fear of falling in older adults with balance deficits and dizziness.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Thirty-two older adults were divided into two groups (intervention and control). The intervention group followed a video-supported CCEP group, while the control group received written instructions to maintain their usual activity and counselling on fall prevention. Balance was assessed using the Berg Balance Scale (BBS), fear of falling with the Fall Efficacy Scale International (FES-I), and dizziness impact on daily life with the Dizziness Handicap Inventory (DHI) at baseline, the 4th week and at the 1-month follow-up. Analysis of variance with repeated measures was applied, and the level of significance was set at <i>p</i> < .05.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Statistically significant differences were found between groups at the 4th week, with the CCEP group showing significant improvement in all outcome measures (BBS, FES-I, DHI scores) (<i>p</i> < .05). These differences remained statistically significant at the 1-month follow-up (<i>p</i> < .05). No adverse effects were detected.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>A 4-week video-supported CCEP is safe and effective in improving balance, dizziness impact on daily life and fear of falling in older adults with age-related dizziness and imbalance.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55431,\"journal\":{\"name\":\"Australasian Journal on Ageing\",\"volume\":\"44 1\",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-01-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Australasian Journal on Ageing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/ajag.13408\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australasian Journal on Ageing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ajag.13408","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Effects of a video-supported Cawthorne–Cooksey exercise program in older adults with balance deficits and dizziness: A preliminary randomised pilot study
Objectives
To determine the safety and efficacy of a video-supported Cawthorne–Cooksey exercise program (CCEP) in improving balance, dizziness and decreasing fear of falling in older adults with balance deficits and dizziness.
Methods
Thirty-two older adults were divided into two groups (intervention and control). The intervention group followed a video-supported CCEP group, while the control group received written instructions to maintain their usual activity and counselling on fall prevention. Balance was assessed using the Berg Balance Scale (BBS), fear of falling with the Fall Efficacy Scale International (FES-I), and dizziness impact on daily life with the Dizziness Handicap Inventory (DHI) at baseline, the 4th week and at the 1-month follow-up. Analysis of variance with repeated measures was applied, and the level of significance was set at p < .05.
Results
Statistically significant differences were found between groups at the 4th week, with the CCEP group showing significant improvement in all outcome measures (BBS, FES-I, DHI scores) (p < .05). These differences remained statistically significant at the 1-month follow-up (p < .05). No adverse effects were detected.
Conclusion
A 4-week video-supported CCEP is safe and effective in improving balance, dizziness impact on daily life and fear of falling in older adults with age-related dizziness and imbalance.
期刊介绍：
Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.
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