Donnerstag, 4. Oktober 2012

The efficacy of a specific balance-strategy training programme

The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomised controlled trial

Nitz, Jennifer C. and Low Choy, Nancy (2004) The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomised controlled trial. Age and Ageing, 33 1: 52-58.

ABSTRACT:

 Background: older people participate in exercise programmes to reduce the risk of falls but no study has investigated a specific balance strategy training intervention presented in a workstation format for small groups.

Objective: to determine whether a specific balance strategy training programmeme delivered in a workstation format was superior to a community based exercise class programme for reducing falls.


Design: a randomised controlled trial model.


Setting: Neurological Disorders, Ageing and Balance Clinic, Department of Physiotherapy, The University of Queensland.


Subjects: 73 males and females over 60 years, living independently in the community and who had fallen in the previous year were recruited.


Methods: all subjects received a falls risk education booklet and completed an incident calendar for the duration of the study. Treatment sessions were once a week for 10 weeks. Subject assessment before and after intervention and at 3 months follow-up included number of falls, co-morbidities, medications, community services and activity level, functional motor ability, clinical and laboratory balance measures and fear of falling.


Results: all participants significantly reduced the number of falls (P < 0.000). The specific balance strategy intervention group showed significantly more improvement in functional measures than the control group (P = 0.034). Separate group analyses indicated significantly improved performance in functional motor ability and most clinical balance measures for the balance group (P < 0.04). The control group only improved in TUG and TUGcog.


Conclusions: the results provide evidence that all participants achieved a significant reduction in falls. Specific balance strategy training using workstations is superior to traditional exercise classes for improving function and balance.
 

Quelle:  http://espace.uq.edu.au/view/UQ:68941



Full Text / Link / pdf - online im internet - Zugriff vom 04.10.2012:


The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomised controlled trial

Nitz, Jennifer C. and Low Choy, Nancy (2004) The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomised controlled trial. Age and Ageing, 33 1: 52-58.


http://www.udel.edu/PT/PT%20Clinical%20Services/journalclub/noajc/03_04/jul04/NitzBalanceTraining.pdf


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