The Effect of Multidimensional Exercises on Balance, Mobility, and Fall Risk in Community-Dwelling Older Adults
This prospective clinical investigation examined the effects of a multidimensional exercise program on balance, mobility, and risk for falls in community-dwelling older adults with a history of falling. Factors used to predict adherence and a successful response to exercise were identified. A total...
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| Veröffentlicht in: | Physical therapy 1997-01, Vol.77 (1), p.46-57 |
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| creator | Shumway-Cook, A Gruber, W Baldwin, M Liao, S |
| description | This prospective clinical investigation examined the effects of a multidimensional exercise program on balance, mobility, and risk for falls in community-dwelling older adults with a history of falling. Factors used to predict adherence and a successful response to exercise were identified.
A total of 105 community-dwelling older adults (> or = 65 years of age) with a history of two or more falls in the previous 6 months (no neurologic diagnosis) participated. They were classified into (1) a control group of fallers (n = 21), (2) a fully adherent exercise group (n = 52), and (3) a partially adherent exercise group (n = 32).
Following evaluation, each patient received an individualized exercise program addressing the impairments and functional disabilities identified during the assessment. The control group received no intervention. Changes in performance on five clinical tests of balance and mobility and fall risk were compared among groups.
Both exercise groups scored better than the control group on all measures of balance and mobility. Although both exercise groups showed a reduction in fall risk compared with the control group, the greatest reduction was found in the fully adherent exercise group. Factors associated with successful response to exercise included degree of adherence to exercise program and pretest score on the Tinetti Mobility Assessment.
Exercise can improve balance and mobility function and reduce the likelihood for falls among community-dwelling older adults with a history of falling. The amount of exercise needed to achieve these results, however, could not be determined from this study. |
| doi_str_mv | 10.1093/ptj/77.1.46 |
| format | Article |
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A total of 105 community-dwelling older adults (> or = 65 years of age) with a history of two or more falls in the previous 6 months (no neurologic diagnosis) participated. They were classified into (1) a control group of fallers (n = 21), (2) a fully adherent exercise group (n = 52), and (3) a partially adherent exercise group (n = 32).
Following evaluation, each patient received an individualized exercise program addressing the impairments and functional disabilities identified during the assessment. The control group received no intervention. Changes in performance on five clinical tests of balance and mobility and fall risk were compared among groups.
Both exercise groups scored better than the control group on all measures of balance and mobility. Although both exercise groups showed a reduction in fall risk compared with the control group, the greatest reduction was found in the fully adherent exercise group. Factors associated with successful response to exercise included degree of adherence to exercise program and pretest score on the Tinetti Mobility Assessment.
Exercise can improve balance and mobility function and reduce the likelihood for falls among community-dwelling older adults with a history of falling. The amount of exercise needed to achieve these results, however, could not be determined from this study.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/77.1.46</identifier><identifier>PMID: 8996463</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Accidental falls ; Accidental Falls - prevention & control ; Aged ; Aged, 80 and over ; Elderly ; Exercise ; Exercise - physiology ; Exercise for the aged ; Falls ; Falls (Accidents) ; Female ; Gait ; Health aspects ; Humans ; Male ; Mental Status Schedule ; Motor ability ; Older people ; Patient Compliance ; Postural Balance ; Prevention ; Prospective Studies ; Range of Motion, Articular ; Risk</subject><ispartof>Physical therapy, 1997-01, Vol.77 (1), p.46-57</ispartof><rights>COPYRIGHT 1997 Oxford University Press</rights><rights>COPYRIGHT 1997 Oxford University Press</rights><rights>Copyright American Physical Therapy Association Jan 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-b0af531a797810a5ee883b42a3edd31f78f3282588b3fa6e2f051c60cc29101d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8996463$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shumway-Cook, A</creatorcontrib><creatorcontrib>Gruber, W</creatorcontrib><creatorcontrib>Baldwin, M</creatorcontrib><creatorcontrib>Liao, S</creatorcontrib><title>The Effect of Multidimensional Exercises on Balance, Mobility, and Fall Risk in Community-Dwelling Older Adults</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>This prospective clinical investigation examined the effects of a multidimensional exercise program on balance, mobility, and risk for falls in community-dwelling older adults with a history of falling. Factors used to predict adherence and a successful response to exercise were identified.
A total of 105 community-dwelling older adults (> or = 65 years of age) with a history of two or more falls in the previous 6 months (no neurologic diagnosis) participated. They were classified into (1) a control group of fallers (n = 21), (2) a fully adherent exercise group (n = 52), and (3) a partially adherent exercise group (n = 32).
Following evaluation, each patient received an individualized exercise program addressing the impairments and functional disabilities identified during the assessment. The control group received no intervention. Changes in performance on five clinical tests of balance and mobility and fall risk were compared among groups.
Both exercise groups scored better than the control group on all measures of balance and mobility. Although both exercise groups showed a reduction in fall risk compared with the control group, the greatest reduction was found in the fully adherent exercise group. Factors associated with successful response to exercise included degree of adherence to exercise program and pretest score on the Tinetti Mobility Assessment.
Exercise can improve balance and mobility function and reduce the likelihood for falls among community-dwelling older adults with a history of falling. The amount of exercise needed to achieve these results, however, could not be determined from this study.</description><subject>Accidental falls</subject><subject>Accidental Falls - prevention & control</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Elderly</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Exercise for the aged</subject><subject>Falls</subject><subject>Falls (Accidents)</subject><subject>Female</subject><subject>Gait</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Mental Status Schedule</subject><subject>Motor ability</subject><subject>Older people</subject><subject>Patient Compliance</subject><subject>Postural Balance</subject><subject>Prevention</subject><subject>Prospective Studies</subject><subject>Range of Motion, Articular</subject><subject>Risk</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptks1vEzEUxC1EVULgxBnJ4sABsqk_dtfeYwhpQWoVCZWz5XifEwevHda7avvf4yoBqajywZLnp5HfvEHoHSVzShp-cRj2F0LM6bysX6AJrbgsasHKl2hCCKdFQxh_hV6ntCeEUFE25-hcNk1d1nyC4u0O8MpaMAOOFt-MfnCt6yAkF4P2eHUPvXEJEo4Bf9FeBwMzfBM3zrvhYYZ1aPGl9h7_cOkXdgEvY9eNIWvF1zvw3oUtXvsWerxos3d6g86s9gnenu4p-nm5ul1-K67XV9-Xi-vCVKwcig3RtuJUi0ZISnQFICXflExzaFtOrZCWM8kqKTfc6hqYJRU1NTGGNZTQlk_Rx6PvoY-_R0iD6lwy-UM6QByTElJIQnM-U_ThP3Afxz6PnhRjnDLSlCxDsyO01R6UCzYOvTZbCNBrHwNYl58XtCFSlkJmvHgGz6eFzpnn-Kf2GRngfjDRe9iCysEs10_wz0fc9DGlHqw69K7T_YOiRD02QuVGKCEUVXnHU_T-NOC46aD9x54qkPVPR33ntrs714NKXV5optmjzzGMv2Z_APNAvoU</recordid><startdate>19970101</startdate><enddate>19970101</enddate><creator>Shumway-Cook, A</creator><creator>Gruber, W</creator><creator>Baldwin, M</creator><creator>Liao, S</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>19970101</creationdate><title>The Effect of Multidimensional Exercises on Balance, Mobility, and Fall Risk in Community-Dwelling Older Adults</title><author>Shumway-Cook, A ; Gruber, W ; Baldwin, M ; Liao, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-b0af531a797810a5ee883b42a3edd31f78f3282588b3fa6e2f051c60cc29101d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Accidental falls</topic><topic>Accidental Falls - prevention & control</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Elderly</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Exercise for the aged</topic><topic>Falls</topic><topic>Falls (Accidents)</topic><topic>Female</topic><topic>Gait</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Mental Status Schedule</topic><topic>Motor ability</topic><topic>Older people</topic><topic>Patient Compliance</topic><topic>Postural Balance</topic><topic>Prevention</topic><topic>Prospective Studies</topic><topic>Range of Motion, Articular</topic><topic>Risk</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shumway-Cook, A</creatorcontrib><creatorcontrib>Gruber, W</creatorcontrib><creatorcontrib>Baldwin, M</creatorcontrib><creatorcontrib>Liao, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shumway-Cook, A</au><au>Gruber, W</au><au>Baldwin, M</au><au>Liao, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Multidimensional Exercises on Balance, Mobility, and Fall Risk in Community-Dwelling Older Adults</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>1997-01-01</date><risdate>1997</risdate><volume>77</volume><issue>1</issue><spage>46</spage><epage>57</epage><pages>46-57</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>This prospective clinical investigation examined the effects of a multidimensional exercise program on balance, mobility, and risk for falls in community-dwelling older adults with a history of falling. Factors used to predict adherence and a successful response to exercise were identified.
A total of 105 community-dwelling older adults (> or = 65 years of age) with a history of two or more falls in the previous 6 months (no neurologic diagnosis) participated. They were classified into (1) a control group of fallers (n = 21), (2) a fully adherent exercise group (n = 52), and (3) a partially adherent exercise group (n = 32).
Following evaluation, each patient received an individualized exercise program addressing the impairments and functional disabilities identified during the assessment. The control group received no intervention. Changes in performance on five clinical tests of balance and mobility and fall risk were compared among groups.
Both exercise groups scored better than the control group on all measures of balance and mobility. Although both exercise groups showed a reduction in fall risk compared with the control group, the greatest reduction was found in the fully adherent exercise group. Factors associated with successful response to exercise included degree of adherence to exercise program and pretest score on the Tinetti Mobility Assessment.
Exercise can improve balance and mobility function and reduce the likelihood for falls among community-dwelling older adults with a history of falling. The amount of exercise needed to achieve these results, however, could not be determined from this study.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>8996463</pmid><doi>10.1093/ptj/77.1.46</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Physical therapy, 1997-01, Vol.77 (1), p.46-57 |
| issn | 0031-9023 1538-6724 |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Accidental falls Accidental Falls - prevention & control Aged Aged, 80 and over Elderly Exercise Exercise - physiology Exercise for the aged Falls Falls (Accidents) Female Gait Health aspects Humans Male Mental Status Schedule Motor ability Older people Patient Compliance Postural Balance Prevention Prospective Studies Range of Motion, Articular Risk |
| title | The Effect of Multidimensional Exercises on Balance, Mobility, and Fall Risk in Community-Dwelling Older Adults |
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