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A home-based multidimensional exercise program reduced physical impairment and fear of falling

Kim Delbaere UGent, Jan Bourgois UGent, Nele Van Den Noortgate UGent, Guy Vanderstraeten UGent, Tine Willems UGent and Dirk Cambier UGent (2006) ACTA CLINICA BELGICA. 61(6). p.340-350
abstract
Objective. To investigate the efficacy of a guided and graded home-based exercise program for improving a range of physical outcomes in older people. Design. Controlled clinical trial of 16 weeks Setting. Two geographical areas in Gent, Belgium Participants. 66 independent-living older people (age: 71-98) with a history of falls and moderate physical impairment Intervention. Twenty-four 30-minute training sessions were given by a trained physiotherapist over a period of 16 weeks in the participant's home. Different types of exercises on balance, aerobic performance, flexibility, and muscle strength were provided. Main outcome measures. Muscle strength, static and dynamic balance, aerobic performance, activities in daily living, fear of failing and avoidance of daily activities were assessed at baseline and after 16 weeks intervention. Results: At baseline, there were no significant differences in the measured variables between exercise and control groups. After 16 weeks, the exercise group showed significantly improved ankle muscle strength, balance performance and aerobic capacity, and decreased fear of fatting, dependency in daily activities and avoidance of daily activities compared to the control group. The improvements in knee muscle strength, timed chair stands, and functional reach were not significant. Conclusion: The home-based, individualized exercise program was effective in reducing several physical factors associated with falls in community-dwelling older people with moderate physical impairment. The decrease in fear of failing and other behavioural variables needs to be considered with care and needs further investigation.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
ELDERLY-PEOPLE, exercise, RESISTANCE EXERCISE, RISK-FACTORS, GO TEST, COMMUNITY, PERFORMANCE, STRENGTH, OLDER-PEOPLE, 6-MINUTE WALK TEST, RANDOMIZED CONTROLLED-TRIAL, home-based, falls risk, older people, fear of failing
journal title
ACTA CLINICA BELGICA
Acta Clin. Belg.
volume
61
issue
6
pages
340 - 350
Web of Science type
Article
Web of Science id
000244516100004
JCR category
MEDICINE, GENERAL & INTERNAL
JCR impact factor
0.637 (2006)
JCR rank
72/102 (2006)
JCR quartile
3 (2006)
ISSN
0001-5512
language
English
UGent publication?
yes
classification
A1
id
363153
handle
http://hdl.handle.net/1854/LU-363153
date created
2007-04-27 13:36:00
date last changed
2010-07-12 09:54:46
@article{363153,
  abstract     = {Objective. To investigate the efficacy of a guided and graded home-based exercise program for improving a range of physical outcomes in older people.
Design. Controlled clinical trial of 16 weeks
Setting. Two geographical areas in Gent, Belgium Participants. 66 independent-living older people (age: 71-98) with a history of falls and moderate physical impairment
Intervention. Twenty-four 30-minute training sessions were given by a trained physiotherapist over a period of 16 weeks in the participant's home. Different types of exercises on balance, aerobic performance, flexibility, and muscle strength were provided.
Main outcome measures. Muscle strength, static and dynamic balance, aerobic performance, activities in daily living, fear of failing and avoidance of daily activities were assessed at baseline and after 16 weeks intervention.
Results: At baseline, there were no significant differences in the measured variables between exercise and control groups. After 16 weeks, the exercise group showed significantly improved ankle muscle strength, balance performance and aerobic capacity, and decreased fear of fatting, dependency in daily activities and avoidance of daily activities compared to the control group. The improvements in knee muscle strength, timed chair stands, and functional reach were not significant.
Conclusion: The home-based, individualized exercise program was effective in reducing several physical factors associated with falls in community-dwelling older people with moderate physical impairment. The decrease in fear of failing and other behavioural variables needs to be considered with care and needs further investigation.},
  author       = {Delbaere, Kim and Bourgois, Jan and Van Den Noortgate, Nele and Vanderstraeten, Guy and Willems, Tine and Cambier, Dirk},
  issn         = {0001-5512},
  journal      = {ACTA CLINICA BELGICA},
  keyword      = {ELDERLY-PEOPLE,exercise,RESISTANCE EXERCISE,RISK-FACTORS,GO TEST,COMMUNITY,PERFORMANCE,STRENGTH,OLDER-PEOPLE,6-MINUTE WALK TEST,RANDOMIZED CONTROLLED-TRIAL,home-based,falls risk,older people,fear of failing},
  language     = {eng},
  number       = {6},
  pages        = {340--350},
  title        = {A home-based multidimensional exercise program reduced physical impairment and fear of falling},
  volume       = {61},
  year         = {2006},
}

Chicago
Delbaere, Kim, Jan Bourgois, Nele Van Den Noortgate, Guy Vanderstraeten, Tine Willems, and Dirk Cambier. 2006. “A Home-based Multidimensional Exercise Program Reduced Physical Impairment and Fear of Falling.” Acta Clinica Belgica 61 (6): 340–350.
APA
Delbaere, K., Bourgois, J., Van Den Noortgate, N., Vanderstraeten, G., Willems, T., & Cambier, D. (2006). A home-based multidimensional exercise program reduced physical impairment and fear of falling. ACTA CLINICA BELGICA, 61(6), 340–350.
Vancouver
1.
Delbaere K, Bourgois J, Van Den Noortgate N, Vanderstraeten G, Willems T, Cambier D. A home-based multidimensional exercise program reduced physical impairment and fear of falling. ACTA CLINICA BELGICA. 2006;61(6):340–50.
MLA
Delbaere, Kim, Jan Bourgois, Nele Van Den Noortgate, et al. “A Home-based Multidimensional Exercise Program Reduced Physical Impairment and Fear of Falling.” ACTA CLINICA BELGICA 61.6 (2006): 340–350. Print.