The effects of a home-based exercise program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults: A pilot study

Journal of Geriatric Physical Therapy

Volumn 33, Issue 2, 2010, Pages 85-91

  Miller, Kenneth L ^a   Magel, John R ^a,b   Hayes, Joseph G ^a  

^a TOURO COLLEGE   (United States)

^b CITY UNIVERSITY OF NEW YORK   (United States)

Author keywords

Balance confidence; Balance performance; Balance training; Debilitated community dwelling older adults; Gait; Home based exercise

Indexed keywords

AGED; ARTICLE; BODY EQUILIBRIUM; FALLING; FEMALE; FRAIL ELDERLY; GAIT; GERIATRIC ASSESSMENT; HOME CARE; HUMAN; INDEPENDENT LIVING; KINESIOTHERAPY; MALE; METHODOLOGY; PILOT STUDY; SELF CONCEPT;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; EXERCISE THERAPY; FEMALE; FRAIL ELDERLY; GAIT; GERIATRIC ASSESSMENT; HOME CARE SERVICES; HUMANS; INDEPENDENT LIVING; MALE; PILOT PROJECTS; POSTURAL BALANCE; SELF EFFICACY;

EID: 77957746810     PISSN: 15398412     EISSN: None     Source Type: Journal    
DOI: 10.1097/JPT.0b013e3181df0035     Document Type: Article

References (32)

1. Fuller GF. Falls in the elderly. Am Fam Physician. 2000;61:2159-2168, 2173-2174.
2. Hausdorff JM, Rios DA, Edelber HK. Gait variability and fall risk in communityliving older adults: a 1-year prospective study. Arch Phys Med Rehabil. 2001;82(8):1050-1056. (Pubitemid 32744331)
3. Hornbrook MC, Stevens VJ, Wingfield DJ, Hollis JF, Greenlick MR, Ory MG. Preventing falls among community-dwelling older persons: results from a randomized trial. The Gerontologist. 1994;34(1):16-23. (Pubitemid 24072666)
4. Silsupadol P, Siu KC, Shumway-Cook A, Woolacott MH. Training of balance under single- and dual-task conditions in older adults with balance impairment. Phys Ther. 2006;86:269-281. (Pubitemid 43190722)
5. Rydwik E, Frandin K, Akner G. Effects of physical training on physical performance in institutionalized elderly patients (70+) with multiple diagnoses. Age Ageing. 2004;33:13-23. (Pubitemid 38111443)
6. Skelton DA, Dinan SM. Exercise for falls management: rationale for an exercise programme aimed at reducing postural instability. Physiother Theory Pract. 1999;15:105-120. (Pubitemid 29308541)
7. Gill TM, Baker DI, Gottschalk M, Peduzzi PN, Allore H, Byers A. A program to prevent functional decline in physically frail, elderly persons who live at home. N Eng J Med. 2002;347:1068-1074.
8. Barnett A, Smith B, Lord SR, Williams M, Baumand A. Community-based group exercise improves balance and reduces falls in at-risk older people: a randomized controlled trial. Age Ageing. 2003;32:407-414. (Pubitemid 36926606)
9. Robertson L. Balance and falls e-course notes. Available at: http://www. therapyceu.com/courses/63/index-tceu.html. Published 1999, Accessed February 16, 2006.
10. Rao SS. Prevention of falls in older patients. Am Fam Physician. 2005:72:81- 88, 93-94.
11. Rogers ME. Balance and bands. J Active Aging. 2003;24-28, 30-32.
12. Tinetti ME, Speechley M, Ginter GF. Risk factors for falls among elderly persons living in the community. N Eng J Med. 1988;319:1701-1707. (Pubitemid 19019577)
13. Brown CJ, Gottschalk M, Van Ness PH, Fortinsky RH, Tinetti ME. Changes in physical therapy providers' use of fall prevention strategies following a multicomponent behavioral change intervention. Phys Ther. 2005;85:394-403. (Pubitemid 40586824)
14. Shumway-Cook A, Woollacott MH. Motor Control: Theory and Practical Applications. Philadelphia, PA: Lippincott Williams & Wilkins; 2001:164-165.
15. McCaffery M, Beebe A. Pain: Clinical Manual for Nursing Practice. Baltimore, MD: Mosby Company; 1993.
16. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol Psy Sci. 1990;45:P239-P243.
17. Hatch J, Gill-Body KM, Portney LG. Determinants of balance confidence in community-dwelling elderly people. Phys Ther. 2003;83:1072-1079. (Pubitemid 37467543)
18. Hill KD, Schwarz JA, Kalogeropoulos AJ, Gibson SJ. Fear of falling revisited. Arch Phys Med Rehabil. 1996;77:1025-1029. (Pubitemid 26339626)
19. Powell LE, Myers AM. The activities-specific balance confidence (ABC) scale. J Gerontol. 1995;50:M28-M34.
20. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34:119-126. (Pubitemid 16159911)
21. Lin MR, Hwang HF, Hu MH, Wu HDI, Wang YW, Huang FC. Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc. 2004;52:1343-1348.
22. Thomas JI, Lane JV. A pilot study to explore the predictive validity of 4 measures of falls risk in frail elderly patients. Arch Phys Med Rehabil. 2005;86:1636-1640. (Pubitemid 41115828)
23. Giorgetti MM, Harris BA, Jette A. Reliability of clinical balance outcome measures in the elderly. Physiother Res Inter. 1998;3(4):274-283.
24. Vellas BJ, Wayne SJ, Romero L, Baumgartner RN, Rubinstein LZ, Garry PJ. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc. 1997;45:735-738. (Pubitemid 27248784)
25. Halls SB. Ideal height and weight chart. Metropolitan life. 1983. http://www. halls.md/ideal-weight/met.htm. Accessed March 2, 2009.
26. Faber MJ, Bosscher RJ, Chin A, Paw MJ, van Wieringen PC. Effects of exercise programs on frail and mobility in frail and pre-frail older adults: a multicenter randomized controlled trial. Arch Phys Med Rehabil. 2006;87(7):885-896. (Pubitemid 43927583)
27. Means KM, Rodell DE, O'Sullivan PS. Balance, mobility and falls among community- dwelling elderly persons: effects of a rehabilitation exercise program. Am J Phys Med Rehabil. 2005;84(4):238-250. (Pubitemid 40389063)
28. Hiroyuki S, Uchiyama Y, Kakurai S. Specific effects of balance and gait exercises on physical function among the frail elderly. Clin Rehabil. 2003;17(5):472-479. (Pubitemid 37038289)
29. Nitz JC, Choy NL. The efficacy of a specific balance strategy training programme for preventing falls among older people: a pilot randomized controlled trial. Age Ageing. 2004;33:52-58. (Pubitemid 38111449)
30. Brown AP. Reducing falls in elderly people: a review of exercise interventions. Physiother Theory Prac. 1999;15:59-68. (Pubitemid 29308538)
31. Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. J Am Geriatr Soc. 2001;49:664-672.
32. Springer BA, Marin R, Cyhan T, Roberts H, Gill NW. Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther. 2007;30:8-15. (Pubitemid 47202803)