BACKGROUND: The knowledge concerning balance training actually lowering fall rates among frail older persons is limited. OBJECTIVE: The aim of this study was to examine the effects of a 4-week individualized visual feedback-based balance training on the fall incidence during 1-year follow-up among frail older women living in residential care. METHODS:Twenty-seven older women from 2 residential care homes were randomized into exercise (n = 20) and control (n = 7) groups. Balance measurements were carried out before and after a 4-week training period and falls were monitored by monthly diaries for 1 year. An interview about fear of falling and physical activity was completed before and after the intervention and after the 1-year follow-up. RESULTS: A positive effect of balance training on fall incidence was found. A dynamic Poisson regression model showed that during the follow-up the monthly risk of falling was decreased in the exercise group compared to controls (risk ratio 0.398, 95% CI 0.174-0.911, p = 0.029). In addition, the exercise group reported a reduced fear of falling and increased physical activity after a training period but these changes declined during the follow-up period. CONCLUSION:Individualized visual feedback-based balance training was shown to be a promising method for fall prevention among frail older women. High compliance (97.5%) with the training program showed that carefully targeted training programs can be carried out among older people with health limitations. Copyright 2004 S. Karger AG, Basel.
RCT Entities:
BACKGROUND: The knowledge concerning balance training actually lowering fall rates among frail older persons is limited. OBJECTIVE: The aim of this study was to examine the effects of a 4-week individualized visual feedback-based balance training on the fall incidence during 1-year follow-up among frail older women living in residential care. METHODS: Twenty-seven older women from 2 residential care homes were randomized into exercise (n = 20) and control (n = 7) groups. Balance measurements were carried out before and after a 4-week training period and falls were monitored by monthly diaries for 1 year. An interview about fear of falling and physical activity was completed before and after the intervention and after the 1-year follow-up. RESULTS: A positive effect of balance training on fall incidence was found. A dynamic Poisson regression model showed that during the follow-up the monthly risk of falling was decreased in the exercise group compared to controls (risk ratio 0.398, 95% CI 0.174-0.911, p = 0.029). In addition, the exercise group reported a reduced fear of falling and increased physical activity after a training period but these changes declined during the follow-up period. CONCLUSION: Individualized visual feedback-based balance training was shown to be a promising method for fall prevention among frail older women. High compliance (97.5%) with the training program showed that carefully targeted training programs can be carried out among older people with health limitations. Copyright 2004 S. Karger AG, Basel.
Authors: Avril Mansfield; Anthony Aqui; Julia E Fraser; Roshanth Rajachandrakumar; Bimal Lakhani; Kara K Patterson Journal: Exp Brain Res Date: 2016-10-05 Impact factor: 1.972
Authors: Gregory D Myer; Adam M Kushner; Jensen L Brent; Brad J Schoenfeld; Jason Hugentobler; Rhodri S Lloyd; Al Vermeil; Donald A Chu; Jason Harbin; Stuart M McGill Journal: Strength Cond J Date: 2014-12-01 Impact factor: 2.143
Authors: Denise Kendrick; Arun Kumar; Hannah Carpenter; G A Rixt Zijlstra; Dawn A Skelton; Juliette R Cook; Zoe Stevens; Carolyn M Belcher; Deborah Haworth; Sheena J Gawler; Heather Gage; Tahir Masud; Ann Bowling; Mirilee Pearl; Richard W Morris; Steve Iliffe; Kim Delbaere Journal: Cochrane Database Syst Rev Date: 2014-11-28