Effects of a Community Care Station Program With Structured Exercise Intervention on Physical Performance and Balance in Community-Dwelling Older Adults: A Prospective 2-Year Observational Study

J Aging Phys Act. 2017 Oct 1;25(4):596-603. doi: 10.1123/japa.2015-0326. Epub 2017 Sep 19.

Abstract

The Taiwanese government has developed community care stations (CCSs) for community-based older adult care. We investigated the effects of a structured exercise intervention, applied at CCS for 6 months, on physical performance and balance in community-dwelling older adults, including a 2-year reassessment. Fifty-eight participants (aged 76.9 ± 6.3 years) participated in the study. The Elderly Mobility Scale, Short Physical Performance Battery (SPPB), Timed Up and Go (TUG), gait speed, functional reach, one-leg-stance (OLS), and flexibility were evaluated at baseline, 6 months, and 2 years. Compared with baseline, the participants improved significantly in the SPPB (0.93 points), TUG (1.94 s), gait speed (0.13 m/s), and right and left OLS (2.56 and 3.12 s) at 6 months. Furthermore, these significant effects, except for OLS, were maintained at the 2-year reassessment according to repeated-measures ANOVA (p < .01). Our preliminary data suggest that adding a structured exercise program can benefit older adults participating in Taiwanese CCSs.

Keywords: balance; community care station; community-dwelling older adults; long-term outcomes; physical performance.

Publication types

  • Observational Study

MeSH terms

  • Accidental Falls / prevention & control
  • Aged
  • Aged, 80 and over
  • Community Health Services / methods*
  • Exercise Therapy / methods*
  • Exercise* / physiology
  • Exercise* / psychology
  • Female
  • Gait
  • Geriatric Assessment / methods
  • Humans
  • Independent Living / statistics & numerical data*
  • Male
  • Postural Balance
  • Program Evaluation
  • Taiwan
  • Time
  • Walking Speed