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Titre : | Engineering Improved Balance Confidence in Older Adults With Complex Health Care Needs: Learning From the Muscling Up Against Disability Study (2018) |
Auteurs : | Sharon Hetherington ; Tim Henwood ; Paul Swinton |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
Article en page(s) : | p. 1525-1532 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Rééducation et réadaptation ; Vieillissement |
Mots-clés: | Aging ; Exercise |
Résumé : |
Objective To investigate the associations of balance confidence with physical and cognitive markers of well-being in older adults receiving government-funded aged care services and whether progressive resistance plus balance training could positively influence change. Design Intervention study. Setting Community-based older adultspecific exercise clinic. Participants Older adults (N=245) with complex care needs who were receiving government-funded aged care support. Interventions Twenty-four weeks of twice weekly progressive resistance plus balance training carried out under the supervision of accredited exercise physiologists. Main Outcome Measures The primary measure was the Activity-specific Balance Confidence Scale. Secondary measures included the Short Physical Performance Battery; fall history gathered as part of the health history questionnaire; hierarchical timed balance tests; Geriatric Anxiety Index; Geriatric Depression Scale; Fatigue, Resistance, Ambulation, Illness, Loss of Weight scale; and EuroQoL-5 dimension 3 level. Results At baseline, better physical performance (r=.54; P<.01 and quality of life p predicted better balance confidence. in contrast at baseline higher levels frailty worse confidence change after the exercise intervention was accompanied by improved physical performance reduced identified as most consistent negative predictor scores across intervention.> Conclusions 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318302119 |