The effect of supervised and home based exercises on balance in elderly subjects: a randomized controlled trial to prevent falls

Abstract

Objective: The aim of the present study was to evaluate the influence of a balance training program on the semi-static balance of elderly persons by comparing a supervised group with individual home-based application. Method: A blinded randomized controlled multiarm trial was conducted. The elderly individuals were randomized into: Supervised Group (SG; n=18); Domiciliary Group (DG; n=20) and Control Group (CG; n=18). The SG and DG participated in twice weekly training sessions for 10 weeks. A posturography evaluation was performed based on velocity, anterior-posterior (AP) and medial-lateral (ML) medial amplitude variables in firm surface with eyes open (FSEO) and closed (FSEC), tandem stance with eyes open (Tandem EO) and closed (Tandem EC), and single-leg stance (SL) situations. Two-way ANOVA and Tukey's post-hoc were used for parametric data, the Friedman and Wilcoxon post-hoc tests were used for intragroup analysis and the Kruskal-Wallis and Mann-Whitney post-hoc tests were used for intergroup analysis. Results: In intergroup analysis, the DG group showed improvement in body sway in the Tandem EC (velocity and medial amplitude AP) and single-leg stance (medial amplitude ML) situations. The SG showed a decline in the Tandem EO situation in all the variables. In intergroup analysis, the DG showed improvement in the FSEO position (medial amplitude ML), in the Tandem EC position (medial velocity ML), and the single-leg stance position (medial amplitude AP and ML). The SG showed improvement in the FSEO position (medial amplitude ML) and the single-leg stance position (medial amplitude AP), but showed a decline in the FSEO (variable medial velocity AP) and Tandem EO position (medial amplitude AP). Conclusion: The exercises were beneficial for the balance of the elderly individuals, with the DG presenting the best results. REBEC: RBR-3S9M65.

Relação da orientação domiciliar associada í fisioterapia em grupo no desempenho motor de hemiparéticos crônicos

“…O resultado da adesão baixa é semelhante ao obtido em um programa de exercícios domiciliares realizados em idosas cuja adesão foi de 36% [2] e, talvez, essa baixa adesão ao atual estudo esteja relacionada à falta de incentivo familiar, espaço adequado para execução dos exercícios, entendimento da importância das atividades domiciliares e aptidão a exercícios. Além disso, a taxa de adesão encontrada neste estudo foi menor do que a relatada em programa com supervisão, pois este proporcionou maior suporte profissional [17].…”

Repetibilidade e reprodutibilidade de um manual de exercícios físicos domiciliares

“…Some studies have investigated the relationship between the benefits of performing home rehabilitation and obtaining the same results as in a hospital setting in order to reduce expenditures [35][36][37] . However, the purpose of this study was to investigate the reproducibility and repeatability of a home physical exercise manual at different levels of schooling in elderly women with breast cancer, postsurgery and hormone therapy.…”

Grape juice consumption and/or exercise training-induced neuroplasticity and memory improvement in healthy elderly women

“…Throughout the intervention, the progression of the exercises was applied through the acceptance of participants. Adherence/frequency to the intervention was measured by attendance in each session (adapted from Tanaka and colleagues, 2016) [26].…”