Sažetak
Starenjem dolazi do smanjenja funkcionalnih sposobnosti, što utiče na pojavu padova koji neretko mogu dovesti do invaliditeta. Cilj ovog preglednog rada je analiza savremenih pristupa u okviru mera prevencije i kontrole padova kod starijih osoba. Kao izvori podataka u ovom radu korišćeni su publikovani naučni radovi, objavljeni u periodu 2003-2023. godine. Terapijske vežbe primenjene tokom rehabilitacije i postrehabilitacije čine osnovu dobre posturalne stabilnosti. Različiti programi sistematskog vežbanja imaju svoje značajno mesto, ali treba da budu zasnovani na dokazima i precizno dozirani. Sa razvojem tehnologije postaje dostupno sve više metoda i opreme koja se na savremeni način može iskoristiti u prevenciji padova. Robotski sistemi, aplikacije, prenosivi hardverski uređaji, aparatura za virtuelnu realnost, kao i sistemi detekcije i prevencije padova, predstavljaju samo neke od novijih tehnologija koje se primenjuju u prevenciji padova. Multidisciplinarni pristup, koji se odnosi na pružanje informacija, t imski rad stručnjaka iz različitih oblasti i praćenje novih tehnologija, bi mogao značajno doprineti prevenciji padova i unapređenju kvaliteta života starijih osoba.
Ključne reči
Reference
Popis stanovništva, domaćinstava i stanova 2022. Starost i pol. Beograd: Republički zavod za statistiku; 2023.
United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2019 (ST/ESA/SER.A/444). New York: United Nations; 2020.
Li Z, Zhang Z, Ren Y, Wang Y, Fang J, Yue H, et al. Aging and age-related diseases: from mechanisms to therapeutic strategies. Biogerontology. 2021;22(2):165-87. doi: 10.1007/s10522-021-09910-5.
Clark BC. Neural mechanisms of age-related loss of muscle performance and physical function. J Gerontol A Biol Sci Med Sci. 2023;78(Suppl 1):8-13. doi: 10.1093/gerona/glad029.
Jafari H, Gustafsson T. Optimal controllers resembling postural sway during upright stance. PLoS One. 2023;18(5):e0285098. doi: 10.1371/journal.pone.0285098.
Jovanović L, Kovačević R, Ereš S, Kljajić D. Držanje tela-postura; kineziterapija u cilju prevencije i korekcije poremećaja držanja tela. Beograd: Atosprint; 2014.
World Health Organization. WHO global report on falls prevention in older age. Geneva (Switzerland): World Health Organization; 2007.
Roos PE, Dingwell JB. Using dynamic walking models to identify factors that contribute to increased risk of falling in older adults. Hum Mov Sci. 2013;32(5):984-96. doi: 10.1016/j.humov.2013.07.001.
Park SH. Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clin Exp Res. 2018;30(1):1-16. doi: 10.1007/s40520-017-0749-0.
Trajkov M, Jovanović S, Kljajić D. Ispitivanje posturalne stabilnosti pomoću Neurocom balance master kineziometrijske platforme. Zdravstvena zaštita. 2015;44(5):53-9. doi: 10.5937/ZZ1505053T.
Fragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ, Peterson MD, et al. Resistance training for older adults: position statement from the national strength and conditioning association. J Strength Cond Res. 2019;33(8):2019-52. doi: 10.1519/JSC.0000000000003230.
Fiatarone-Singh MA, Izquierdo M, Morley JE. Physical fitness and exercise. In: Sinclair AJ, Morley JE, Vellas B, Cesari M, Munshi M, editors. Pathy’s principles and practice of geriatric medicine. 6th ed. Oxford: John Wiley and Sons Ltd; 2022. p. 77-107.
Jovanović L, Kovačević R, Ereš S, Kljajić D. Osnovi kineziterapije. Beograd: Atosprint; 2016.
Izquierdo M, Merchant RA, Morley JE, Anker SD, Aprahamian I, Arai H, et al. International exercise recommendations in older adults (ICFSR): expert consensus guidelines. J Nutr Health Aging. 2021;25(7):824-53. doi: 10.1007/s12603-021-1665-8.
Fejzić E. Osobe umanjenih tjelesnih sposobnosti i arhitektonske barijere. Kotor: EXPEDITIO-Centar za održivi prostorni razvoj; 2007.
Yang Y, Wang K, Liu H, Qu J, Wang Y, Chen P, Zhang T, Luo J. The impact of Otago exercise programme on the prevention of falls in older adult: a systematic review. Front Public Health. 2022;10:953593. doi: 10.3389/fpubh.2022.953593.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World health organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62. doi: 10.1136/bjsports-2020-102955.
Božić D, Zelenović M. Uticaj fizičke aktivnosti na prevenciju i broj padova kod starijih osoba. SportLogia. 2022;18(1):42-56. doi: 10.5550/sgia.221801.se.bz.
Voukelatos A, Merom D, Sherrington C, Rissel C, Cumming RG, Lord SR. The impact of a home-based walking programme on falls in older people: the easy steps randomised controlled trial. Age Ageing. 2015;44(3):377-83. doi: 10.1093/ageing/afu186.
Wolf SL, Sattin RW, Kutner M, O'Grady M, Greenspan AI, Gregor RJ. Intense tai chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial. J Am Geriatr Soc. 2003;51(12):1693-701. doi: 10.1046/j.1532-5415.2003.51552.x.
Sherrington C, Michaleff ZA, Fairhall N, Paul SS, Tiedemann A, Whitney J, et al. Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med. 2017;51(24):1750-8. doi: 10.1136/bjsports-2016-096547.
Aquatic Exercise Association. Aquatic fitness professional manual. 7th ed. United States: Human Kinetics; 2017.
Jansen CP, Nerz C, Labudek S, Gottschalk S, Kramer-Gmeiner F, Klenk J, et al. Lifestyle-integrated functional exercise to prevent falls and promote physical activity: results from the LiFE-is-LiFE randomized non-inferiority trial. Int J Behav Nutr Phys Act. 2021;18(1):115. doi: 10.1186/s12966-021-01190-z.
Robson E, Edwards J, Gallagher E, Baker D. Steady as you go (SAYGO): a falls-prevention program for seniors living in the community. Can J Aging. 2003;22(2):207-16. doi:10.1017/S0714980800004529.
Thompson LA, Badache M, Brusamolin JAR, Savadkoohi M, Guise J, de Paiva GV, et al. Multidirectional overground robotic training leads to improvements in balance in older adults. Robotics (Basel). 2021;10(3):101. doi: 10.3390/robotics10030101.
Avioz-Sarig O, Olatunji S, Sarne-Fleischmann V, Edan Y. Robotic system for physical training of older adults. Int J Soc Robot. 2021;13(5):1109-24. doi: 10.1007/s12369-020-00697-y.
Di P, Hasegawa Y, Nakagawa S, Sekiyama K, Fukuda T, Hujang J, et al. Fall detection and prevention control using walking-aid cane robot. IEEE/ASME Trans Mechatron. 2016; 21(2):625-37. doi: 10.1109/TMECH.2015.2477996.
Araújo F, Nogueira MN, Silva J, Rego S. A technological-based platform for risk assessment, detection, and prevention of falls among home-dwelling older adults: protocol for a quasi-experimental study. JMIR Res Protoc. 2021;10(8):e25781. doi: 10.2196/25781.
Mirelman A, Rochester L, Maidan I, Del Din S, Alcock L, Nieuwhof F, et al. Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial. Lancet. 2016;388(10050):1170-82. doi: 10.1016/S0140-6736(16)31325-3.
Delahoz YS, Labrador MA. Survey on fall detection and fall prevention using wearable and external sensors. Sensors (Basel). 2014;14(10):19806-42. doi: 10.3390/s141019806.