Fall incidence in frail older women after individualized visual feedback-based balance training

Gerontology. Nov-Dec 2004;50(6):411-6. doi: 10.1159/000080180.

Abstract

Background: The knowledge concerning balance training actually lowering fall rates among frail older persons is limited.

Objective: The aim of this study was to examine the effects of a 4-week individualized visual feedback-based balance training on the fall incidence during 1-year follow-up among frail older women living in residential care.

Methods: Twenty-seven older women from 2 residential care homes were randomized into exercise (n = 20) and control (n = 7) groups. Balance measurements were carried out before and after a 4-week training period and falls were monitored by monthly diaries for 1 year. An interview about fear of falling and physical activity was completed before and after the intervention and after the 1-year follow-up.

Results: A positive effect of balance training on fall incidence was found. A dynamic Poisson regression model showed that during the follow-up the monthly risk of falling was decreased in the exercise group compared to controls (risk ratio 0.398, 95% CI 0.174-0.911, p = 0.029). In addition, the exercise group reported a reduced fear of falling and increased physical activity after a training period but these changes declined during the follow-up period.

Conclusion: Individualized visual feedback-based balance training was shown to be a promising method for fall prevention among frail older women. High compliance (97.5%) with the training program showed that carefully targeted training programs can be carried out among older people with health limitations.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls / prevention & control*
  • Accidental Falls / statistics & numerical data
  • Aged
  • Aged, 80 and over
  • Exercise / physiology*
  • Feedback / physiology*
  • Female
  • Follow-Up Studies
  • Frail Elderly*
  • Humans
  • Incidence
  • Interviews as Topic
  • Poisson Distribution
  • Postural Balance / physiology*
  • Posture / physiology
  • Regression Analysis
  • Risk Factors