Literature DB >> 15785256

Balance, mobility, and falls among community-dwelling elderly persons: effects of a rehabilitation exercise program.

Kevin M Means1, Daniel E Rodell, Patricia S O'Sullivan.   

Abstract

OBJECTIVE: To assess the short-term effect of an exercise-based rehabilitation intervention on balance, mobility, falls and injuries.
DESIGN: This randomized, controlled trial with repeated measures was performed at an outpatient rehabilitation center. Elderly, ambulatory, community-dwelling volunteers underwent 6 wks of supervised stretching, balance, endurance, coordination, and strengthening exercises. Controls attended seminars. Data were recorded for time and quality performance on a functional obstacle course and for self-reported falls and injuries.
RESULTS: From baseline through 6-mo follow-up, participants in the exercise group (n = 122) significantly outperformed those in the control group (n = 83). The exercise group's functional obstacle course quality improved 2.3% postintervention and 1.57% at follow-up compared with 0.3% for the control group for each time period (P = 0.001). Functional obstacle course completion time improved 7.69% at postintervention and 8.35% at follow-up for the exercise group compared with 4.0% and 3.4% for the control group. Of baseline fallers in the intervention group, 87% (compared with 34.5% for the controls) reported no falls in the subsequent 6 mos. Of those reporting injuries in the 6 mos preintervention, 89.7% in the intervention group (compared with 55.6% for controls) reported no injury at 6 mos postintervention.
CONCLUSIONS: Our intervention can improve functional performance and protect against falls and fall-related injuries.

Entities:  

Mesh:

Year:  2005        PMID: 15785256     DOI: 10.1097/01.phm.0000151944.22116.5a

Source DB:  PubMed          Journal:  Am J Phys Med Rehabil        ISSN: 0894-9115            Impact factor:   2.159


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