Comparison of 2 Different Exercise Approaches

Son, Namkuk; Ryu, Young U.; Jeong, Hyewon; Jang, Young-Hwan; Kim, Hyeong-Dong

doi:10.1519/jpt.0000000000000042

Cited by 51 publications

(40 citation statements)

References 34 publications

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“…A trial reported no benefit of Tai Chi on reducing falls relative to resistance exercise or usual care, but this study was underpowered for detecting a lower rate of falls relative to the resistance exercise (−15%) or usual care groups (−27%) (Woo, Hong, Lau, & Lynn, 2007). Other trials have reported similar benefits on several measures of physiological falls risk between Tai Chi and otago exercise (Son, Ryu, Jeong, Jang, & Kim, 2016) and between Tai Chi, yoga, and balance training (Ni et al, 2014). Another trial reported a greater reduction in falls and use of drug therapy among those with early or mild Parkinson's disease relative to generic exercise (aerobic, dance, and treadmill training; Li, Liu, Dai, & Dai, 2020).…”

Section: The Evidence For Tai Chi For Preventing Falls Relative To Otmentioning

confidence: 77%

Tai Chi for the Prevention of Falls Among Older Adults: A Critical Analysis of the Evidence

Nyman¹

2021

Journal of Aging and Physical Activity

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Despite interest as to the benefits of Tai Chi, there remains a controversy over its effectiveness as an exercise intervention for preventing falls among older adults. This review synthesizes the evidence base with a focus on meta-analyses and randomized controlled trials with community-dwelling older adults. It provides a critical lens on the evidence and quality of the trials. High-quality evidence suggests that Tai Chi is an effective intervention for preventing falls in community settings; however, there is unclear evidence for long-term care facilities and an absence of evidence for hospital settings. When compared directly with other exercise interventions, Tai Chi may offer a superior strategy for reducing falls through its benefits on cognitive functioning. Using data from the current Cochrane review, a new synthesis is presented suggesting that 71–81% of community-dwelling older adults are adherent to class-based Tai Chi interventions. The practical opportunities and challenges for practitioners are discussed.

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Section: The Evidence For Tai Chi For Preventing Falls Relative To Otmentioning

confidence: 77%

Tai Chi for the Prevention of Falls Among Older Adults: A Critical Analysis of the Evidence

Nyman¹

2021

Journal of Aging and Physical Activity

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“…The goal of this study was to determine the effectiveness of the program in a real-world setting. However, the OEP has been well studied in a variety of populations and a variety of settings (13, 15, 16, 37). Given this was a variation on an established model with evidence of effectiveness, there is ample opportunity to compare outcomes with published studies to determine the feasibility of this model for future studies.…”

Section: Discussionmentioning

confidence: 99%

The Otago Exercise Program: Innovative Delivery Models to Maximize Sustained Outcomes for High Risk, Homebound Older Adults

Shubert

Goto

Smith

et al. 2017

Front. Public Health

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BackgroundIt is estimated one in two adults age 80 and over fall each year, resulting in substantial morbidity and mortality rates among this oldest-old population. The Otago Exercise program (OEP) is an evidence-based fall prevention program shown to reduce falls by 35% among high-risk older adults. The OEP was designed to be delivered in the home by physical therapists. This model has encountered multiple implementation challenges in the United States health-care system, which has resulted in the development and testing of innovative models to support a broader reach and dissemination of this program.MethodsThe Northwest Senior and Disability Services is an Area Agency on Aging (AAA) serving a five-county region in Oregon. This AAA developed a model where a Certified Occupational Therapy Assistant (COTA) and exercise physiologist delivered the OEP with a physical therapist available to consult on all cases. Physical function assessments and self-reported perceptions about physical function were collected at baseline and 6 months.ResultsBaseline measures were collected on 239 participants enrolled in the OEP, and 62 participants at 6 months. Those who completed 6 months of the OEP demonstrated significant improvements in all physical function assessments and self-perceived functional improvements. A subset of this group that demonstrated improvements in the ability to rise from a chair also reported significantly fewer falls during the 6-month intervention.ConclusionInnovative models in which the OEP exercise sessions are delivered by non-physical therapists appear to be effective in improving physical performance measures and decreasing fall risk over a 6-month period. Because these models do not require a physical therapist, they may require fewer resources to implement. These findings have implications to inform implementation and dissemination strategies to bring the OEP to scale.

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“…Several studies, including systematic reviews with meta-analysis, recognize the OEP as an effective exercise prevention strategy with benefits in physical functioning and falls reduction ( Dadgari et al, 2016 ; El-Khoury et al, 2013 ; Liu-Ambrose et al, 2008 ; Robertson et al, 2002 ; Sherrington et al, 2017 ; Shier et al, 2016 ; Thomas et al, 2010 ), even in elderly stroke patients ( Park and Chang, 2016 ) and individual with age-related visual problems ( Kovács et al, 2012 ). Other studies also recognize benefits, but the results are not conclusive ( Binns and Taylor, 2011 ; Son et al, 2016 ).…”

Section: Introductionmentioning

confidence: 95%

Does modified Otago Exercise Program improves balance in older people? A systematic review

Martins¹,

Santos²,

Silva³

et al. 2018

Preventive Medicine Reports

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Exercise interventions focused on strength and balance are effective for falls prevention in older people, however compliance to exercise is often a problem. Tailored intervention programs are recommended to meet the person preferences and increase compliance. Otago Exercise Program (OEP) is the most disseminated fall prevention program and is individually prescribed at home. The purpose of this study was to identify OEP modified formats and investigate their effects on balance when compared to its original form of delivering.Four electronic databases were searched, PubMed, PEDro, Science Direct and Scopus, between January and February 2017. Eligibility criteria included experimental or qualitative design studies conducted among older adults (≥50 years) at risk of falling, ongoing exercise interventions with modified formats of OEP. The primary outcome was balance. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used.Eight studies met the inclusion criteria, five were randomized controlled trials (RCTs), two were quasi-experimental and one was a qualitative study. Therefore, a qualitative analysis was performed. Modified formats of OEP included additional vestibular or multisensory balance exercises, augmented reality, exercise in group and a DVD delivering format (in group or individual). In general, all studies using OEP modified formats reported improvements on balance and functional ability. However, it remains unclear if it is as effective as the original OEP and which modified format is more effective.

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Comparison of 2 Different Exercise Approaches

Cited by 51 publications

References 34 publications

Tai Chi for the Prevention of Falls Among Older Adults: A Critical Analysis of the Evidence

Tai Chi for the Prevention of Falls Among Older Adults: A Critical Analysis of the Evidence

The Otago Exercise Program: Innovative Delivery Models to Maximize Sustained Outcomes for High Risk, Homebound Older Adults

Does modified Otago Exercise Program improves balance in older people? A systematic review

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