基于虚拟现实的八段锦对养老机构老年骨质疏松症患者跌倒风险及生活质量的影响

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Abstract Objective To explore the effects of baduanjin based on virtual reality (VR) on the risk of falls and quality of life of elderly patients with osteoporosis (OP) in nursing institution for the aged. Methods From July 2016 to December 2017, 64 elderly OP patients in Nanjing Jiangning Muchunyuan Nursing Home were selected for the study. They were divided into the control group and the observation group according to the random number table method, with 32 cases in each group. Both groups received conventional anti-osteoporosis treatment. On this basis, the observation group adopted baduanjin based on VR training three times a week for a total of 12 months, each time 50 min. Physical function, fall effectiveness, pain level, bone mineral density (BMD), the number of falls and quality of life were observed in both groups of patients. Results During the study, 2 cases fell out in each group. In the end, there were 30 cases each in the control group and the observation group. Before treatment, there was no statistically significant differences in the short physical performance battery (SPPB) score, the modified falls efficacy scale (MFES) score, the visual analogue scale (VAS) score and the short-form 36 item health survey questionnaire (SF-36) score between the two groups of patients (P ＞ 0.05). After 12 months of treatment, SPPB, MFES and SF-36 scores in both groups of patients were significantly higher than those before treatment (P ＜ 0.05), and VAS scores were significantly lower than those before treatment (P ＜ 0.05). SPPB, MFES and SF-36 scores in the observation group were significantly higher than those in the control group (P ＜ 0.05), and VAS scores were significantly lower than those in the control group (P ＜ 0.05). Before treatment, BMD values of lumbar spine (L2-4), femoral neck and total hip of the two groups of patients were not significantly different (P ＞ 0.05). After 12 months of treatment, BMD values in both groups of patients were significantly higher than those before treatment (P ＜ 0.05), and BMD values in the observation group were significantly higher than those in the control group. Within 12 months before treatment, there was no significant difference in the number of falls between the two groups of patients (P ＞ 0.05). Within 12 months after treatment, the number of falls of patients in both groups was significantly lower than that before treatment (P ＜ 0.05), and the number of falls in the observation group was significantly lower than that in the control group (P ＜ 0.05). Conclusion Based on VR, baduanjin can effectively improve the physical function, fall efficiency, lower back pain and BMD of elderly OP patients in nursing institution for the aged, reduce the risk and number of falls, improve their quality of life, and facilitate the promotion and application in nursing institution for the aged.

Key words： Elderly osteoporosis Virtual reality Baduanjin Nursing institution for the aged Fall risk Quality of life

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	SUN Zhicheng1
	2 GU Xiaomei1 OUYANG Gang1 XI Yang1 ZHANG Na2 CHEN Xiurong2 PAN Lijun2

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SUN Zhicheng1,2 GU Xiaomei1 OUYANG Gang1 XI Yang1 ZHANG Na2 CHEN Xiurong2 PAN Lijun2. Effects of baduanjin based on virtual reality on fall risk and quality of life of elderly osteoporosis patients in nursing institution for the aged[J]. 中国医药导报, 2020, 17(1): 90-93,97.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I1/90

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