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Effectiveness of a Community-Based Exercise Program on Balance Performance and Fear of Falling in Older Nonfallers at Risk for Falling: A Randomized, Controlled Study
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2016
Year
Physical ActivityNeuromuscular CoordinationOlder NonfallersInjury PreventionFall Risk AssessmentDynamic BalanceStatic BalanceCommunity-based Exercise ProgramExercise RehabilitationKinesiologyExerciseInterdisciplinary TeamsPhysical ExerciseClinical ExerciseBalance PerformanceFall RiskPhysical MedicineFall PreventionHealth SciencesGeriatricsPhysical FitnessClinical Exercise PhysiologyBalance Improvement ProgramRehabilitationExercise ScienceExercise PhysiologyBalance TrainingActive AgeingNeurologic Physical TherapyMedicineExercise Interventions
This study evaluated the effectiveness of the community-based Exercise for Balance Improvement Program (ExBP) in improving dynamic balance (DB) and static balance with compromised sensations and reducing fear of falling (FF) among older nonfallers. Sixty-one participants (70 ± 3 years) at risk for falling were randomly allocated to receive ExBP practice for 16 weeks, Tai Chi (TC), or no treatment (CON) with an 8-week follow-up. The ExBP group exhibited significant improvements in DB (2.18, 95% CI = 1.16-3.19), static balance with compromised vision and somatosensation (ECSS; 0.46, 95% CI = 0.06-0.85), and FF (8.65, 95% CI = 0.52-16.8). After the intervention, the ExBP group showed significantly more improvement than did the CON group in DB, static balance with compromised somatosensation, and ECSS. No significant difference was observed between the ExBP and TC groups. Therefore, the ExBP can be applied as an effective alternative exercise regimen for improving balance and fall efficacy for older nonfallers.