Effectiveness of simple balancing training program in elderly patients with history of frequent falls

Vilai Kuptniratsaikul1, Rungnirand Praditsuwan2, Prasert Assantachai3, Teerada Ploypetch1, Suthipol Udompunturak4, Julaporn Pooliam41Department of Rehabilitation Medicine, 2Department of Medicine, 3Department of Preventive Medicine, 4Office for Research and Development, Siriraj Hospital, Mahidol Uni...

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Autores principales:	Kuptniratsaikul V, Praditsuwan R, Assantachai P, Ploypetch T, Udompunturak S, Pooliam J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	balancing training exercise fall prevention frequent fall elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/124ae757a9a24e7081c91a0660558b12
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spelling	oai:doaj.org-article:124ae757a9a24e7081c91a0660558b122021-12-02T00:12:35ZEffectiveness of simple balancing training program in elderly patients with history of frequent falls1178-1998https://doaj.org/article/124ae757a9a24e7081c91a0660558b122011-05-01T00:00:00Zhttps://www.dovepress.com/effectiveness-of-simple-balancing-training-program-in-elderly-patients-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Vilai Kuptniratsaikul1, Rungnirand Praditsuwan2, Prasert Assantachai3, Teerada Ploypetch1, Suthipol Udompunturak4, Julaporn Pooliam41Department of Rehabilitation Medicine, 2Department of Medicine, 3Department of Preventive Medicine, 4Office for Research and Development, Siriraj Hospital, Mahidol University, ThailandObjective: To study the effectiveness of simply-performed balancing exercises in fall prevention.Design: Pre- and post-trial.Setting: University hospital from January 2009 to May 2010.Participants: Elderly with falls in the previous year.Intervention: Simple balancing exercise was performed at home every day and was recorded in the booklet.Measurements: New falling events and a battery of balancing abilities including the Timed Up and Go Test (TUGT), chair stand, functional reach, and Berg balance scale-short form were evaluated at baseline, 3-, 6-, 9-, and 12-month periods. Fear of falling and quality of life scores were assessed at baseline and 12-month periods.Results: 146 subjects were recruited, 116 female (79.5%) with a mean age of 67.1 years. At the end of the study, 49% of participants had not fallen. All of the balancing abilities were compared between frequent and infrequent fallers and were significantly improved (P < 0.001) except for functional reach in the frequent fall group. Most subjects (72%–79%) complied well with the exercise program. However, compliance had no effect on balancing abilities. About 36.4% of participants had adverse events from exercise, of which knee pain was the top ranked. The quality of life and the fall efficacy scores increased significantly at the end of the study. Factors affecting falling were compliance with exercise (adjusted odds ratio [OR]: 2.55, 95% confidence intervals [CI]: 1.04, 6.30) and a history of falling ≥3 times in the previous year (adjusted OR: 3.76, 95% CI: 1.18, 11.98).Conclusion: Performing simply-designed balancing exercises, at least 3 days per week, can increase balancing abilities, and decrease fall rates in the elderly with a history of previous falls. However, strategies to encourage elderly compliance may prevent falling.Keywords: balancing training, exercise, fall prevention, frequent fall, elderlyKuptniratsaikul VPraditsuwan RAssantachai PPloypetch TUdompunturak SPooliam JDove Medical Pressarticlebalancing trainingexercisefall preventionfrequent fallelderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 6, Pp 111-117 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	balancing training exercise fall prevention frequent fall elderly Geriatrics RC952-954.6
spellingShingle	balancing training exercise fall prevention frequent fall elderly Geriatrics RC952-954.6 Kuptniratsaikul V Praditsuwan R Assantachai P Ploypetch T Udompunturak S Pooliam J Effectiveness of simple balancing training program in elderly patients with history of frequent falls
description	Vilai Kuptniratsaikul1, Rungnirand Praditsuwan2, Prasert Assantachai3, Teerada Ploypetch1, Suthipol Udompunturak4, Julaporn Pooliam41Department of Rehabilitation Medicine, 2Department of Medicine, 3Department of Preventive Medicine, 4Office for Research and Development, Siriraj Hospital, Mahidol University, ThailandObjective: To study the effectiveness of simply-performed balancing exercises in fall prevention.Design: Pre- and post-trial.Setting: University hospital from January 2009 to May 2010.Participants: Elderly with falls in the previous year.Intervention: Simple balancing exercise was performed at home every day and was recorded in the booklet.Measurements: New falling events and a battery of balancing abilities including the Timed Up and Go Test (TUGT), chair stand, functional reach, and Berg balance scale-short form were evaluated at baseline, 3-, 6-, 9-, and 12-month periods. Fear of falling and quality of life scores were assessed at baseline and 12-month periods.Results: 146 subjects were recruited, 116 female (79.5%) with a mean age of 67.1 years. At the end of the study, 49% of participants had not fallen. All of the balancing abilities were compared between frequent and infrequent fallers and were significantly improved (P < 0.001) except for functional reach in the frequent fall group. Most subjects (72%–79%) complied well with the exercise program. However, compliance had no effect on balancing abilities. About 36.4% of participants had adverse events from exercise, of which knee pain was the top ranked. The quality of life and the fall efficacy scores increased significantly at the end of the study. Factors affecting falling were compliance with exercise (adjusted odds ratio [OR]: 2.55, 95% confidence intervals [CI]: 1.04, 6.30) and a history of falling ≥3 times in the previous year (adjusted OR: 3.76, 95% CI: 1.18, 11.98).Conclusion: Performing simply-designed balancing exercises, at least 3 days per week, can increase balancing abilities, and decrease fall rates in the elderly with a history of previous falls. However, strategies to encourage elderly compliance may prevent falling.Keywords: balancing training, exercise, fall prevention, frequent fall, elderly
format	article
author	Kuptniratsaikul V Praditsuwan R Assantachai P Ploypetch T Udompunturak S Pooliam J
author_facet	Kuptniratsaikul V Praditsuwan R Assantachai P Ploypetch T Udompunturak S Pooliam J
author_sort	Kuptniratsaikul V
title	Effectiveness of simple balancing training program in elderly patients with history of frequent falls
title_short	Effectiveness of simple balancing training program in elderly patients with history of frequent falls
title_full	Effectiveness of simple balancing training program in elderly patients with history of frequent falls
title_fullStr	Effectiveness of simple balancing training program in elderly patients with history of frequent falls
title_full_unstemmed	Effectiveness of simple balancing training program in elderly patients with history of frequent falls
title_sort	effectiveness of simple balancing training program in elderly patients with history of frequent falls
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/124ae757a9a24e7081c91a0660558b12
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Effectiveness of simple balancing training program in elderly patients with history of frequent falls

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