Feasibility and effect of supplementing a modified OTAGO intervention with multisensory balance exercises in older people who fall: a pilot randomized controlled trial

Liston, Matthew; Alushi, Ledia; Bamiou, Doris‐Eva; Martin, Finbarr C.; Hopper, Adrian; Pavlou, Marousa

doi:10.1177/0269215514521042

Cited by 27 publications

(32 citation statements)

References 28 publications

(41 reference statements)

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“…Concerning study design, five relevant and recent articles were RCTs ( Benavent-Caballer et al, 2016 ; Kyrdalen et al, 2014 ; Liston et al, 2014 ; Yang et al, 2012 ; Yoo et al, 2013 ), two were quasi-experimental ( Davis et al, 2016 ; Waters et al, 2011 ) and one was a qualitative study carried out from a subsample of another experimental study ( Agha et al, 2015 ).…”

Section: Resultsmentioning

confidence: 99%

“… Frequency: 3 times/week Duration: 30 min/session Format: individual exercise Primary: TUG Secondary: BBS 30 STS 7 Item FES SF-36 Number of falls (T2) T1 – baseline T2–12 weeks T3–3 months after the end of intervention Dropout (IG): T2–24% T3–35% Dropout (CG): T2–25% T3–32% Both groups were encouraged to walk 3 or more times/week for 30 min and to continue the OEP after the end of intervention. Liston et al (2014) RCT N = 21; age ≥ 65 years; community-dwelling older people with ≥2 falls during previous 12 months; no vestibular dysfunction. Risk of falling assessment: age and fall history in the previous 12 months Intervention group (IG): N = 10; Women = 80% Age (years) = 77,8 (69–87) Control group (CG): N = 11; Women = 82% Age (years) = 76,7 (69–86) IG: Modified OEP in group class supplemented with supervised home-based multisensory balance exercises (4/5 exercises) CG: Modified OEP in group class supplemented with supervised home-based stretching exercises (4/5 exercises) Primary: FGA Secondary: Number of falls at 6 months 2 months Telephone follow-up at 6 months Dropout (IG): 2 months – 30% Dropout (CG): 2 months – 27,3% Modified OEP in group class included warm-up, strength and balance exercises based on the original OEP.…”

Section: Resultsmentioning

confidence: 99%

“…On the quality assessment with PEDro scale two RCTs obtained a score of 5 ( Liston et al, 2014 ; Yoo et al, 2013 ), one a score of 6 ( Kyrdalen et al, 2014 ) and two a score of 7 ( Yang et al, 2012 ; Benavent-Caballer et al, 2016 ) ( Table 2 ). According to these scores, low/moderate quality of the studies is related with withdrawals during follow-up (criterion 8 of the scale), concealed allocation and blind assessment not clearly exposed by the authors (criterion 3 and 6 of the scale) and one study did not provide measures of variability for some key outcomes (criterion 11 of the scale).…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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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“…Each session was conducted for 40 min including warm-up and cooling-down. (Liston et al, 2014;Skelton, Skelton, Gawler, & Hannah, 2018) As many as 24 sessions were performed. Before data collection, each respondent received an explanation of the research objectives, advantages, and possible negative effects of the study and gave their informed consent.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Otago Exercise on Health Status and Risk of Fall Among Elderly with Chronic Illness

Kiik¹,

Vanchapo²,

Elfrida³

et al. 2020

Jurnal Keperawatan Indonesia

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Falls are a serious consequence of declining physical function. Otago exercise is a strength and balance training program designed to prevent falls and enhance health status among the elderly. This study aimed to investigate the effect of a 12-week Otago exercise intended to reduce the risk of falls and health status among the elderly with chronic illness in the social elderly institution. This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group (21 respondents) and a control group (21 respondents). The sample used in this study were elderly living in a social elderly institution. The sample was selected using simple random sampling. The data were analyzed using Mann–Whitney test, independent t-test, and Chi-square test. Otago exercise significantly reduced the respondents’ risk of falling and enhanced their health status. Significant differences were observed between the two groups in terms of the risk of fall (p= 0.041) and health status (p= 0.011). Otago exercise significantly improves the health status and reduces the risk of falling among elderly with chronic illness. The exercise can be recommended for older adults with chronic illness in social elderly institutions and communities. Abstrak Efektivitas Latihan Otago terhadap Status Kesehatan dan Risiko Jatuh pada Lansia dengan Penyakit Kronik. Jatuh adalah konsekuensi serius dari penurunan fungsi fisik. Latihan Otago adalah program latihan kekuatan dan keseimbangan yang didesain untuk mencegah jatuh dan meningkatkan status kesehatan pada lansia. Penelitian ini bertujuan untuk menginvestigasi efek 12 minggu latihan Otago untuk menurunkan risiko jatuh dan meningkatkan status kesehatan pada lansia dengan penyakit kronik di Panti Sosial lansia. Penelitian Quasi-eksperimental ini menggunakan pre-post dengan kelompok kontrol. Kelompok intervensi dan kontrol masing-masing terdiri dari 21 responden. Sampel dalam penelitian ini adalah lansia yang tinggal di UPT Kesejahteraan Sosial Lanjut Usia Budi Agung Kupang. Teknik sampling yang digunakan adalah simpel random sampling. Data dianalisis menggunakan Mann-Whitney test, Independent t-test dan Chi-square test. Latihan Otago secara signifikan menurunkan risiko jatuh dan meningkatkan status kesehatan. Ada perbedaan signifikan antara kedua kelompok dalam hal risiko jatuh (p= .041) dan status kesehatan (p= 0.011). Latihan Otago secara signifikan menurunkan risiko jatuh dan meningkatkan status kesehatan pada lansia dengan penyakit kronik. Kata Kunci: lansia, latihan Otago, penyakit kronik, risiko jatuh, status kesehatan

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“…In fact, a study evaluating the Falls Management Exercise Programme (FaME), which is a 36 or 24week group-based, community delivered multisensory balance programme for older adults who fall, reported low adherence: only 31% of participants completed at least 75% of classes and home exercises over the 24-week programme [8; 20]. On the other hand, in a study with the modified OTAGO exercise classes, supplemented with individualised, supervised home-based rehabilitation consisting of multisensory balance exercises, the adherence was 70% and the effectiveness as assessed with the Functional Gait Assessment (FGA) compared with usual practise being very promising [9]. Duration of the programmes and motivation provided by each are the two main reasons behind adherence.…”

Section: Introductionmentioning

confidence: 99%

Achieving adherence in home-based rehabilitation with novel human machine interactions that stimulate community-dwelling older adults

Gatsios

Georga

Kourou

et al. 2019

Proceedings of the 12th ACM International Conference on PErvasive Technologies Related to Assistive Environments

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Balance disorders are expressed with main symptoms of vertigo, dizziness instability and disorientation. Most of them are caused by inner ear pathologies, but neurological, medical and psychological factors are also responsible. Balance disorders overwhelmingly affect daily activities and cause psychological and emotional hardship. They are also the main cause of falls which are a global epidemic. Home based balance rehabilitation is an effective approach for alleviating symptoms and for improving balance and self-confidence. However, the adherence in such programs is usually low with lack of motivation and disease related issues being the most influential factors. Holobalance adopts the Capability, Opportunity and Motivation (COM) and Behaviour (B) model to identify the sources of the behaviour that should be targeted for intervention and proposes specific Information Technology components that provide the identified interventions to the users in order to achieve the target behavioural change, which in this case is adherence to home base rehabilitation.

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Feasibility and effect of supplementing a modified OTAGO intervention with multisensory balance exercises in older people who fall: a pilot randomized controlled trial

Cited by 27 publications

References 28 publications

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

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

Effectiveness of Otago Exercise on Health Status and Risk of Fall Among Elderly with Chronic Illness

Achieving adherence in home-based rehabilitation with novel human machine interactions that stimulate community-dwelling older adults

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