Fall Incidence in Frail Older Women after Individualized Visual Feedback-Based Balance Training

Department of Health Sciences, University of Jyväskylä, PO Box 35 (Viveca), FI-40014 Jyväskylä, Finland.
Gerontology (Impact Factor: 3.06). 10/2004; 50(6):411-6. DOI: 10.1159/000080180
Source: PubMed

ABSTRACT The knowledge concerning balance training actually lowering fall rates among frail older persons is limited.
The aim of this study was to examine the effects of a 4-week individualized visual feedback-based balance training on the fall incidence during 1-year follow-up among frail older women living in residential care.
Twenty-seven older women from 2 residential care homes were randomized into exercise (n = 20) and control (n = 7) groups. Balance measurements were carried out before and after a 4-week training period and falls were monitored by monthly diaries for 1 year. An interview about fear of falling and physical activity was completed before and after the intervention and after the 1-year follow-up.
A positive effect of balance training on fall incidence was found. A dynamic Poisson regression model showed that during the follow-up the monthly risk of falling was decreased in the exercise group compared to controls (risk ratio 0.398, 95% CI 0.174-0.911, p = 0.029). In addition, the exercise group reported a reduced fear of falling and increased physical activity after a training period but these changes declined during the follow-up period.
Individualized visual feedback-based balance training was shown to be a promising method for fall prevention among frail older women. High compliance (97.5%) with the training program showed that carefully targeted training programs can be carried out among older people with health limitations.

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Available from: Sara Taskinen, Sep 27, 2015
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    • "Despite use of the Good Balance system® in many studies as equipment for measurement of postural control ability10, 12, 13), there is no evidence regarding the reliability of the Good Balance system® in stroke patients. The reliability of measurement using the Good Balance system® need to be determined before it can be used as a potential predictor of functional performance. "
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    ABSTRACT: [Purpose] The purpose of this study was to examine test-retest reliability of the Good Balance system(®) for measurement of postural sway in poststroke patients. [Subjects] Sixty chronic stroke patients (40 men and 20 women; age 63.08 years; stroke duration 16.45 months) participated in this study. [Methods] Postural sway was evaluated using a force platform system (Good Balance system, Metitur Oy, Jyvaskyla, Finland). Two examiners measured postural sway for all participants during two separate testing sessions. The second measurement was performed one week after the first measurement. Intraclass correlation coefficients [ICC(2,1)] were used for estimation of reliability. [Results] The ICC (95% CI) for intra-examiner reliability was good to very good, ranging from 0.69 to 0.93 (0.53-0.96), and the ICC for inter-examiner reliability was good to very good, ranging from 0.85 to 0.98 (0.77-0.99). [Conclusion] The results of the current study indicated that the intra- and inter-examiner reliability of the Good Balance system(®) for measurement of postural sway was good to very good. Therefore, we suggest that measurement of postural sway using the Good Balance system(®) would be useful for clinical assessment in poststroke patients.
    Journal of Physical Therapy Science 01/2014; 26(1):121-4. DOI:10.1589/jpts.26.121 · 0.39 Impact Factor
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    • "A number of investigations have evaluated the effectiveness of force platform biofeedback for training balance and mobility tasks in older populations. Shivonen et al. [85,86] showed that visual feedback based balance training using a force plate reduced the incidence of falls among frail older women living in residential care. The investigation by Hatzitaki et al. [87] demonstrated that weight shift training using a force plate system with visual feedback resulted in improvements in standing balance in community dwelling older women. "
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    Journal of NeuroEngineering and Rehabilitation 06/2013; 10(1):60. DOI:10.1186/1743-0003-10-60 · 2.74 Impact Factor
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    • "Six included papers (14%) defined injurious falls only by fractures whereupon one study [40] defined hip fractures and non-hip fractures and five did not specify the type of fracture [41-45]. Seven articles (14%) defined injurious falls only by healthcare use by either using unspecific terms such as "medical treatment" [70,71] or "medical care" [73] or specific definitions such as "hospital visits or admission for the treatment of a fracture or suspected fracture" [72]. "
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    BMC Medical Research Methodology 04/2012; 12:50. DOI:10.1186/1471-2288-12-50 · 2.27 Impact Factor
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