Effects of a Structured Exercise Programme on Functional Balance in Visually Impaired Elderly Living in a Residential Setting
Article Outline
Abstract
One major priority for health care professionals is to minimize the risk of fall in the elderly population. While the quality of life of an individual is affected by fall accidents, management of post-fall disability in the elderly could be a huge economic burden to the society. Visually impaired elderly are at a higher risk of fall, because “vision”, an important component contributing to balance, is disturbed. The aim of this study was to examine the effects of an exercise programme, which focused on improvement of the functional balance of visually impaired elderly. Visually impaired elderly residents were randomly assigned to either the exercise training or control group. A multidimensional, individually tailored exercise programme was introduced by physiotherapists to the exercise group for 12 weeks. Functional balance status reflected by the Berg Balance Scale, chair stand test, and timed up-and-go test assessed before and after the 12-week training programme was compared between the two groups. Results demonstrated a significant improvement in balance outcomes in the exercise group (p < 0.05) but not in the control group. The results of this study suggest that a physiotherapist-designed strengthening and balance-training programme can improve the functional balance status of visually impaired elderly.
Key words: balance , elders , exercise , impairment , visual
No full text is available. To read the body of this article, please view the PDF online.
References
- Hong Kong Year Book 2002 . Available at: http://www.yearbook.gov.hk/2002/ehtml/e10-frame.htm [Date accessed: December 2007]
- A multifactorial intervention to reduce the risk of falling among elderly people living in the community . N Engl J Med . 1994;331:821–827
- Preventing falls among community-dwelling older persons: results from a randomized trial . Gerontologist . 1994;34:16–23
- Falls by elderly people at home: prevalence and associated factors . Age Ageing . 1988;17:365–372
- . Risk factors for falls among elderly persons living in the community . N Engl J Med . 1988;319:1701–1707
- . Report on Falls in Acute Wards, 2002 . Hong Kong: Hospital Authority; 2002;
- Fear of falling and restriction of mobility in elderly fallers . Age Ageing . 1997;26:189–193
- . Balance and its measure in the elderly: a review . Physiother Can . 1989;41:240–246
- . Population based study of hospitalised fall related injuries in older people . Inj Prev . 2002;8:280–283
- . Top Disease Burden (General Disease), 1998 . Hong Kong: Hospital Authority; 1998;
- . An analysis of the effect of lower extremity strength on impact severity during a backward fall . J Biomech Eng . 2001;123:590–598
- . The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study . J Am Geriatr Soc . 1987;35:13–20
- . Muscle function in old age . Scand J Rehabil Med . 1978;6(Suppl):43–49
- . The epidemiology of falls and syncope . Clin Geriatr Med . 2002;18:141–158
- Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability . N Engl J Med . 1995;332:556–561
- . Musculoskeletal changes with age . In: Lewis C editors. Aging: Health Care's Challenge . 2nd edition. Philadelphia, PA: FA Davis Co.; 1990;p. 145–146
- Validity of divided attention tasks in predicting falls in older individuals: a preliminary study . J Am Geriatr Soc . 2002;50:1572–1576
- Visual changes in daily life throughout adulthood . J Gerontol . 1988;43:63–70
- . The vestibular system in the elderly: clinical implications . Am J Otolaryngol . 1989;10:422–429
- Neural and vestibular aging associated with falls . In: Birren JE , Schaie KW editor. Handbook of Psychology of Aging . New York, NY: Van Nostrand Reinhold; 1985;p. 378–399
- . Clinical correlates of the vibratory sense in elderly psychiatric patients . J Gerontol . 1974;29:39–45
- . U.S. Fall Prevention Programs for Seniors: Selected Programs Using Home Assessment and Home Modification . Atlanta, GA: Centers for Disease Control and Prevention; National Center for Injury Prevention and Control, 2000;
- . Falls in the nursing home . Ann Intern Med . 1994;121:442–451
- . Visual risk factors for falls in older people . J Am Geriatr Soc . 2001;49:508–515
- . Visual factors should be assessed in older people presenting with falls or hip fracture . Age Ageing . 2003;32:26–30
- A risk model for the prediction of recurrent falls in communitydwelling elderly: a prospective cohort study . J Clin Epidemiol . 2002;55:1088–1094
- Effect of a physical therapeutic intervention for balance problems in the elderly: a single-blind, randomized, controlled multicentre trial . Clin Rehabil . 2001;15:624–636
- . Intervention strategies and risk-factor modification for falls prevention: a review of recent intervention studies . Clin Geriatr Med . 2002;18:175–189
- Randomised controlled trial of prevention of falls in people aged 3 75 with severe visual impairment: the VIP trial . BMJ . 2005;331:817
- Clinical and laboratory measures of postural balance in an elderly population . Arch Phys Med Rehabil . 1992;73:1073–1080
- The Timed Get-up-and-Go test revisited: measurement of the component tasks . J Rehabil Res Dev . 2000;37:109–113
- Comparison of performance-based measures among native Japanese, Japanese-Americans in Hawaii and Caucasian women in the United States, ages 65 years and over: a cross-sectional study . BMC Geriatr . 2001;1:3
- Measuring balance in the elderly: validation of an instrument . Can J Public Health . 1992;83(Suppl 2):S7–11
- The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults . J Gerontol A Biol Sci Med Sci . 1997;52:M218–M229
- Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women . BMJ . 1997;315:1065–1069
- . Chronic diseases, locomotor activity limitation and social participation in older women: cross sectional survey of British Women's Heart and Health Study . Age Ageing . 2004;33:293–298
PII: S1013-7025(09)70007-7
doi:10.1016/S1013-7025(09)70007-7
© 2008 Elsevier. Published by Elsevier Inc. All rights reserved.
