Background: The association between gait and cognition, and their combined impact on postural stability may underlie the increased fall risk in older adults with dementia. However, there are few interventions to improve functional mobility and reduce fall risks in people with cognitive impairment. Objectives: This study aims to investigate the feasibility and acceptability of a Safe Mobilisation Program for cognitively impaired older adults with higher level gait disorders. It also explores the potential effectiveness of the program on mobility and fall risks. Methods: Fifteen community-dwelling older adults participated in a 3-week pre-post intervention study. They were trained to take steady steps in transfers and mobilization using errorless learning and spaced retrieval teaching techniques. Results: The intervention program was feasible, all the participants completed the program and were able to mobilize safely. The program was acceptable and participants reported an increase in safety awareness, improvement in confidence while transferring and mobilising, and better quality of life. There was a trend of improvement in Falls Efficacy Scale-international (FES-I), 360° turn and Tinetti Performance Oriented Mobility Assessment (POMA), which may indicate improvement in balance and mobility. Conclusion: The Safe Mobilisation Program was feasible and acceptable in older adults with cognitive impairment and gait disorders and warrants further evaluation.
Dement Geriatr Cogn Disord

中文翻译：

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一项安全动员计划，可改善具有高度步态障碍的认知障碍老年人的功能活动能力并降低其跌倒风险：一项试点研究

背景：步态与认知之间的关联及其对姿势稳定性的综合影响可能是老年痴呆症患者跌倒风险增加的原因。然而，很少有干预措施可以改善认知障碍患者的功能活动能力和降低跌倒风险。目的：本研究旨在调查安全动员计划对患有高度步态障碍的认知障碍老年人的可行性和可接受性。它还探讨了该计划在移动性和跌倒风险方面的潜在有效性。方法：15 名居住在社区的老年人参加了一项为期 3 周的事前干预研究。他们接受了培训，可以使用无误学习和间隔检索教学技术在转移和动员方面采取稳定的步骤。结果：干预方案可行，所有参与者均完成方案并能够安全活动。该计划是可以接受的，参与者报告说安全意识有所提高，在转移和动员时增强了信心，并改善了生活质量。Falls Efficacy Scale-international (FES-I)、360°转身和Tinetti Performance Oriented Mobility Assessment (POMA) 有改善的趋势，这可能表明平衡和行动能力有所改善。结论：安全动员计划在有认知障碍和步态障碍的老年人中是可行和可接受的，值得进一步评估。
老年痴呆症认知障碍