scholarly journals Web-Based Telepresence Exercise Program for Community-Dwelling Elderly Women With a High Risk of Falling: Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Jeeyoung Hong ◽  
Hyoun-Joong Kong ◽  
Hyung-Jin Yoon
Keyword(s):  
High Risk ◽  
Confidence Interval ◽  
Elderly Women ◽  
Fear Of Falling ◽  
Intervention Group ◽  
Exercise Program ◽  
The Elderly ◽  
Community Dwelling ◽  
Control Group ◽  
Risk Of Falling

BACKGROUND While physical exercise is known to help prevent falls in the elderly, bad weather and long distance between the home and place of exercise represent substantial deterrents for the elderly to join or continue attending exercise programs outside their residence. Conventional modalities for home exercise can be helpful but do not offer direct and prompt feedback to the participant, which minimizes the benefit. OBJECTIVE We aimed to develop an elderly-friendly telepresence exercise platform and to evaluate the effects of a 12-week telepresence exercise program on fall-related risk factors in community-dwelling elderly women with a high risk of falling. METHODS In total, 34 women aged 68-91 years with Fall Risk Assessment scores >14 and no medical contraindication to physical training-based therapy were recruited in person from a senior citizen center. The telepresence exercise platform included a 15-inch tablet computer, custom-made peer-to-peer video conferencing server system, and broadband Internet connectivity. The Web-based program included supervised resistance exercises performed using elastic resistance bands and balance exercise for 20-40 minutes a day, three times a week, for 12 weeks. During the telepresence exercise session, each participant in the intervention group was supervised remotely by a specialized instructor who provided feedback in real time. The women in the control group maintained their lifestyle without any intervention. Fall-related physical factors (body composition and physical function parameters) and psychological factors (Korean Falls Efficacy Scale score, Fear of Falling Questionnaire score) before and after the 12-week interventional period were examined in person by an exercise specialist blinded to the group allocation scheme. RESULTS Of the 30 women enrolled, 23 completed the study. Compared to women in the control group (n=13), those in the intervention group (n=10) showed significant improvements on the scores for the chair stand test (95% confidence interval -10.45 to -5.94, P<.001), Berg Balance Scale (95% confidence interval -2.31 to -0.28, P=.02), and Fear of Falling Questionnaire (95% confidence interval 0.69-3.5, P=.01). CONCLUSIONS The telepresence exercise program had positive effects on fall-related risk factors in community-dwelling elderly women with a high risk of falling. Elderly-friendly telepresence technology for home-based exercises can serve as an effective intervention to improve fall-related physical and psychological factors. CLINICALTRIAL Clinical Research Information Service KCT0002710; https://cris.nih.go.kr/cris/en/search/ search_result_st01.jsp?seq=11246 (Archived by WebCite at http://www.webcitation.org/6zdSUEsmb)

scholarly journals The Effect of Otago Exercise Program Training on Balance and Fear of Falling in Elderly Individuals

2019 ◽  
Author(s):  
Saeide Solati Dasht Arzhane ◽  
Maryam Hazrati ◽  
Alireza Ashraf
Keyword(s):  
Fear Of Falling ◽  
Intervention Group ◽  
Exercise Program ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Control Group ◽  
Timed Up And Go ◽  
Elderly Individuals ◽  
Fall Efficacy Scale ◽  
Study Results

Abstract Background Balance is an index to determine the independence level of elderly individuals in their daily activities. This study aimed to examine the effects of Otago Exercise Program (OEP) on balance and fear of falling among elderlies.Methods This clinical trial with pre/posttest design was conducted on 88 individuals aged 60 years and over who had referred to Imam Reza geriatric clinic and Kholdebarin retirement center in Shiraz. The participants were selected through simple random sampling. In the pretest, the two groups were assessed via 30-second chair stand, timed up and go, and four-stage balance tests to determine their balance status. Their fear of falling was also evaluated using the Fall Efficacy Scale-International (FES-I). The OEP was administered to the intervention group over one month in form of two 1.5-hour sessions per week. However, the control group received no trainings. The exercises were performed by the participants in their houses 5-6 times a week each lasting for 40-60 minutes over eight weeks. The participants were also followed up via telephone contacts weekly to ensure the performance of the exercises. The data were analyzed using the SPSS 21.Results The results showed that the implementation of OEP had a significant effect on improvement of balance among the elderly participants. Furthermore, the results revealed the effectiveness of OEP in reducing the fear of falling among the participants. The mean score of fear of falling was 18.88 in the intervention group and 30.30 in the control group. However, no significant differences were found between the pretest and posttest scores in the control group.Conclusion The study results indicated that OEP could be effective in improving postural stability as well as dynamic and static balance and declining the fear of falling. Trial Registration: Registration number of this study is IRCT20131117015426N7 and the date of registration is 2019.06.17.

scholarly journals 24-Months Cluster-Randomized Intervention Trial of a Targeted Fall Prevention Program in a Primary Care Setting

2021 ◽  
Author(s):  
Christian Hentschke ◽  
Martin Halle ◽  
Barbara Geilhof ◽  
Peter Landendoerfer ◽  
Wolfgang Blank ◽  
...  
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Fall Prevention ◽  
Care Setting ◽  
Primary Care Setting ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Risk Of Falling ◽  
Injurious Falls ◽  
Cluster Randomized

Abstract Background Falls and fall-related injuries are common in community-dwelling older persons. Longitudinal data on effective fall prevention programs are rare. Objective Therefore, we evaluated a 4-months multi-component exercise fall prevention program in a primary care setting on long-term effects over 24 months on falls and concomitant injuries in older community-dwelling persons with high risk of falling. Design and Setting In the Prevention of Falls (PreFalls) study, forty general practitioners in Germany were cluster-randomized (1:1) into an intervention group (IG) or control group (CG). Three hundred seventy-eight independently living people with high risk of falling (78.1 ± 5.9 years, 75% women) were assigned to IG (n = 222) or CG (n = 156). Intervention and Measurements Patients in IG took part in a 4-months multi-component exercise program comprising strength and balance exercises (28 sessions); patients in CG received no intervention. Primary outcome measure was number of falls over 24 months, analyzed by a patient-level, linear mixed Poisson model. Secondary endpoints were number of fall-related injuries, changes in physical function, fear of falling, and mortality. Results After 24 months, the IG demonstrated significantly fewer falls (IRR = 0.63, p = 0.021), injurious falls (IRR = 0.69, p = 0.034), and less fear of falling (p = 0.005). The mortality rate was 5.0% in IG and 10.3% in CG (HR = 0.51, 95% CI: 0.24 to 1.12; p = 0.094). Conclusions In older community-dwelling persons with high risk of falling, a short-term multi-component exercise intervention reduced falls and injurious falls, as well as fear of falling over 24 months.

scholarly journals Intensity-Dependent Effects of a Six-Week Balance Exercise Program in Elderly Women

2018 ◽  
Vol 15 (11) ◽  
pp. 2564 ◽  
Author(s):  
Zbigniew Borysiuk ◽  
Paweł Pakosz ◽  
Mariusz Konieczny ◽  
Krzysztof Kręcisz
Keyword(s):  
Elderly Women ◽  
Force Plate ◽  
Exercise Program ◽  
The Elderly ◽  
Control Group ◽  
Exercise Time ◽  
Limits Of Stability ◽  
Balance Exercise ◽  
Experimental Group

The objective of this study was to gain a better understanding of the mechanisms underlying falls in the elderly. The results were based on a group of 28 women in a control group (CON) and 16 women in an experimental group (EXP), aged 60–70. Participants took part in the six-weeks Elderly Recreation Movement Program (ERMP) with the only difference that the EXP group practiced twice as often as the CON group. The measurement of variations in the index called limits of stability (LOS) was performed by application of Kistler force plate and the coactivation index (CI) was registered by means of sEMG. The results demonstrate the existence of statistically significant differences in terms of the principal outcome of the exercise time in the measurements of LOS (F(1.42) = 10.0, p = 0.003), and CI (F(1.42) = 10.5, p = 0.002). The effect of the program was associated with an increase the level of the maximum LOS, and a decrease of the CI level, especially in the experimental group. Hence, the implementation of an innovative ERMP exercise program results in the improvement of the physical capabilities of senior subjects.

scholarly journals Examining the effectiveness of a holistic nutrition programme among community-dwelling elderly in Singapore

2019 ◽  
Vol 29 (1) ◽  
pp. 10-18
Author(s):  
James Chong Boi Lee ◽  
Caroline Robert ◽  
Nurhazimah Binte Naharudin ◽  
Mojisola Erdt ◽  
Harsha Vijayakumar ◽  
...  
Keyword(s):  
Intervention Group ◽  
The Elderly ◽  
Perceived Competence ◽  
Community Dwelling ◽  
Control Group ◽  
Ageing Population ◽  
Nutritional Knowledge ◽  
Perceived Satisfaction ◽  
Significant Difference ◽  
Nutrition Programme

Background: Singapore faces challenges in providing efficient health-care services for the ageing population. Objectives: We evaluated the effectiveness of a novel holistic nutrition programme among the elderly who were staying in several senior activity centres in Singapore. Methods: A total of 83 elderly participants (>55 years old) took part in a mixed-methods experimental study. Participants were assigned to the control group (CG), the intervention group without health talks (IGH–) or the intervention group with health talks (IGH+). Demographics, perceived satisfaction score of the administered programme and pre–post measurement on nutritional knowledge and perceived competence were measured. Subsequently, in-depth interviews were also carried out with some participants. Results: One-way analysis of variance revealed significantly higher scores for the IGH– and IGH+ groups compared to the CG in terms of perceived satisfaction of the programme ( p=0.009 and p=0.005, respectively). There was also a significant difference in terms of the change in nutritional knowledge before and after the programme between the IGH– and IGH+ groups ( p=0.002) but not for perceived competence ( p=0.26). Several determinants of dietary behaviours in the elderly such as living arrangements, attitudes and finances were identified from thematic analyses of the interviews. Conclusions: The findings from the study demonstrate the effectiveness of an holistic programme in effecting changes in nutritional knowledge but not perceived competence.

scholarly journals The Effects of Electrical Stimulation Program on Navicular Height, Balance, and Fear of Falling in Community-Dwelling Elderly

2021 ◽  
Vol 18 (17) ◽  
pp. 9351
Author(s):  
Juntip Namsawang ◽  
Pornpimol Muanjai ◽  
Nongnuch Luangpon ◽  
Sirirat Kiatkulanusorn
Keyword(s):  
Electrical Stimulation ◽  
Fear Of Falling ◽  
The Elderly ◽  
Limited Range ◽  
Community Dwelling ◽  
Control Group ◽  
Muscle Strengthening ◽  
Limited Range Of Motion ◽  
Significant Difference ◽  
Risk Of Falls

Introduction: Intrinsic foot muscle weakness is a crucial cause of balance deficit in the elderly, which leads to a limited range of motion from the fear of falling and subsequently decreases the quality of life. Muscle strengthening via transcutaneous electrical stimulation (TENS) is an effective intervention; however, its effects on elderly people have rarely been reported. This study was conducted to investigate the effects of TENS on navicular height, balance, and fear of falling. Method: In this study, forty-eight participants aged 65–75 years were included and were randomly divided into two groups: the TENS and control groups. Before and after 4 weeks of training, navicular height, balance, and fear of falling were measured. Result: After 4 weeks of training, navicular height significantly increased in both groups (p < 0.05); however, the increase was higher in the TENS group (p = 0.035). The TENS group had a better improvement in balance in all four directions—front, back, left, and right (p < 0.05). However, postural balance improvements in the control group were observed in three directions only—front, back, and left (p < 0.05)—without any significant difference between the two groups. Furthermore, the TENS group decreased the scale of fear of falling after 4 weeks of training (p = 0.039). Conclusion: In summary, the results of this study can be used as part of the muscle strengthening via ES for decreasing the risk of falls or fear of falling in the elderly.

scholarly journals Comparison of the Daily Fitness Test in Nursing Home Residents and Community-Dwelling Residents Elderly Women

2020 ◽  
Vol 29 (4) ◽  
pp. 409-415
Author(s):  
Min-Hwa Suk ◽  
Hee-Seung Jang ◽  
Jin-Wook Lee
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Physical Fitness ◽  
Elderly Women ◽  
Nursing Home Residents ◽  
Exercise Program ◽  
The Elderly ◽  
Community Dwelling ◽  
Step Test ◽  
Fitness Test

PURPOSE:The purpose of this study was to compare the daily fitness tests of nursing home residents and community-dwelling elderly women after 16 weeks program.METHODS:Thirty elderly women living in a nursing home (n=14) or community (n=16) participated in the study. The program was assigned 1 hour twice a week for 16 weeks to improve the physical activity for the elderly women. The daily fitness test assessed the physical fitness levels for elderly. The tests performed the 2-min step test, chair stand test, arm curl test, chair sit and reach test, backscratch test, 244-cm up and go test.RESULTS:A result of the study show that the daily physical fitness of the elderly women living in the community is higher than those living in nursing homes. After the program which induced physical activity, 2-min step test (<i>p</i><.05) and 244-cm up and go test (<i>p</i><.05) were much improved in the elderly living in nursing homes.CONCLUSIONS:Although the daily fitness of nursing home residents was lower than community-dwelling residents, there was a significant improvement after exercise program.

scholarly journals Evaluating the effects of an exercise program (Staying UpRight) for older adults in long-term care on rates of falls: study protocol for a randomised controlled trial

2019 ◽  
Author(s):  
Lynne Taylor ◽  
John Parsons ◽  
Denise Taylor ◽  
Elizabeth Binns ◽  
Sue Lord ◽  
...  
Keyword(s):  
Older Adults ◽  
Cost Effectiveness ◽  
Long Term Care ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Program ◽  
Community Dwelling ◽  
Control Group ◽  
Term Care

Abstract Background Falls are two to four times more frequent amongst long-term care (LTC) than community-dwelling older adults and have deleterious consequences. It is hypothesized that a progressive exercise program targeting balance and strength will reduce falls rates when compared to a seated exercise program and do so cost effectively. Methods/Design This is a single blind, parallel-group, randomized controlled trial with blinded assessment of outcome and intention-to-treat analysis. LTC residents (age ≥65 years) will be recruited from LTC facilities in New Zealand. Participants (n= 528 total; with a 1:1 allocation ratio) will be randomly assigned to either a novel exercise program (Staying UpRight), comprising strength and balance exercises designed specifically for LTC and acceptable to people with dementia, (intervention group) or a seated exercise program (control group). The intervention and control group classes will be delivered for 1 hour twice weekly over 1 year. The primary outcome is rate of falls (per 1000 person years) within the intervention period. Secondary outcomes will be risk of falling (the proportion of fallers per group), falls rate relative to activity exposure, hospitalisation for fall-related injury, change in gait variability, volume and patterns of ambulatory activity and change in physical performance assessed at baseline, 6 and 12 months. Cost effectiveness will be examined using intervention and health service costs. The trial commenced recruitment on 31 November 2018. Discussion This study evaluates the efficacy and cost effectiveness of a progressive strength and balance exercise program for aged-care residents to reduce falls. The outcomes will aid development of evidenced-based exercise programs for this vulnerable population.

scholarly journals Effectiveness and Estimation of Cost-Effectiveness of a Group-Based Multicomponent Physical Exercise Programme on Risk of Falling and Frailty in Community-Dwelling Older Adults

2019 ◽  
Vol 16 (12) ◽  
pp. 2086 ◽  
Author(s):  
Tamara Alhambra-Borrás ◽  
Estrella Durá-Ferrandis ◽  
Maite Ferrando-García
Keyword(s):  
Older Adults ◽  
Cost Effectiveness ◽  
Physical Exercise ◽  
Usual Care ◽  
Intervention Group ◽  
Exercise Programme ◽  
Community Dwelling ◽  
Control Group ◽  
Risk Of Falling ◽  
Community Dwelling Older Adults

This study analyses the effectiveness and cost-effectiveness of a group-based multicomponent physical exercise programme aimed at reducing the risk of falling and frailty in community-dwelling older adults. This is a pretest–posttest non-equivalent control group design, with an intervention group and a comparison group. Participants were evaluated at baseline and after 9 months. The effectiveness analyses showed significant reduction in the risk of falling (−45.5%; p = 0.000) and frailty (−31%; p = 0.000) after the intervention for the participants in the physical exercise programme. Moreover, these participants showed an improvement in limitations in activities of daily living, self-care ability and the use of health resources, physical performance, balance and body mass index. The cost-effectiveness analyses showed that the intervention was cost-saving and more effective than usual care scenario. A novel group-based multicomponent physical exercise programme showed to be more effective and cost-effective than usual care for older adults suffering from risk of falling and frailty.

scholarly journals Effects of a rehabilitation programme using patient-personalised exergame on fear and risk of falling in vulnerable older adults: Protocol of randomised controlled trial (Preprint)

2020 ◽  
Author(s):  
Nolwenn Lapierre ◽  
Nathavy Um Din ◽  
Manuella Igout ◽  
Joël Chevrier ◽  
Joël Belmin
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Fear Of Falling ◽  
Medical Condition ◽  
Controlled Trial ◽  
Intervention Group ◽  
Rehabilitation Programme ◽  
Control Group ◽  
Risk Of Falling ◽  
Randomised Controlled

BACKGROUND Older adults have a high risk of falling, which leads to severe health and psychological consequences and can induce fear of falling. Rehabilitation programmes using exergames to prevent falls are increasingly explored. Medimoov is a movement-based patient-personalised exergame for rehabilitation in older adults. A preliminary study showed that its use may influence functional ability and motivation. Most existing studies evaluating the use of exergames do not involve an appropriate control group and do not focus on patient-personalised exergames. OBJECTIVE Thus, this study aims to evaluate the effects of Medimoov on falling risk and fear of falling in older adults compared with standard psychomotor rehabilitation. METHODS This study is an open, randomised controlled trial in parallel groups with blind data collection for the evaluation criterion. Twenty-five older adults per group will be recruited. The selection criteria will be: 1) 65 years of age or older, 2) ability to answer a questionnaire, 3) ability to stand in a bipedal position for at least 1 minute, 4) a score 13 or greater on the Short Fall Efficacy Scale and 5) to be in stable medical condition. Patients will be randomly allocated to two groups, as follows: the intervention group have bi-weekly sessions with Medimoov, the control group will follow the usual rehabilitation programme (bi-weekly psychomotor therapy sessions). Evaluations will be made before the intervention, after 4 weeks of intervention, and at the end of the intervention (after 8 weeks) and will focus on (1) risk of fall, (2) fear of falling and (3) cognitive evaluations. Physical activity outside the session will also be assessed by actimetry. The outcome assessment will be performed according intention-to-treat analysis. RESULTS N/A CONCLUSIONS This study will allow us to evaluate the effect of psychomotor rehabilitation using the Medimoov exergame platform on the fear of falling and risk of falling. If the effects of the Medimoov-assisted rehabilitation programme are shown to be effective for preventing falls and alleviating fear of falling, this pilot study will be the basis for larger trials. CLINICALTRIAL ClinicalTrials registration number: NCT04134988 (2019/10/22) https://clinicaltrials.gov/ct2/show/NCT04134988.

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