Effect of a group-based exercise program on balance in elderly

Bulat, Tatjana; Hart-Hughes, Stephanie; Ahmed, Shahbaz; Quigley, Patricia; Palacios, Polly; Werner, Dennis C.; Foulis, Philip

doi:10.2147/cia.s204

Cited by 55 publications

(43 citation statements)

References 14 publications

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“…BBS, TUG and Berg balance scale indices were all significantly improved after the treatment in patients receiving balance training with BBS. Bulat and colleagues observed that a balance training class was safe and effective in improving balance outcomes in a cohort of elderly veterans at risk for falls with significant increase in berg balance score [Bulat et al 2007]. The usefulness of balance training with BBS in improving postural stability and balance is welldemonstrated in previous studies in elderly people, especially those with neuropathy, diabetes and DN [Akbari et al 2006[Akbari et al , 2012Salsabili et al 2011].…”

Section: Discussionmentioning

confidence: 94%

Effect of balance training with Biodex Stability System on balance in diabetic neuropathy

Eftekharsadat

Azizi

Aliasgharzadeh

et al. 2015

Therapeutic Advances in Endocrinology

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Objectives: Diabetic neuropathy (DN) in the elderly is a common complication of diabetes that can negatively influence balance control. In this study, we aimed to evaluate the efficacy of balance training program on postural stability of diabetic patients. Patients and methods: In this randomized clinical trial, 34 elderly DN patients were divided into intervention (n = 17) and control (n = 17) groups. The experimental group underwent a balance training program using the Biodex Balance System (BBS) for 10 sessions. All subjects in both groups were assessed using timed 'up and go' (TUG) test, the Berg balance scale, and the fall risk and postural stability tests, at baseline and at the end of the study. Results: TUG (p = 0.01), fall risk index (p = 0.002), anterior/posterior index (p = 0.01), medial/ lateral index (p = 0.04), overall stability index (p = 0.01) and Berg balance scale (p = 0.04) were significantly improved after the training in the intervention group, but had no significant differences in the control group. The changes in TUG (p < 0.001) and fall risk index (p < 0.001) in the intervention group were significantly higher than those in the control group. Conclusion: According to our results, balance training would improve postural stability and balance in elderly patients with DN.

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Section: Discussionmentioning

confidence: 94%

Effect of balance training with Biodex Stability System on balance in diabetic neuropathy

Eftekharsadat

Azizi

Aliasgharzadeh

et al. 2015

Therapeutic Advances in Endocrinology

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“…As a result it has been suggested that circuit class training may be a more efficient means of providing physiotherapy interventions when compared to more traditional one to one models. 16 Future research is required to further investigate the cost benefit of such a model for people with PD. Patient satisfaction with the program was remained high, which suggesting that there may be other potential benefits to participation.…”

Section: Discussionmentioning

confidence: 99%

“…15 Participants may complete a series of workstations arranged in a circuit 15 or may complete a series of individualised exercises within a group setting. 16 Circuit class therapy differs from the conventional one therapist to one patient model as there are usually more than two patients involved at any one time. 16 Circuit class therapy has been shown to be effective in improving the mobility of people early after stroke, 16 in chronic stroke patients 17 and in people with a history of falls 18 Circuit class therapy has the potential to be a more effective means of providing a greater amount of physical therapy for people both within the hospital setting and in the community outpatient setting.…”

mentioning

confidence: 99%

“…15 In an ambulatory rehabilitation setting, exercise interventions targeting balance are commonly offered by physiotherapists in a group environment. [16][17][18][19] However, a review of the literature finds that there is a recurrent issue with the definition of what constitutes physiotherapy, as there is no uniform treatment approach. 12,20,21 A wide variety of exercise interventions make it difficult to determine which component is providing benefit.…”

mentioning

confidence: 99%

“…Further, there is a paucity of studies identified which evaluate the sustainability of any positive gains in the target population following program completion, 13 nor the optimal dose or duration of treatment. 16 This also raises questions about the cost-effectiveness of the programs, a key consideration when designing interventions to reduce the burden of disease and economic cost of PD. 2,18 The is study aims of this study were to determine if: i.…”

mentioning

confidence: 99%

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Evaluation of a Circuit Training Program for People with Parkinson’s Disease: A Pilot Study

Lan¹,

Goodwin²,

Bew³

2018

HPMIJ

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Objective: The 3 objectives of this study were to determine if a circuit group exercise program targeting balance was effective and feasible for patients with Parkinson's disease; to determine if any improvements were sustained at 6 months post-intervention and to evaluate patients' quality of life pre-and post-intervention.Design: A pre and post observational clinical study.Subjects: Participants were community-dwelling patients with PD referred outpatient rehabilitation at metropolitan hospital. Methods:The intervention involved a weekly 1-hour circuit training class conducted for 8 weeks. Clinical measures of balance, mobility and quality of life were taken on commencement of the program, on completion of the program and at six months post completion.Results: There were significant improvements in some aspects of balance following completion of the program however these were not sustained at 6-months postintervention. Self-rated health status was generally poor, but program satisfaction was high. Conclusion:For this group of patient circuit balance classes were feasible and safe. Further studies are required to better examine the effects of this treatment approach for people with Parkinson's disease. The 3 objectives were to determine if a groupbased exercise program targeting balance was effective in patients with Parkinson's disease (PD); determine the sustainability of any improvements at 6 months postintervention and evaluate quality of life (QoL) pre-and post-intervention. Participants are community-dwelling patients with PD and balance impairment attending circuit balance classes between 2007 and 2010 (N=19). The intervention involves a weekly 1-hour group-based circuit training exercise class over 8 weeks. The outcome measures were: Timed Up and Go, Functional Reach, Step Test, and EQ-5D Health Questionnaire etc. There was a significant improvement in performance on the Step Test after the intervention. This was not sustained at 6-months post-intervention. Selfrated health status was generally poor, but program satisfaction was high. Circuit balance classes result in a short-term improvement in balance in patients with PD, but do not appear to alter QoL. The exercise intervention may offer additional benefits.

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Diabetic Neuropathy

Vinik¹,

Strotmeyer²

2012

Pathy's Principles and Practice of Geriatric Medicine

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Effect of a group-based exercise program on balance in elderly

Cited by 55 publications

References 14 publications

Effect of balance training with Biodex Stability System on balance in diabetic neuropathy

Effect of balance training with Biodex Stability System on balance in diabetic neuropathy

Evaluation of a Circuit Training Program for People with Parkinson’s Disease: A Pilot Study

Diabetic Neuropathy

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