Effect of a Home Exercise Program on Dynamic Balance in Elderly With a History of Falls

Objective:To determine exercise efficacy in improving dynamic balance in community-dwelling elderly with a fall history.Methods:Thirty-five participants were randomly assigned to a treatment (TG; n = 19, 77 ± 7 yr) or control group (CG; n = 16, 75 ± 8 yr). The TG received an individualized home exercise program, and the CG received phone calls twice per week for 12 weeks. Participants’ dynamic-balance abilities— directional control (DC), endpoint excursion (EE), maximum excursion (ME), reaction time (RT), and movement velocity (MV)—were measured using the Balance Master at 75% limits of stability. Functional reach (FR) was also measured.Results:At 12 weeks the TG demonstrated significant improvements in DC (p < .0025), EE (p < .0005), and ME (p < .0005), but the CG did not. No significant group differences were found for MV, RT, or FR.Conclusions:Excursion distances and directional control improved but not reaction time, suggesting that exercises requiring quick responses may be needed.

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Effects of strength, stretching and balance home exercise program on quality of life of people with knee osteoarthritis

Journal of Health Sciences ◽

10.17532/jhsci.2018.513 ◽

2018 ◽

Vol 8 (1) ◽

pp. 35-41

Author(s):

Amila Kapetanović ◽

Adila Horić ◽

Dijana Avdic ◽

Amila Jaganjac ◽

Emina Softić

Keyword(s):

Quality Of Life ◽

Knee Osteoarthritis ◽

Exercise Program ◽

Moderate Intensity ◽

Home Exercise ◽

Control Group ◽

Study Group ◽

Home Exercise Program ◽

Average Value

Introduction: The aim of this study was to assess effects of strength, stretching and balance home exercise program (moderate intensity, performed once a day, five times a week) on quality of life of people with knee osteoarthritis. Methods: Participants with knee osteoarthritis performed physical therapy for a period of two weeks at the Department for Physical Medicine and Rehabilitation. The study group (n=30) continued to perform exercise program at home while the control group (n=30) did not continue the exercise program. The participants in the study group performed strength, stretching and balance exercises of moderate intensity, once a day, five times a week, for a total of eight weeks. The Short Form-36 Health Questionnaire (SF-36) was used to examine the effects of exercise program. Results: There was no the difference between the average value of quality of life in all examined areas (physical functioning, role limitations due to physical problems, role limitations due to emotional problems, vitality/energy, mental health, social functioning, physical pain, perception of general health) at the beginning of the study between the study group and control group (p>0.05 in all eight areas). The difference between the average value of quality of life at the beginning and end of the study was statistically significantly higher in the study group compared to the control group (physical functioning p=0.0001; role limitations due to physical problems p=0.0001; role limitations due to emotional problems p=0.0001; vitality/energy p=0.0001; mental health p=0.0001; social functioning p=0.0001; bodily pain p=0.0001; perception of general health p=0.0001). Conclusion: Home exercise program consisting of strength, stretching and balance exercises, of moderate intensity, performed once a day, five times a week is effective in improving quality of life of people with knee osteoarthritis.

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Home Balance Training Intervention for People With Multiple Sclerosis

International Journal of MS Care ◽

10.7224/1537-2073-9.3.111 ◽

2007 ◽

Vol 9 (3) ◽

pp. 111-117 ◽

Cited By ~ 8

Author(s):

Kurt Jackson ◽

Janet A. Mulcare ◽

Betsy Donahoe-Fillmore ◽

H. Ira Fritz ◽

Mary M. Rodgers

Keyword(s):

Multiple Sclerosis ◽

Repeated Measures ◽

Control Period ◽

Balance Training ◽

Exercise Program ◽

Berg Balance Scale ◽

Community Dwelling ◽

Home Exercise ◽

Training Intervention ◽

Home Exercise Program

This study investigated the effects of a home balance training intervention on people with multiple sclerosis (MS). This quasi-experimental repeated-measures study involved 14 ambulatory community-dwelling individuals with MS. Subjects were assessed on three separate occasions: before and after a 6-week control period and after a 6-week home exercise program. After the intervention, subjects demonstrated significant improvement in measures of balance, including the Berg Balance Scale and specific components of the Sensory Organization and Limits of Stability Tests. In conclusion, a multidimensional home exercise program can improve certain measures of balance in individuals with MS who have mild to moderate disability. Whether these improvements lead to improved quality of life or a reduction in fall risk is yet to be determined.

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Effect of Motivation by “Instagram” on Adherence to Physical Activity among Female College Students

BioMed Research International ◽

10.1155/2016/1546013 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 11

Author(s):

Einas Al-Eisa ◽

Asma Al-Rushud ◽

Ahmad Alghadir ◽

Shahnawaz Anwer ◽

Bashayer Al-Harbi ◽

...

Keyword(s):

Physical Activity ◽

College Students ◽

Intervention Group ◽

Exercise Program ◽

Female College Students ◽

Home Exercise ◽

Control Group ◽

Home Exercise Program ◽

Female College ◽

Activity Program

Objective.To investigate the efficacy of using “Instagram application” with a “home-exercise program” as a motivational stimulus in improving physical activity (PA) adherence levels among female college students.Methods.Fifty-eight female undergraduate students with the mean age20.3±0.96years participated. Participants were divided into two groups: intervention and the control group; both the groups received an exercise program and the intervention group was additionally motivated by “Instagram.” Adherence to PA was measured by using an adherence sheet. The Exercise Motivation Inventory (EMI-2) was used to assess the motivational factors.Results.The most frequent motivational factors were extrinsic as assessed using the EMI-2. “Positive health” was the most frequent factor mentioned of the two types with 47% of the sample. The intervention group adhered with 17% more to the activity program compared to the control group. Moreover, 72% of the participants in the intervention and control groups found the activity program flexible enough to be performed at home; they agreed about its effectiveness on adherence (53%).Conclusions.The use of Instagram with the home exercise program as a motivational modality could be attractive and effective to reinforce adherence and maintain an appropriate PA level.

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Effectiveness of a Targeted Exercise Intervention in Reversing Older People's Mild Balance Dysfunction: A Randomized Controlled Trial

Physical Therapy ◽

10.2522/ptj.20100289 ◽

2012 ◽

Vol 92 (1) ◽

pp. 24-37 ◽

Cited By ~ 32

Author(s):

Xiao Jing Yang ◽

Keith Hill ◽

Kirsten Moore ◽

Susan Williams ◽

Leslie Dowson ◽

...

Keyword(s):

Older People ◽

Exercise Intervention ◽

Physical Therapist ◽

Controlled Trial ◽

Intervention Group ◽

Exercise Program ◽

Home Exercise ◽

Control Group ◽

Home Exercise Program ◽

Randomized Controlled

Background Previous research has mainly targeted older people with high risk of falling. The effectiveness of exercise interventions in older people with mild levels of balance dysfunction remains unexplored. Objective This study evaluated the effectiveness of a home balance and strength exercise intervention in older people systematically screened as having mild balance dysfunction. Design This was a community-based, randomized controlled trial with assessors blinded to group allocation. Participants Study participants were older people who reported concerns about their balance but remained community ambulant (n=225). After a comprehensive balance assessment, those classified as having mild balance dysfunction (n=165) were randomized into the trial. Intervention Participants in the intervention group (n=83) received a 6-month physical therapist–prescribed balance and strength home exercise program, based on the Otago Exercise Program and the Visual Health Information Balance and Vestibular Exercise Kit. Participants in the control group (n=82) continued with their usual activities. Outcome Measures Laboratory and clinical measures of balance, mobility, and strength were assessed at baseline and at a 6-month reassessment. Results After 6 months, the intervention group (n=59) significantly improved relative to the control group (n=62) for: the Functional Reach Test (mean difference=2.95 cm, 95% confidence interval [CI]=1.75 to 4.15), the Step Test (2.10 steps/15 seconds, 95% CI=1.17 to 3.02), hip abductor strength (0.02, 95% CI=0.01 to 0.03), and gait step width (2.17 cm, 95% CI=1.23 to 3.11). There were nonsignificant trends for improvement on most other measures. Fourteen participants in the intervention group (23.7%) achieved balance performance within the normative range following the exercise program, compared with 3 participants (4.8%) in the control group. Limitations Loss to follow-up (26.6%) was slightly higher than in some similar studies but was unlikely to have biased the results. Conclusions A physical therapist–prescribed home exercise program targeting balance and strength was effective in improving a number of balance and related outcomes in older people with mild balance impairment.

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Effect of a rehabilitation program on performance-related musculoskeletal disorders in student and professional orchestral musicians: a randomized controlled trial

Clinical Rehabilitation ◽

10.1177/0269215518785000 ◽

2018 ◽

Vol 32 (12) ◽

pp. 1656-1665 ◽

Cited By ~ 4

Author(s):

Marianne Roos ◽

Jean-Sébastien Roy

Keyword(s):

Pain Intensity ◽

Controlled Trial ◽

Functional Limitations ◽

Exercise Program ◽

Rehabilitation Program ◽

Exercise Group ◽

Home Exercise ◽

Control Group ◽

Home Exercise Program ◽

Orchestral Musicians

Objective: To explore the feasibility of a rehabilitation program and its effect on the performance-related musculoskeletal symptoms and functional limitations of orchestral musicians. Design: Single-blind pilot randomized controlled trial with exercise group and control group. Setting: Workplace of professional symphony orchestra and tertiary-level conservatory orchestral musicians. Participants: Professional and student orchestral musicians with or without performance-related musculoskeletal disorders. Interventions: A rehabilitation program including an educational presentation, an 11-week home exercise program and three supervised exercise sessions, versus no intervention. Measures: Feasibility measures included adherence and drop-out rate. The Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians (MPIIQM) measured symptom intensity and functional limitations, while the Nordic Musculoskeletal Questionnaire (NMQ) measured symptom prevalence and frequency. Results: A total of 30 participants were recruited ( n = 15 per group). Exercise group adherence was 97.7% for the supervised sessions and 89% for the home exercise program. There were no drop-outs. Significant group-time interactions were obtained for both the pain intensity (partial η2 = 0.166; P = 0.025) and pain interference (partial η2 = 0.186; P = 0.017) sections of the MPIIQM. Mean (standard deviation) pain intensity score changes from baseline to 11 weeks were control group: 0.40 (5.04); P = 0.763; partial η2 = 0.007; and exercise group: –4.07 (5.31); P = 0.010; partial η2 = 0.386. For pain interference, mean score changes were control group: 0.20 (9.10); P = 0.933; partial η2 = 0.001; and exercise group: –9.00 (10.73); P = 0.006; partial η2 = 0.430. NMQ analyses revealed no significant interaction ( P > 0.05). Conclusion: Results suggest that the studied program is feasible and effective in decreasing the intensity and functional impact of musicians’ symptoms. However, no significant medium-term effect on the prevalence and frequency of symptoms was shown.

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Determining Whether a Dosage-Specific and Individualized Home Exercise Program With Consults Reduces Fall Risk and Falls in Community-Dwelling Older Adults With Difficulty Walking

Journal of Geriatric Physical Therapy ◽

10.1519/jpt.0000000000000114 ◽

2018 ◽

Vol 41 (3) ◽

pp. 161-172 ◽

Cited By ~ 2

Author(s):

Estelle Gallo ◽

Maria Stelmach ◽

Fernanda Frigeri ◽

Dong-Hyun Ahn

Keyword(s):

Older Adults ◽

Fall Risk ◽

Exercise Program ◽

Community Dwelling ◽

Home Exercise ◽

Home Exercise Program ◽

Community Dwelling Older Adults ◽

Difficulty Walking

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The Otago Exercise Program With or Without Motivational Interviewing for Community-Dwelling Older Adults: A 12-Month Follow-Up of a Randomized, Controlled Trial

Journal of Applied Gerontology ◽

10.1177/0733464820902652 ◽

2020 ◽

pp. 073346482090265

Author(s):

Susanna Tuvemo Johnson ◽

Elisabeth Anens ◽

Ann-Christin Johansson ◽

Karin Hellström

Keyword(s):

Older Adults ◽

Randomized Controlled Trial ◽

Motivational Interviewing ◽

Controlled Trial ◽

Exercise Program ◽

Community Dwelling ◽

Activity Level ◽

Control Group ◽

Randomized Controlled ◽

Phone Calls

The aim of this randomized controlled trial was to examine the 12-month effects of the home-based Otago Exercise Program (OEP) with or without the support of motivational interviewing (MI) on community-dwelling people 75 years and older who needed walking aids and/or home help service. In total, 175 participants were randomized into three groups: OEP ( n = 61), OEP with MI ( n = 58), and a control group ( n = 56) ( M age = 83 years). Measures were physical performance, physical activity level, balance, grip strength, fall-related self-efficacy, fall rate, and fall injury rate. The OEP with and the OEP without MI, with the support of a physical therapist (six home visits and three phone calls), demonstrated no benefits in any of the measures compared with a control group. In this subgroup of pre-frail older adults, more frequent support by personnel may be required to secure efficient intensity and progression in the exercises performed on your own at home.

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Exploratory Study for Using the mobile Hudl App with Telehealth: A Randomized Controlled Trial Shows Positive Impact on Home Exercise Program Adherence in People with Chronic Diseases and in Financial Distress (Preprint)

10.2196/preprints.22659 ◽

2020 ◽

Author(s):

Ann Van de Winckel ◽

Tanjila Nawshin ◽

Casey Byron

Keyword(s):

Chronic Diseases ◽

Financial Distress ◽

Controlled Trial ◽

Exercise Program ◽

Home Exercise ◽

Control Group ◽

Home Exercise Program ◽

Randomized Controlled ◽

Experimental Group

BACKGROUND Patients with chronic diseases often must adhere to a long-term individualized home exercise program (HEP) to manage their symptoms, and improve or maintain their cardiovascular health, flexibility and/or strength. Those exercises are provided and updated during physical therapy (PT) visits. Limited adherence (ie, perform the required number of HEP/week) to long-term exercise reduces the capacity of exercise to improve or stabilize impairments related to chronic disease. Lower socio-economic status is an additional factor that negatively impacts exercise adherence. To mitigate this, online apps available to motivate people to exercise could be a viable option. Using an app through telehealth may benefit adults with chronic diseases achieve long-term home exercise program (HEP) adherence. However, because using apps for rehabilitation is an emerging field, the app’s feasibility needs to be evaluated. OBJECTIVE To address HEP adherence in participants with chronic diseases and in financial distress, defined by people being on Medicaid or similar programs, we evaluated HEP adherence, compliance (ie, percentage of participant-recorded videos sent), as well as satisfaction with the PT care and with the Hudl Technique® app and telehealth in terms of feasibility, compared to standard HEP on paper. METHODS We recruited patients scheduled for outpatient PT. We performed a randomized controlled trial where the experimental group received weekly HEP demonstrations through app videos on a tablet and received feedback on their self-recorded HEP video performance from the telehealth-physical therapist. The control group received HEP on paper without feedback as is custom in PT practice. The treating therapist and data analyst were blinded to the allocation. Demographic, clinical, and health coverage information was collected for screening and baseline measurements. Adherence and compliance were evaluated. Both groups completed surveys at 8 and 24 weeks on satisfaction with PT care and, for the experimental group, also satisfaction with the app/telehealth use. RESULTS Forty-five adults with chronic diseases and financial distress were randomized into an experimental (n=23) and a control group (n=22), with respectively 17 and 19 participants completing the 24-week HEP. The experimental group maintained a HEP adherence frequency of 4±2 times/week at 8 and 24 weeks (P=.29), whereas in the control group HEP adherence decreased from 4±2 to 3±2 times/week (P=.07), with a significant difference (P=.04) between groups at 24 weeks. Sixty-eight percent of participants sent videos. They sent on average 68% of the requested number of videos. The average score for satisfaction with PT care was maintained at 87% in the experimental group (P=1.00) whereas it dropped from 89% at 8 weeks to 74% at 24 weeks (P=.008) in the control group. There were no app-related adverse events. CONCLUSIONS The Hudl app/telehealth is feasible for delivering HEP and helps participants with chronic diseases and financial distress maintain HEP adherence. CLINICALTRIAL The full trial protocol is available at ClinicalTrials.gov (NCT02659280).

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