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The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis
Arnold CM, Faulkner RA
Journal of Aging and Physical Activity 2010 Jul;18(3):245-260
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; 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: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the effect of aquatic exercise and education on fall risk factors in older adults with hip osteoarthritis (OA). METHOD: Seventy-nine adults, 65 years of age or older with hip OA and at least 1 fall risk factor, were randomly assigned to 1 of 3 groups: aquatics and education (AE; aquatic exercise twice a wk with once-a-wk group education), aquatics only (A; 2 wk aquatic exercise) and control (C; usual activity). Balance, falls efficacy, dual-task function, functional performance (chair stands), and walking performance were measured pre- and postintervention or control period. RESULTS: There was a significant improvement in fall risk factors (full-factorial MANCOVA, baseline values as covariates; p = 0.038); AE improved in falls efficacy compared with C and in functional performance compared with A and C. CONCLUSION: The combination of aquatic exercise and education was effective in improving fall risk factors in older adults with arthritis.

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