scholarly journals Physio-fEedback and Exercise pRogram (PEER) for Shifting Maladaptive Fall Risk Appraisal

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 843-843
Author(s):  
Ladda Thiamwong
Keyword(s):  
Fall Risk ◽  
Peer Group ◽  
Exercise Program ◽  
Post Intervention ◽  
Balance Test ◽  
Risk Appraisal ◽  
Fall Efficacy Scale ◽  
Home Based ◽  
Cognitive Reframing ◽  
Peer Intervention

Abstract We aimed to examine the effectiveness of Physio-feEdback and Exercise pRogram (PEER) for shifting maladaptive to adaptive fall risk appraisal and determine the feedback and acceptability of the program. Forty-one older adults were assigned to either PEER intervention or attention control (AC) group. The 8-week PEER intervention consists of a visual physio-feedback, cognitive reframing, and combined group and home-based exercise led by a trained peer coach. The AC group read fall prevention brochures and continued their normal activities. BTrackS Balance Test and Fall Efficacy Scale were measured from pre- to post-intervention. About 11% of participants in the PEER group had positive shifting but none in AC group. Up to 32% of the participants in AC had negative shifting while 5.3% in the PEER group. PEER intervention facilitates a shift from maladaptive to adaptive fall risk appraisal. PEER group reported significant decreases in fall risk and high acceptability of the program.

Overcoming an Irrational Fear of Falling: A Case Study

2020 ◽  
Vol 19 (5) ◽  
pp. 355-369
Author(s):  
Ladda Thiamwong ◽  
Veronica B. Decker
Keyword(s):  
Fall Risk ◽  
Fear Of Falling ◽  
Dynamic Balance ◽  
Exercise Program ◽  
Structured Interview ◽  
Daily Activities ◽  
Post Intervention ◽  
Risk Appraisal ◽  
Home Based

Irrational fear of falling is defined by the high degree of psychological fear a person has of falling when in reality, that person is at low physiological risk of falling. It is a significant problem in older people and may manifest from previous falls or fall-related depression and/or anxiety. If untreated, it may lead to increased falling, decreased mobility, social isolation, and decreased participation in daily activities. A mixed-methods, home-based, 8-week, physio-feedback/exercise program was developed for an older adult to help mitigate her irrational fear of falling. In this pilot case study, the quantitative independent variables of fear of falling, static balance, dynamic balance, fall risk factors, and fall risk appraisal were assessed pre- and post-intervention. A qualitative semi-structured interview was also conducted to help assess the participant’s reaction to the intervention. Data from quantitative, qualitative, and integrated viewpoints converged to indicate the intervention improved fear of falling, shifted the participant’s perception from irrational to rational fall risk appraisal and increased participation in daily activities.

Exploring Older Adults' Experiences of a Home-Based, Technology-Driven Balance Training Exercise Program Designed to Reduce Fall Risk

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Meghan Ambrens ◽  
Melinda Stanners ◽  
Trinidad Valenzuela ◽  
Husna Razee ◽  
Jessica Chow ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Balance Training ◽  
Exercise Program ◽  
Training Exercise ◽  
Home Based

Shifting Maladaptive Fall Risk Appraisal in Older Adults through an in-Home Physio-fEedback and Exercise pRogram (PEER): A Pilot Study

2019 ◽  
Vol 43 (4) ◽  
pp. 378-390 ◽  
Author(s):  
Ladda Thiamwong ◽  
Helen J. Huang ◽  
Boon Peng Ng ◽  
Xin Yan ◽  
Mary Lou Sole ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Fall Risk ◽  
Exercise Program ◽  
Risk Appraisal

Older Adults’ Experiences With the Visual Physio-Feedback Technology and Peer-Led Combined Group and Home-Based Exercises

2020 ◽  
pp. 1-8
Author(s):  
Ladda Thiamwong
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Program ◽  
Program Completion ◽  
Study Approach ◽  
Home Based ◽  
Cognitive Reframing ◽  
Program Intervention ◽  
Physical Activity Adherence ◽  
Peer Coach

This study aimed to explore older adults’ experience with an in-home Physio-feEdback and Exercise pRogram and explore whether the Physio-feEdback and Exercise pRogram intervention influenced their physical activity adherence. A qualitative study approach was employed, and data were collected using exercise logs, observations, focus groups, and open-ended questions after the program completion. Nineteen participants who engaged in an 8-week Physio-feEdback and Exercise pRogram intervention participated in this study. Thematic analysis was used. Three major concepts of the self-determination theory, including competence, relatedness, and autonomy, were used as guidelines for coding. Results reveal three themes, including: (a) competence-alignment of body and mind and increased awareness about fall risk, (b) relatedness-relationship with peer coach and having fun with friends, and (c) autonomy-integration of exercise into daily activities for staying physically and socially active. Individuals’ need for competence and autonomy can be supported by giving physio-feedback, cognitive reframing, and peer-led exercise, which can enhance physical activity and prevent falls.

scholarly journals CHARACTERISTICS OF MALADAPTIVE FALL RISK APPRAISAL AMONG OLDER ADULTS AGES 60 YEARS AND OLDER

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S470-S471
Author(s):  
Ladda Thiamwong ◽  
Boon Peng Ng
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Community Dwelling ◽  
Covariate Adjustment ◽  
Risk Appraisal ◽  
Stand Test ◽  
Fall Efficacy Scale ◽  
The Past ◽  
Southern Thailand ◽  
Community Dwelling Older Adults

Abstract Even though one-third of older adults have maladaptive fall risk appraisal (FRA), no studies has examined this discrepancy between perceived fall risk and physical fall risk among older adults in Thailand. We examined the characteristics of fall risk appraisal (FRA). 433 community-dwelling older adults were randomly selected from two provinces in Southern Thailand. Physical fall risk was assessed by a full tandem stand test and perceived fall risk was assessed by the Fall-Efficacy Scale International. We classified FRA into: 1) Rational FRA means low physical fall risk and low perceived fall risk; 2) Irrational FRA means low physical fall risk but high-perceived fall risk; 3) Congruent FRA means high physical fall risk and high-perceived fall risk; and 4) Incongruent FRA means high physical fall risk but low perceived fall risk. Irrational FRA and Incongruent FRA are a maladaptive FRA. About 60% of the participants had maladaptive FRA, which consisted of irrational FRA (57.3%) and incongruent FRA (2.3%). 20.8% were in rational FRA and 19.6% in congruent FRA. Among those with rational FRA, incongruent FRA, irrational FRA, and congruent FRA, 27.8%, 60%, 41.1%, and 74.1% reported having at least one fall in the past year, respectively. After covariate adjustment, participants in the congruent FRA group were 3.29 times more likely (p=0.006) to fall than those in rational FRA. High proportion of participants had maladaptive FRA so screening individuals with maladaptive FRA and prevent them to transition into the congruent FRA group is important efforts to mitigate health and economic burdens.

scholarly journals Ten weeks of home-based exercise attenuates symptoms of chemotherapy-induced peripheral neuropathy in breast cancer patients

2013 ◽  
Vol 1 (3) ◽  
pp. 28 ◽  
Author(s):  
Karen Y. Wonders ◽  
Gabrielle Whisler ◽  
Hallie Loy ◽  
Brian Holt ◽  
Kelsey Bohachek ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Peripheral Neuropathy ◽  
Repeated Measures ◽  
Breast Cancer Survivors ◽  
Exercise Program ◽  
Breast Cancer Patients ◽  
Post Intervention ◽  
Significance Level ◽  
Home Based ◽  
Apparent Reason

The purpose of this investigation was to determine if a structured, home-based exercise program was beneficial to reduce symptoms of chemotherapy-induced peripheral neuropathy and improve quality of life (QOL). A total of 50 women who are breast cancer survivors and are listed in the Breast Cancer Registry of Greater Cincinnati database were recruited by mail. Participants were initially asked to complete the McGill QOL questionnaire and the Leeds Assessment of Neuropathic Symptoms and Signs, before beginning a 10-week home-based exercise program. At the completion of the exercise program, subjects were asked again to complete the same two questionnaires. Pre- and post-intervention data were analyzed using a repeated measures ANOVA, at a significance level of α<0.05. Six individuals completed the investigation. Prior to the 10-week exercise program, participants described their pain as unpleasant skin sensations (Pre-HBEx, N=6), abnormally sensitive to touch (Pre-HBEx, N=6), and coming on suddenly in bursts for no apparent reason (Pre-HBEx, N=5). Following 10-weeks of exercise, participants reported experiencing less of these symptoms (Post- HBEx, N=3, 1, and 4 respectively; P=0.05). It was also determined that troublesome symp- toms were significantly reduced after 10- weeks of home-based exercise (P=0.05).

scholarly journals Effect of Video assisted Home-Based exercise intervention on fall risk and gait parameters in older adults in India

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 901-901
Author(s):  
Snehal Kulkarni ◽  
Aarti Nagarkar
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Exercise Intervention ◽  
Post Intervention ◽  
Timed Up And Go ◽  
Video Assisted ◽  
Home Based ◽  
Gait Parameters ◽  
Significant Difference ◽  
Gait Impairments

Abstract Countries across the globe recommended isolation to protect older adults from COVID-19 infection. However, this led to decreased mobility and physical inactivity potentially increasing their risk of fall. The study was conducted in a group of 88 older adults between 60-74 years with known gait impairments and high fall risk. The participants were part of our cohort study on fall prevention program. Fall risk and gait impairments were measured using wearable sensors during the Timed-up and go test (TUG) at baseline. Using technology, a 16-week video assisted home based exercises intervention was delivered to reduce fall risk and improve gait parameters. The intervention consisted of flexibility, strengthening, balance and gait training exercises given progressively through one video session per week. The participants performed these exercises at home for the rest of the week. A home visit immediately after 16th week was arranged to collect post intervention parameters. Results showed an average 20% decrease in fall risk post intervention. An overall large effect size with Cohen’s d of 0.90 was reported for fall risk. Significant difference in TUG time (Z = -4.610, p< 0.000), stride velocity (Z= -5.035, p<0.000), stride length (Z = -5.867, p<0.000), time taken to stand (Z = -7.363, p<0.000) and time taken to turn (Z = -6.079, p<0.000) was observed in the post-test measurements as compared to pre-test measurements. Therefore, we conclude that video assisted exercise programs can be highly beneficial as alternatives to in person exercise intervention to prevent falls during COVID-19 isolation.

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