Accidental Falls, Recurrent Falls
Conditions
Keywords
accidental falls, aged, exercise therapy, postural balance, quality of life
Brief summary
To compare the short-term effects and 6-month durability of supervised multicomponent exercise, balance exercise alone, and fall-prevention education on balance, strength, walking performance, and health-related quality of life in older adults with recurrent falls.
Interventions
Supervised balance-coordination exercises and lower-extremity strengthening using elastic bands (quadriceps, hamstrings, hip abductors, hip adductors) and mini-squats.
Supervised balance-coordination tasks, warm-up, and stretching
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 65 years or older, * more than two falls during the preceding year, * unimpaired Timed Up and Go performance, * Beck Depression Inventory score consistent with safe participation
Exclusion criteria
* Contraindication to exercise, * fracture, * cancer, * active joint disease or infection, * pulmonary disease, * uncontrolled diabetes mellitus or hypertension, * congestive heart failure, or * serious neurological disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional balance assessed by the Berg Balance Scale (BBS) | Baseline, 8 weeks (immediately post-treatment), and 6 months (follow-up) | A 14-item performance-based measure used to evaluate static and dynamic balance capacity. The total score ranges from 0 to 56, where higher scores indicate better functional balance and lower fall risk. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maximal handgrip strength measured using a hand dynamometer | Baseline, 8 weeks (post-treatment), and 6 months (follow-up) | Isometric handgrip strength of the dominant/stronger hand measured in kilograms (kg) using a Jamar hydraulic hand dynamometer. Higher values indicate greater muscle strength. |
| Gait speed assessed by the 10-Meter Walk Test (10MWT) | Baseline, 8 weeks (post-treatment), and 6 months (follow-up) | Walking time recorded in seconds (s) over the middle 10 meters of a 14-meter walkway at comfortable walking speed. Lower time values (fewer seconds) indicate faster gait speed and improved mobility. |
| Health-related quality of life assessed by the 36-Item Short Form Survey (SF-36) | Baseline, 8 weeks (post-treatment), and 6 months (follow-up) | Health-related quality of life evaluated across 8 domains, with transformed subscale and summary scores ranging from 0 to 100. Higher scores indicate better health status and higher quality of life. |
Countries
Turkey (Türkiye)
Contacts
Balikesir University