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Long-term effects of self-reported physical function and disability after participation in an individually adjusted and specific progressive balance training programme for older adults with fear of falling and tendency to fall |
Lindgren C, Stahle A, Halvarsson A |
European Journal of Physiotherapy 2018;20(3):152-158 |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
PURPOSE: To evaluate the long-term effects from a 12-week balance-training programme on self-rated physical function and disability in healthy older adults with a tendency to fall and fear of falling. METHOD: RCT, 59 participants, 67 to 93 years (42 women). The participants were randomised to an exercise group (n = 38) and a control group (n = 21). The intervention consisted of a specific and progressive balance-training programme three times/week for 12 weeks and was evaluated using the Late-Life Function and Disability Instrument (LLFDI) before training, directly after the training period and 6 and 12 months thereafter training. Data were analysed using a mixed model. RESULTS: Significant effects were found regarding physical function: 'functioning total', 'basic lower extremity' and 'advanced lower extremity' in favour for the exercises group. The exercise group improved significantly from baseline to directly after the training. At the 6 months follow-up, the effects had decreased to values similar to before the training, and remained unchanged until the 12 months follow-up. No significant effects regarding disability were found. The control group remained unchanged over time. CONCLUSION: No long-term effects were found for physical function or disability assessed with the LLFDI after participation in a specific and progressive balance-training programme for healthy older adults.
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