Engineering Improved Balance Confidence in Older Adults With Complex Health Care Needs: Learning From the Muscling Up Against Disability Study

Abstract

This study shows that reduced physical performance and quality of life and increased frailty are predictive of worse balance confidence in older adults with aged care needs. However, when a targeted intervention of resistance and balance exercise is implemented that reduces frailty and improves physical performance, balance confidence will also improve. Given the influence of balance confidence on a raft of well-being determinants, including the capacity for positive physical and cognitive change, this study offers important insight to those looking to reduce falls in older adults.

Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship

“…The data reported in this manuscript describe the results of a sub-study of a single-blind larger trial, where the methods are fully described in a trial protocol (Keogh et al, 2017) and within two papers describing different aspects of the overall trial’s results (Hetherington et al, 2018; Hetherington et al, in press). Briefly, community-dwelling older Australians in receipt of government-funded aged care support were recruited to participate in an intervention comprising progressive resistance and balance training (PRBT).…”

“…The stepped-wedge design included four delivery phases of participant entry (between September 2015 and August 2017) that resulted in eight exercise and control clusters. As we aimed to include up to 300 participants in this trial by trial completion at the end of 2017, and working within the constraints of gym size and availability of accredited exercise physiologists, the cluster sizes of the exercise and control groups exhibited some minor variation (Hetherington et al, 2018; Hetherington et al, in press).…”

Estágio E a Formação Docente: A Importância Do Professor De Educação Física Na Educação Infantil

“…Quando um evento desses é ocorrido, o indivíduo passa a desenvolver medo de novos episódios, evitando assim a realização de alguns movimentos pela diminuição da confiança, desencadeando um processo de descondicionamento físico com aumento das probabilidades de quedas em necessidades futuras de movimentação. Para que essas possam ter suas chances de ocorrências diminuídas, o exercício físico é indispensável para manter a autoconfiança de se locomover equilibradamente (HETHERINGTON et al, 2018). Chase et al (2016), apontam que quando o treinamento é baseado em exercícios de resistência há um efeito de intervenção eficaz em indivíduos frágeis, podendo levar a reversibilidade do quadro (DOODY; LORD e WHITTAKER, 2019).…”

Predicting the progressive resistance and balance training response of community‐dwelling older adults accessing aged care support services: A stepped‐wedge randomised controlled trial

“…Servicing this, most primary care models are focused on domestic assistance and personal care. In contrast, growing evidence supports lifelong physical activity including progressive resistance and balance training (PRBT), whereby individuals are never too old or deconditioned to improve their physical function, health and well‐being 2–4 . Engagement in PRBT not only offers the individual better health, but also can decrease government spending associated with hospital presentation and stays, transitions to RAC and increasing HCP needs 2,4 .…”

“…In contrast, growing evidence supports lifelong physical activity including progressive resistance and balance training (PRBT), whereby individuals are never too old or deconditioned to improve their physical function, health and wellbeing. [2][3][4] Engagement in PRBT not only offers the individual better health, but also can decrease government spending associated with hospital presentation and stays, transitions to RAC and increasing HCP needs. 2,4 Therefore, the Australian Government have promoted several reablement and restorative physical activity initiatives.…”