Wearable Sensor-Based Exercise Biofeedback for Supporting Fall Prevention at Physiotherapy

2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
A C Martins ◽  
D Guia
Keyword(s):  
Fall Prevention ◽  
Inertial Sensors ◽  
Pressure Sensors ◽  
Exercise Program ◽  
Prevention Programs ◽  
Falls Prevention ◽  
Technological Solution ◽  
Exercise Interventions ◽  
Biofeedback System ◽  
Shifting Balance

Abstract Introduction Exercise interventions focused on strength and balance are effective for falls prevention in older people. Several fall prevention programs were developed with this intent, however there is often a lack of personalization in these solutions. Technological interventions namely biofeedback systems have been shown recently to have the ability to objectively assess therapeutic exercise in real time to improve quality performance. Objectives To describe a technological solution with biofeedback system to be used by physiotherapists at the clinic, to assist the learning process of a personalized and progressive strength and balance exercise program. Methodology The exercises are monitored by two wearable inertial sensors and a pressure platform for mobility, strength and balance measurements. In order to validate the system, a set of five exercises, from the Otago Exercise Program, were tested with a group of 16 older adults during several sessions. Spatial, temporal and balance metrics were extracted during the exercises, providing quantitative biofeedback during the exercise. Results Inertial and pressure sensors are suitable for exercise tracking during fall prevention exercises. Range of motion, weight distribution and shifting, balance and cycle identification were successfully monitored for all exercises. This system successfully automated the process of creating individualized and personalized exercise biofeedback systems to fall prevention programs. Conclusion This study demonstrates this technological solution holds promise in falls prevention. FallSensing Clinic is a feasible monitor and biofeedback tool that can be applied to clinical practice allowing people to better perform the exercise program.

scholarly journals Gender Perspective on Older People’s Exercise Preferences and Motivators in the Context of Falls Prevention: A Qualitative Study

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Marlene Sandlund ◽  
Petra Pohl ◽  
Christina Ahlgren ◽  
Dawn A. Skelton ◽  
Anita Melander-Wikman ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Qualitative Content Analysis ◽  
Exercise Adherence ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Gender Perspective ◽  
Exercise Interventions ◽  
History Of ◽  
Exercise Programmes ◽  
The Individual

Background. Several factors have previously been identified to positively influence the uptake and adherence for fall prevention exercise programmes. There is, however, a lack of studies investigating if men and women differ in their views and preferences for fall prevention exercises. Aim. To explore exercise preferences and motivators of older community-dwelling women and men in the context of falls prevention from a gender perspective. Methods. Workshops including multistage focus group discussions were conducted with 18 older community-dwelling people with and without history of falls. Participants were purposively selected and divided into two groups. Each group met on six occasions over a period of five months. Participatory and Appreciative Action and Reflection methodology was used to guide the discussions. A qualitative content analysis approach was used in the analysis. Results. Older participants had many diverse preferences and confirmed that individually tailored exercise, in terms of mode, intensity, challenge, and social context, is important. Moreover, important factors for exercise adherence and maintenance included the experience of individual confirmation; different spirit lifters to increase enjoyment; and personal tricks to maintain exercise routines. The individual differences within genders were more diverse than the differences between women and men. Conclusion. Exercise interventions to prevent falls should be individually tailored, based on the specific needs and preferences of the older participant, and do not appear to require gender specific approaches. To increase adherence, intrinsic motivation for exercise may be encouraged by competence enhancing confirmations, energizing spirit lifters, and practical tips for exercise maintenance. The study provides an awareness about women’s and men’s preferences for fall prevention exercises, and this information could be used as guidance in designing inclusive exercise interventions.

scholarly journals Development and Process Evaluation of a 5-Week Exercise Program to Prevent Falls in People after Stroke: The FALLS Program

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
H. J. R. van Duijnhoven ◽  
D. De Kam ◽  
W. Hellebrand ◽  
E. Smulders ◽  
A. C. H. Geurts ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Clinical Practice ◽  
Process Evaluation ◽  
Fall Prevention ◽  
Health Care Professionals ◽  
Exercise Program ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Common Complication

Falls are a common complication after stroke, with balance and gait deficits being the most important risk factors. Taking into account the specific needs and capacities of people with stroke, we developed the FALLS program (FALL prevention after Stroke), based on the “Nijmegen falls prevention program” (a proven-effective 5-week exercise program designed for community-dwelling elderly people). The program was tested in twelve community-dwelling persons with stroke, and a process evaluation was conducted with patients, trainers, health care professionals, and managers. The FALLS program was considered suitable and feasible by people with stroke in the study and relevant health care professionals, and recommendations for implementation in clinical practice have been suggested.

scholarly journals Older adults' preferences for, adherence to and experiences of two self-management falls prevention home exercise programmes: A comparison between a digital programme and a paper booklet

2020 ◽  
Author(s):  
Linda Mansson ◽  
Lillemor Lundin-Olsson ◽  
Dawn A Skelton ◽  
Rebecka Janols ◽  
Helena Lindgren ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Exercise Duration ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Attrition Rate ◽  
Home Exercise ◽  
Intervention Period ◽  
Exercise Interventions ◽  
Significant Difference ◽  
Exercise Programmes

Abstract Background: Fall prevention exercise programmes are known to be effective, but access to these programmes is not always possible. The use of eHealth solutions might be a way forward to increase access and reach a wider population. In this feasibility study the aim was to explore the choice of programme, adherence, and self-reported experiences comparing two exercise programmes – a digital programme and a paper booklet.Methods: A participant preference trial of two self-managed fall prevention exercise interventions. Community-dwelling adults aged 70 years and older exercised independently for four months after one introduction meeting. Baseline information was collected at study start, including a short introduction of the exercise programme, a short physical assessment, and completion of questionnaires. During the four months intervention period, participants self-reported their performed exercises in an exercise diary. At a final meeting, questionnaires about their experiences, and post-assessments, were completed. For adherence analyses data from diaries were used and four subgroups for different levels of participation were compared. Exercise maintenance was followed up with a survey 12 months after study start.Results: Sixty-seven participants, with mean age 77±4 years were included, 72% were women. Forty-three percent chose the digital programme. Attrition rate was 17% in the digital programme group and 37% in the paper booklet group (p=.078). In both groups 50-59% reported exercise at least 75% of the intervention period. The only significant difference for adherence was in the subgroup that completed ≥75% of exercise duration, the digital programme users exercised more minutes per week (p=.001). Participants in both groups were content with their programme but digital programme users reported a significantly higher (p=.026) degree of being content, and feeling supported by the programme (p=.044). At 12 months follow-up 67% of participants using the digital programme continued to exercise regularly compared with 35% for the paper booklet (p=.036).Conclusions: Exercise interventions based on either a digital programme or a paper booklet can be used as a self-managed, independent fall prevention programme. There is a similar adherence in both programmes during a 4-month intervention, but the digital programme seems to facilitate long-term maintenance in regular exercise.Trial registration: ClinTrial: NCT02916849

scholarly journals Older adults preferences for, adherence to and experiences of two self-management falls prevention home exercise programmes: A comparison between a digital programme and a paper booklet

2019 ◽  
Author(s):  
Linda Mansson ◽  
Lillemor Lundin-Olsson ◽  
Dawn A Skelton ◽  
Rebecka Janols ◽  
Helena Lindgren ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Exercise Programme ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Attrition Rate ◽  
Home Exercise ◽  
Intervention Period ◽  
Exercise Interventions ◽  
Significant Difference ◽  
Exercise Programmes

Abstract Background: Fall prevention exercise programmes are known to be effective, but access to these programmes is not always possible. The use of eHealth solutions might be a way forward to increase access and reach to a wider population. In this feasibility study the aim was to explore the choice of programme, adherence, and self-reported experiences comparing two exercise programmes – a digital programme and a paper booklet. Methods: A participant preference trial of two self-managed fall prevention exercise interventions. Community-dwelling adults aged 70 years and older exercised independently for four months after one introduction meeting. Baseline information was collected at study start at the introduction meeting, including a short introduction of the exercise programme, a short physical assessment and completion of questionnaires. During the four months intervention period, participants self-reported their performed exercises in an exercise diary. At a final meeting, questionnaires about their experiences as well as post-assessments were completed. For adherence analyses data from diaries were used and four subgroups for different levels of participation were compared. Exercise maintenance was followed up with a survey 12 months after study start. Results: Sixty-seven participants, with a mean age of 77±4 years were included, 72% were women, and 43% chose the digital programme. Attrition rate was 17% in the digital programme group and 37% in the paper booklet group. In both groups 50-59% reported exercise at least 75% of the intervention period. The only significant difference for adherence was in the subgroup that completed ≥75% of exercise duration, the digital programme users exercised more minutes per week (p=.001). Participants in both groups were content with their programme but digital programme users reported a significantly higher (p=.026) degree of being content, and feeling supported by the programme (p=.044). At 12 months follow-up 67% of participants using the digital programme continued to exercise regularly compared with 35% for the paper booklet (p=.036). Conclusions: This study showed that both the digital and paper programme could be used as a self-managed, independent fall prevention exercise programme. The digital programme seems to facilitate long-term maintenance in regular exercise.

Optimization of the Effects of Physical Activity on Plantar Sensation and Postural Control With Barefoot Exercises in Institutionalized Older Adults: A Pilot Study

2019 ◽  
Vol 27 (4) ◽  
pp. 452-465
Author(s):  
Karim Korchi ◽  
Frédéric Noé ◽  
Noëlle Bru ◽  
Thierry Paillard
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Physical Exercise ◽  
Exercise Intervention ◽  
Exercise Program ◽  
Falls Prevention ◽  
Control Group ◽  
Noticeable Effect ◽  
Exercise Interventions ◽  
Somatosensory Information

Increasing somatosensory information from the foot by exercising barefoot can potentially optimize the effectiveness of physical exercise interventions on falls prevention in the older adults. This pilot study was then undertaken to explore the effects of increased somatosensory information from the foot by exercising barefoot on balance, gait, and plantar cutaneous sensitivity in institutionalized older adults involved in multimodal exercise intervention. Participants were assigned to three groups: a control group which did not perform any physical exercise and two groups in which they were involved in a multimodal exercise program performed barefoot or shod. Postural, gait, and plantar cutaneous sensitivity parameters were collected. The results showed that the exercise program produced larger effects on balance and plantar cutaneous sensitivity when exercises were performed barefoot, without any noticeable effect on gait. Hence, barefoot exercising could be a relevant means to optimize the fall-prevention exercise programs in institutionalized older adults.

scholarly journals Older adults preferences for, adherence to and experiences of two self-management falls prevention home exercise programmes: A comparison between a digital programme and a paper booklet

2020 ◽  
Author(s):  
Linda Mansson ◽  
Lillemor Lundin-Olsson ◽  
Dawn A Skelton ◽  
Rebecka Janols ◽  
Helena Lindgren ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Exercise Duration ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Attrition Rate ◽  
Home Exercise ◽  
Intervention Period ◽  
Exercise Interventions ◽  
Significant Difference ◽  
Exercise Programmes

Abstract Background: Fall prevention exercise programmes are known to be effective, but access to these programmes is not always possible. The use of eHealth solutions might be a way forward to increase access and reach a wider population. In this feasibility study the aim was to explore the choice of programme, adherence, and self-reported experiences comparing two exercise programmes – a digital programme and a paper booklet. Methods: A participant preference trial of two self-managed fall prevention exercise interventions. Community-dwelling adults aged 70 years and older exercised independently for four months after one introduction meeting. Baseline information was collected at study start, including a short introduction of the exercise programme, a short physical assessment, and completion of questionnaires. During the four months intervention period, participants self-reported their performed exercises in an exercise diary. At a final meeting, questionnaires about their experiences, and post-assessments, were completed. For adherence analyses data from diaries were used and four subgroups for different levels of participation were compared. Exercise maintenance was followed up with a survey 12 months after study start. Results: Sixty-seven participants, with mean age 77±4 years were included, 72% were women. Forty-three percent chose the digital programme. Attrition rate was 17% in the digital programme group and 37% in the paper booklet group (p=.078). In both groups 50-59% reported exercise at least 75% of the intervention period. The only significant difference for adherence was in the subgroup that completed ≥75% of exercise duration, the digital programme users exercised more minutes per week (p=.001). Participants in both groups were content with their programme but digital programme users reported a significantly higher (p=.026) degree of being content, and feeling supported by the programme (p=.044). At 12 months follow-up 67% of participants using the digital programme continued to exercise regularly compared with 35% for the paper booklet (p=.036). Conclusions: Exercise interventions based on either a digital programme or a paper booklet can be used as a self-managed, independent fall prevention programme. There is a similar adherence in both programmes during a 4-month intervention, but the digital programme seems to facilitate long-term maintenance in regular exercise.

Dissemination and Implementation of Evidence-Based Falls Prevention Programs: Reach and Effectiveness

2021 ◽  
Author(s):  
Jennifer S Brach ◽  
Gardenia Juarez ◽  
Subashan Perera ◽  
Kathleen Cameron ◽  
Jennifer L Vincenzo ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Fear Of Falling ◽  
Prevention Programs ◽  
Falls Prevention ◽  
Community Living ◽  
Data Repository ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Injurious Falls ◽  
Before And After

Abstract Background Using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, we describe the implementation of evidence-based falls prevention programs by Administrative for Community Living grantees during 2014-2019. Methods Forty-four grantees contributed to the national data repository. Data components include workshop information, participant information, attendance records, and organizational data. Data were collected before and after implementation of the evidence-based fall prevention programs. Results Ten different programs were offered in 35 states with the most common settings being senior centers (25.3%), residential facilities (16.8%), health care organizations (12.5%), and faith-based organizations (11.1%). Individuals who participated in the programs (n=85,848) had an age of 75.5±9.7 years, were primarily female (79.7%) and the majority (86.2%) reported at least some fear of falling. At the post-program assessment, 31.8% reported less fear of falling, 21.6% reported fewer falls, and 10.1% reported fewer injurious falls (all p<0.0001). Conclusions Evidence-based fall prevention programs implemented by Administration for Community Living grantees reached over 85,000 older adults. Participation in the evidence-based fall prevention programs resulted in improved confidence, decreased fear of falling, and fewer falls and injurious falls. Future efforts should focus on reaching specific underserved minorities and examining the effectiveness of individual programs.

scholarly journals A Systematic Review and Meta-Analysis of Fall Prevention Programs for Pediatric Inpatients

2021 ◽  
Vol 18 (11) ◽  
pp. 5853
Author(s):  
Eun-Joo Kim ◽  
Geun-Myun Kim ◽  
Ji-Young Lim
Keyword(s):  
High Risk ◽  
Fall Prevention ◽  
Prevention Program ◽  
Meta Analysis ◽  
Prevention Programs ◽  
Fall Prevention Program ◽  
Medium Risk ◽  
Randomized Control ◽  
Reduction Effect ◽  
Future Randomized Control Trial

Falls account for a high proportion of the safety accidents experienced by hospitalized children. This study aims to analyze the contents and effects of fall prevention programs for pediatric inpatients to develop more adaptable fall prevention programs. A literature search was performed using PubMed (including Medline), Science Direct, CINAHL, Embase, and Cochrane. We included articles published from the inception of each of the databases up to 31 March 2019. A total of 1725 results were reviewed according to the inclusion and exclusion criteria, and nine studies were selected. Data were analyzed using descriptive statistics and the Comprehensive Meta-Analysis program. Four of the nine studies divided their participants into a high-risk fall group and a low-or medium-risk fall group, and all studies used a high-risk sign/sticker as a common protocol guideline for its high-risk fall group. The odds ratio of 0.95 (95% Cl 0.550–1.640) for the fall prevention program in seven studies was not statistically significant. To develop a standardized fall prevention program in the future, randomized control trial studies that can objectively measure the fall rate reduction effect of the integrated fall prevention program need to be expanded.

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