Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial

OBJECTIVE: This study evaluated the effectiveness of an individualized home-based exercise program that included specific turning exercises in improving turning performance in adults identified as having unsteadiness during turning. DESIGN: A single-blind (assessors) randomized controlled trial was...

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Main Authors: Ashari, A., Hamid, T., Hussain, M., Hill, Keith
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/29430
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author Ashari, A.
Hamid, T.
Hussain, M.
Hill, Keith
author_facet Ashari, A.
Hamid, T.
Hussain, M.
Hill, Keith
author_sort Ashari, A.
building Curtin Institutional Repository
collection Online Access
description OBJECTIVE: This study evaluated the effectiveness of an individualized home-based exercise program that included specific turning exercises in improving turning performance in adults identified as having unsteadiness during turning. DESIGN: A single-blind (assessors) randomized controlled trial was conducted with 68 community-dwelling Malaysians aged 50 yrs and older, who had abnormal turning performance (outside of age and sex, normal limits on the Step/Quick Turn Test [180-degree turn task on the NeuroCom Balance Master with long plate]). The intervention group received a 16-wk home exercise program that included two turning exercises, whereas the control group maintained their usual activities. RESULTS: Significant group × time effects were found using two-way repeated-measures analysis of variance for turning and balance/mobility measures. The intervention group significantly improved relative to the control group for (1) sway when turning 180 degrees Step/Quick Turn, F1,65 = 8.070, P = 0.006; (2) time to perform 180-degree turn Step/Quick Turn, F1,65 = 8.216, P = 0.006; (3) Timed Up and Go (single task), F1,65 = 6.647, P = 0.012; (4) Timed Up and Go (dual task), F1,65 = 8.301, P = 0.005; and (5) static stance sway, F1,65 = 10.491, P = 0.002. CONCLUSIONS: An individualized home exercise program that included specific exercises to improve turning ability was effective in improving turning performance in adults older than 50 yrs.
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spelling curtin-20.500.11937-294302017-09-13T15:27:13Z Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial Ashari, A. Hamid, T. Hussain, M. Hill, Keith OBJECTIVE: This study evaluated the effectiveness of an individualized home-based exercise program that included specific turning exercises in improving turning performance in adults identified as having unsteadiness during turning. DESIGN: A single-blind (assessors) randomized controlled trial was conducted with 68 community-dwelling Malaysians aged 50 yrs and older, who had abnormal turning performance (outside of age and sex, normal limits on the Step/Quick Turn Test [180-degree turn task on the NeuroCom Balance Master with long plate]). The intervention group received a 16-wk home exercise program that included two turning exercises, whereas the control group maintained their usual activities. RESULTS: Significant group × time effects were found using two-way repeated-measures analysis of variance for turning and balance/mobility measures. The intervention group significantly improved relative to the control group for (1) sway when turning 180 degrees Step/Quick Turn, F1,65 = 8.070, P = 0.006; (2) time to perform 180-degree turn Step/Quick Turn, F1,65 = 8.216, P = 0.006; (3) Timed Up and Go (single task), F1,65 = 6.647, P = 0.012; (4) Timed Up and Go (dual task), F1,65 = 8.301, P = 0.005; and (5) static stance sway, F1,65 = 10.491, P = 0.002. CONCLUSIONS: An individualized home exercise program that included specific exercises to improve turning ability was effective in improving turning performance in adults older than 50 yrs. 2016 Journal Article http://hdl.handle.net/20.500.11937/29430 10.1097/PHM.0000000000000388 restricted
spellingShingle Ashari, A.
Hamid, T.
Hussain, M.
Hill, Keith
Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial
title Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial
title_full Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial
title_fullStr Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial
title_full_unstemmed Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial
title_short Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial
title_sort effectiveness of individualized home-based exercise on turning and balance performance among adults older than 50 yrs: a randomized controlled trial
url http://hdl.handle.net/20.500.11937/29430