JMIR aging · 2026 · 系統性回顧＋統合分析（依標題推測）

Effects of Multisensory Integration Training on Postural Stability Characteristics and Fall Risk in Older Adults: Systematic Review and Meta-Analysis.

高齡・肌少・骨骼健康 · 老年人跌倒風險

中文閱讀摘要

統合分析顯示多感官整合訓練顯著改善長者姿勢穩定性並降低跌倒風險，但研究間差異大導致結果不一致。

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原始摘要

Background

The risk of falls escalates with advancing age, a consequence of the concomitant degeneration of multiple physiological systems, altered sensory processing capabilities, and reduced postural control. Multisensory integration (MSI) training has been demonstrated to enhance the brain's processing of multisensory information. However, existing studies show considerable variability in intervention duration and training modalities, limiting comparability across studies and contributing to inconsistent findings.

Objective

This study aimed to systematically evaluate the effectiveness of MSI training on postural stability and fall risk in healthy older adults and provide an evidence base for clinical practice.

Methods

Databases including PubMed, Embase, and Cochrane Library were searched by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The methodological quality of the included randomized controlled trials was assessed using the Cochrane risk of bias tool, and publication bias was evaluated through funnel plots. Meta-analyses using R packages quantified effects via standardized mean differences (SMDs) and 95% CIs, with fixed or random effects models selected based on heterogeneity (I²). Subgroup analyses explored age, intervention duration, and type.

Results

A total of 14 randomized controlled trials were included in the meta-analysis. Results showed that MSI training significantly reduced center of pressure displacement in the anterior-to-posterior displacement (SMD -1.64, 95% CI -2.78 to -0.49, P<.001) and center of pressure displacement in the medio-to-lateral displacement (SMD -1.37, 95% CI -2.68 to -0.07, P<.001). In terms of postural stability, MSI training significantly improved Berg Balance Scale scores (SMD 3.42, 95% CI 2.41 to 4.44, P=.006). In terms of fall risk, MSI training significantly reduced the time to complete the timed up and go test, and intervention type significantly moderated this effect (SMD -1.43, 95% CI -2.36 to -0.50, P<.001). Additionally, MSI training reduced the risk of falls (SMD -1.27, 95% CI -2.03 to -0.52, P<.001).

Conclusions

In conclusion, MSI training is an effective intervention for enhancing static and dynamic postural control and reducing fall risk in healthy older adults, suggesting a beneficial effect on postural stability and fall-related outcomes.

至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19

書目、來源與全文狀態

DOI: 10.2196/80345
PMID／PMCID: 42096607 / PMC13152038
作者: Guo C, Yin L, Chen P, Zhan J, Yu Z, Tan TC, Wei Y, Gong Y, Xu M, Le VM, Wang L
首次發表日期: 2026-05-07Europe PMC 提供，部分日期可能依年份或月份推定。
卷／期／頁碼或文章編號: 9 ／期未提供／ e80345
書目來源與查核日期: Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
全文與授權: 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。來源授權標示：cc by。

可回溯引用

Guo C, Yin L, Chen P, Zhan J, Yu Z, Tan TC, Wei Y, Gong Y, Xu M, Le VM, Wang L. Effects of Multisensory Integration Training on Postural Stability Characteristics and Fall Risk in Older Adults: Systematic Review and Meta-Analysis. JMIR aging. 2026;9:e80345. PMID: 42096607. PMCID: PMC13152038. doi:10.2196/80345

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