Feasibility and effect of supplementing a modified OTAGO intervention with multisensory balance exercises in older people who fall: A pilot randomized controlled trial

Clinical Rehabilitation

Volumn 28, Issue 8, 2014, Pages 784-793

  Liston, Matthew B ^a   Alushi, Ledia ^a   Bamiou, Doris Eva ^b,c   Martin, Finbarr C ^d   Hopper, Adrian ^d   Pavlou, Marousa ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b NATIONAL HOSPITAL FOR NEUROLOGY AND NEUROSURGERY   (United Kingdom)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d GUY'S AND ST THOMAS' NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Balance; falls; older adults; rehabilitation interventions

Indexed keywords

EID: 84904886430     PISSN: 02692155     EISSN: 14770873     Source Type: Journal    
DOI: 10.1177/0269215514521042     Document Type: Article

References (32)

1. Scuffham P, Chaplin S, Legood R. Incidence and costs of unintentional falls in older people in the United Kingdom. J Epidemiol Community Health. 2003 ; 57 (9). 740-744
2. The National Hip Fracture Database National Report - National Summary 2012.. 2012 ;:
3. London: National Institute for Health and Care Excellence ; 2013 :
4. Thomas S, Mackintosh S, Halbert J. Does the 'Otago exercise programme' reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing. 2010 ; 39 (6). 681-687
5. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age Ageing. 2006 ; 35: ii7 - ii11
6. Hall CD, Heusel-Gillig L, Tusa RJ, et al. Efficacy of gaze stability exercises in older adults with dizziness. J Neurol Phys Ther. 2010 ; 34 (2). 64-69
7. Whitney SL, Wrisley DM, Marchetti GF, et al. The effect of age on vestibular rehabilitation outcomes. Laryngoscope. 2002 ; 112 (10). 1785-1790
8. Jung JY, Kim JS, Chung PS, et al. Effect of vestibular rehabilitation on dizziness in the elderly. Am J Otolaryngol. 2009 ; 30 (5). 295-299
9. Bronstein AM, Pavlou M Balance. Handb Clin Neurol. 2013 ; 110: 189-208
10. Wrisley DM, Marchetti GF, Kuharsky DK, et al. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Phys Ther. 2004 ; 84 (10). 906-918
11. Wrisley DM, Kumar NA. Functional gait assessment: concurrent, discriminative, and predictive validity in community-dwelling older adults. Phys Ther. 2010 ; 90 (5). 761-773
12. Lord SR, Menz HB, Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Phys Ther. 2003 ; 83 (3). 237-252
13. Guerraz M, Yardley L, Bertholon P, et al. Visual vertigo: symptom assessment, spatial orientation and postural control. Brain. 2001 ; 124 (8). 1646-1656
14. Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995 ; 50A (1). M28-34
15. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr. 2004 ; 38 (1). 11-26
16. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 ; 67 (6). 361-370
17. Yardley L, Masson E, Verschuur C, et al. Symptoms, anxiety and handicap in dizzy patients: development of the vertigo symptom scale. J Psychosom Res. 1992 ; 36 (8). 731-741
18. Pavlou M, Davies RA, Bronstein AM. The assessment of increased sensitivity to visual stimuli in patients with chronic dizziness. J Vestib Res. 2006 ; 16 (4-5). 223-231
19. Gibson M. The prevention of falls in later life. Danish Medical Bulletin. 1987 ; 34 (4). 1-24
20. Introducing statistical methods. 2 nd ed.London: SAGE Publications, 2005, pp.xxxiv, 779. Field AP, ed. London: SAGE Publications ; 2005: xxxiv 779.
21. Alsalaheen BA, Mucha A, Morris LO, et al. Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther. 2010 ; 34 (2). 87-93
22. Beling J, Roller M. Multifactorial intervention with balance training as a core component among fall-prone older adults. J Geriatr Phys Ther. 2009 ; 32 (3). 125-133
23. Yang XJ, Hill K, Moore K, et al. Effectiveness of a targeted exercise intervention in reversing older people's mild balance dysfunction: a randomized controlled trial. Phys Ther. 2012 ; 92 (1). 24-37
24. Cohen HS, Kimball KT. Decreased ataxia and improved balance after vestibular rehabilitation. Otolaryngol Head Neck Surg. 2004 ; 130 (4). 418-425
25. Lamb SE, Jorstad-Stein EC, Hauer K, et al. Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. J Am Geriatr Soc. 2005 ; 53 (9). 1618-1622
26. Sherrington C, Tiedemann A, Fairhall N, et al. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. NSW Public Health Bull. 2011 ; 22 (3-4). 78-83
27. Beauchet O, Annweiler C, Allali G, et al. Dual task-related changes in gait performance in older adults: a new way of predicting recurrent falls?. J Am Geriatr Soc. 2008 ; 56 (1). 181-182
28. Robinett CS, Vondran MA. Functional ambulation velocity and distance requirements in rural and urban communities. A clinical report. Phys Ther. 1988 ; 68 (9). 1371-1373
29. Liu-Ambrose T, Khan KM, Eng JJ, et al. Resistance and agility training reduce fall risk in women aged 75 to 85 with low bone mass: a 6-month randomized, controlled trial. J Am Geriatr Soc. 2004 ; 52 (5). 657-665
30. Campbell AJ, Robertson MC, Gardner MM, et al. Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. Age Ageing. 1999 ; 28 (6). 513-518
31. Liston M BD, Bamiou DE, Martin FC, et al. Peripheral vestibular dysfunction is prevalent in older adults experiencing multiple non-syncopal falls vs. age-matched non-fallers: A pilot study. Age Ageing. 2013 ;:
32. Fleming J, Matthews FE, Brayne C. Falls in advanced old age: recalled falls and prospective follow-up of over-90-year-olds in the Cambridge City over-75s Cohort study. BMC Geriatr. 2008 ; 8: 6