Effects of Otago Exercise Program on Physical and Psychosocial Functions Among Community-Dwelling and Institutionalized Older Adults: A Scoping Review

Mgbeojedo, Ukamaka Gloria; Akosile, Christopher Olusanjo; Okoye, Emmanuel Chiebuka; Ani, Kenneth Umezulike; Ekechukwu, Echezona Nelson Dominic; Okezue, Obinna Chinedu; John, Jeneviv Nene; Nwobodo, Nnaemeka

doi:10.1177/00469580231165858

Cited by 3 publications

(2 citation statements)

References 85 publications

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“…In recent years, it has also been performed as group training which gives a more interesting and socializing character with similar results [19]. Specifically, very recent systematic reviews and meta-analyses have confirmed that the group format for the OEP is more effective for improving static balance, dynamic balance, and perceived balance-measured by reporting fear of falling and older adult's confidence in maintaining balance-as well as physical functioning, than the individual format [20][21][22].…”

Section: Introductionmentioning

confidence: 90%

Impact of Exercise Guidance Timing on Physical and Cognitive Function in Older Adults: A Pilot Study

Lampropoulou,

Kellari,

Sakellari

2023

Applied Sciences

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Guidance through an exercise program improves balance and gait in older adults, but the efficacy of the timing these are given is unclear. The objective of this study is to evaluate the effects of guidance delivery time on balance, gait, falls, and cognitive functions. In a single (participants)-blinded clinical trial, a convenient sample of 24 older adults (aged 74 ± 6 years) were separated in two age-matched groups, both of which received a progressive 12-week Otago Exercise Program (OEP) for strength and balance. Group 1 received visual and verbal guidance before the performance of each of the exercises, while group 2 received the visual and verbal guidance only synchronously with the exercises. Balance, gait, fear of falling, and cognitive function were evaluated at baseline, week 6, and week 12 of the program. Fall incidence and exercise adherence were also documented. Significant improvements (p < 0.05) were revealed in all assessed variables post intervention, regardless of the guidance delivery time. Only the mental function and the adherence to the exercise tended to be better when the guidance was given in advance of the exercise execution, but further studies of a bigger sample size and with a control group should be conducted before safe conclusions are extracted.

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Section: Introductionmentioning

confidence: 90%

Impact of Exercise Guidance Timing on Physical and Cognitive Function in Older Adults: A Pilot Study

Lampropoulou,

Kellari,

Sakellari

2023

Applied Sciences

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“…The risk of falls in the intervention group decreased from 14.26 to 12.05 s and increased from 12.94 to 13.26 s in the control group. In their scoping review, Mgbeojedo et al [104] reported that when the OEP was administered in either group setting or on an individualized basis, it effectively reduced falls. Additionally, balance, strength, mobility, and health-related quality of life within the community and institutionalized older adults were improved.…”

Section: Therapeutic Exercises In Fall Managementmentioning

confidence: 99%

Therapeutic Exercises in Fall Prevention among Older Adults

Johnson,

Akosile,

Mong

et al. 2023

Physical Therapy - Towards Evidence-Based Practice

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Falls constitute a leading cause of injury-related mortality and morbidity, threatening the independence of older adults. Physical activity levels tend to decrease as the quality of life among older adults with an increasing fear of falls. Exercises of varying types are beneficial in preventing falls among older adults. Despite the assertion that therapeutic exercises are crucial in preventing falls among older adults and promoting their overall health, there is no evidence to favor any exercise type. However, exercise regimens address deficits and needs, plus recommendations exist for regular physical activity. This chapter focuses on falls among older adults. The authors discussed epidemiology, risks, and prevention of falls. Research evidence supports exercises in managing falls with increasing physical activities, quality of life, and reduced fall-related injuries and risks. The chapter highlights the benefits of multifaceted, single-intervention exercises and the Otago Exercise Programme.

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Feasibility and acceptability of the HOLObalance telerehabilitation system compared with standard care for older adults at risk of falls: the HOLOBalance assessor blinded pilot randomised controlled study

Pavlou,

Flavell,

Gourtani

et al. 2024

Age and Ageing

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Background Falls have high socioeconomic costs. Information and communication technologies may support provision and monitoring of multisensory (MSR) physiotherapy programmes. The HOLOBalance platform used augmented reality holograms to provide patient-centred, individualised MSR. Objectives To determine the platform’s safety, acceptability and feasibility, investigate functional gait and dynamic balance benefits and provide data for a definitive trial. Design and setting Single-blinded pilot randomised controlled feasibility study. Interventions were conducted at clinical sites or participants’ homes in three European countries. Participants Community-dwelling older adults (median age 73 years; 64.2% female) at risk of falls were enrolled (May 2020-August 2021). Methods Participants were randomised to an 8-week clinic or home-based telerehabilitation MSR or OTAGO (control group) programme. Compliance, satisfaction, and adverse events determined feasibility. Clinical outcomes, assessed (blinded) within one-week prior to and post-intervention, included functional gait assessment (FGA), Mini BESTest and cognitive function. Results Randomisation to completion rate was 76.15% with 109 participants recruited (n = 289 screened). Drop-out rate was similar between groups. Adverse events were reported (n = 3) in the control group. Sixty-nine percent would recommend the HOLOBalance intervention. Findings were similar for the home and clinic-based arms of each intervention; data was combined for analysis. FGA (95%CI [1.63, 4.19]) and Mini-BESTest (95%CI [1.46, 3.93]) showed greater improvement in the HOLOBalance group with a clinically meaningful change of 4/30 noted for the FGA. Conclusions HOLObalance was feasible to implement and acceptable to older adults at risk of falls, with FGA and Mini-BEST improvements exceeding those for the OTAGO programme. A definitive trial is warranted.

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Effects of Otago Exercise Program on Physical and Psychosocial Functions Among Community-Dwelling and Institutionalized Older Adults: A Scoping Review

Cited by 3 publications

References 85 publications

Impact of Exercise Guidance Timing on Physical and Cognitive Function in Older Adults: A Pilot Study

Impact of Exercise Guidance Timing on Physical and Cognitive Function in Older Adults: A Pilot Study

Therapeutic Exercises in Fall Prevention among Older Adults

Feasibility and acceptability of the HOLObalance telerehabilitation system compared with standard care for older adults at risk of falls: the HOLOBalance assessor blinded pilot randomised controlled study

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