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Comparison of two exercise programs using the Falls Efficacy Scale, Berg Balance Scale and ankle dorsiflexor strength in older adults
Liu HH, Rainey J, Zabel R, Quiben MU, Kehayov A, Boswell J-K
Physical & Occupational Therapy in Geriatrics 2007;26(2):23-42
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The purpose of this study was to investigate the effectiveness of two exercise programs with three different measurements (Falls Efficacy Scale -- FES, Berg Balance Scale -- BBS, and bilateral ankle dorsiflexor strength -- ADFS) and to determine if these measurements correlate to each other. Thirteen pairs of subjects residing in a senior living community were recruited and matched for age, gender, and assistive device. The matched subjects were randomly divided into one of two exercise groups -- resistance group (RG) provided with the exercise combination of resistance strengthening, balance and gait or seated group (SG) provided with seated range of motion exercise. Eleven pairs completed the 12-week exercise program. The results revealed that subjects in the RG made more improvement in fear of falling, balance, and ankle dorsiflexor strength than those in the SG. The decrease of FES score (fear of falling) is moderately correlated with the increase of BBS (balance) and ADFS scores. The improved BBS is also moderately correlated with the increased ADFS.
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