G. Vaishnavi, S. Chandralekha, G. Tharani, K. Kamatchi, K. Kirupa, R. Kamali, R. Rajasri, Rajavel. R
G. Vaishnavi1*, S. Chandralekha2, G. Tharani1, K. Kamatchi1, K. Kirupa1, R. Kamali2, R. Rajasri2, Rajavel. R3
1Assistant Professor, Faculty of Physiotherapy, Dr.MGR Educational and Research Institute, Velappanchavadi, Chennai – 600077, Tamilnadu, India.
2BPT Student, Faculty of Physiotherapy, Dr.MGR Educational and Research Institute, Velappanchavadi, Chennai – 600077, Tamilnadu, India.
3Assistant Professor, Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research (Mahar Universiy), No 12, Vembuliamman Koil St, Annaji Nagar, KK Nagar West, Chennai – 600078, Tamilnadu, India.
Volume - 14,
Issue - 3,
Year - 2021
Objectives: The aim of the study is to compare the effectiveness between Balance Training and Conventional Exercises in elderly individuals. Background: There are number of series health issues in elderly population, in that impaired balance associated with an increased risk of falls which in turn resulting in increased mortality rate of an elderly people. Fall related injuries can cause restricted mobility and functional decline leading to disability and may have a negative effect on the socioeconomic status and quality of life in elderly individuals. Thus, effective balance training and exercises is needed in the fall risk preventive management. Methodology: This study was an experimental study with duration of 8 weeks. 30 subjects with the age group of 65-80 years were randomly selected. This study was done among general populations. Timed Up and Go Test and Berg Balance Scale can be used as outcome measures. Both males and females with Berg Balance Score (Low fall risk) are included. Stroke, Alzheimer disease, Parkinson disease, High risk fall in Berg Balance Score, below 65 and above 80 are excluded. Procedure: 30 Subjects were taken and divided into 2 groups. Group A receives Balance Training and Group B receives Conventional Exercises. In Balance Training (Gait training, Flamingo Stand, Weight Shifting, Clock Reach, Step Up and Down) was given each of 5-8 repetition/session for 8 weeks. Conventional Exercises (Towel Grabbing and Marble Pick Up, Foot Roll, Tandem walking, Toe and Heel Stance, Stepping in all directions) was given each of 10-12 repetition/ session for 8 weeks. Pre and post-test measurements were taken and compared. Result: The result was based on the Statistical analysis of the data collected. On comparing the mean values of BBS scores between Group A and Group B both the groups have showed improvement in the post-test mean values but Group A (mean=47.60) showing higher mean value is more effective than the Group B (mean=43.66). On comparing the mean values of TUG scores between Group A and Group B, both the groups showed reduction in the time taken in the post-test mean values but Group A (mean=7.73) showing the higher mean value is more effective than Group B (mean=8.20). Conclusion: This study concludes that the balance training and conventional exercises program had considerable effects in improving the balance among the elderly individuals with balance impairment. However, the balance training Group was considered to be more effective than the conventional exercises program.
Cite this article:
G. Vaishnavi, S. Chandralekha, G. Tharani, K. Kamatchi, K. Kirupa, R. Kamali, R. Rajasri, Rajavel. R. To Compare the Effectiveness of Balance Training and Conventional Exercises for Elderly Individuals. Research J. Pharm. and Tech 2021; 14(3):1274-1278. doi: 10.5958/0974-360X.2021.00225.0
1. Shefali Walia et al, Comparison of Two Balance Training Programs on Balance in Community Dwelling Older Adults. Copyright: June 2016.
2. RC Nelson, MA Amin. Falls in the elderly. Emerg Med Clin North Am. 1990; 8: 309-24.
3. Lourembam Surbala1, P. Ratan Khuman, Parth Trivedi, Bhatt Devanshi, Vasveliya Mital, Pilates versus Conventional Balance Training on Functional Balance and Quality of Life in Elderly Individuals: A Randomized Controlled Study, March 2014
4. Woollacott MH; Systems contributing to balance disorders in older adults. J Gerontol A Biol Sci Med Sci. 2000; 55(8): M424-428.
5. Natalia Aquaroni Ricci, Mayra Cristina Aratani, Heloisa Helena Caovilla and Fernando Freitas Gananca, Effects of conventional versus multimodal vestibular rehabilitation on functional capacity and balance control in older people with chronic dizziness from vestibular disorders: design of a randomized clinical trial, 2012
6. Whitney SL, Marchetti GF, Morris LO, Sparto PJ: The reliability and validity of the four-square step test for people with balance deficits secondary to a vestibular disorder. Arch Phys Med Rehabil. 2007, 88: 99–104.
7. Mira E: Improving the quality of life in patients with vestibular disorders: the role of medical treatments and physical rehabilitation. Int J ClinPract. 2008, 62: 109–114.
8. Polensek SH, Sterk CE, Tusa RJ: Screening for vestibular disorders: a study of clinicians’ compliance with recommended practices. Med SciMonit. 2008, 14: CR238–CR242
9. Exercise and Physical Activity for Older Adults, this pronouncement was written for the American College of Sports Medicine by Wojtek J. Chodzko-Zajko, David N. Proctor, Maria A. Fiatarone Singh, Christopher T. Minson, Claudio R. Nigg, George J. Salem and James S. Skinner. 2009 by the American College of Sports Medicine.
10. Balance training and exercise in geriatric patients. M. Runge, G. Rehfeld, E. Resnicek J Musculoskel Interact 2000; 1: 54-58
11. Efficacy of Progressive Resistance Training on Balance Performance in Older Adults a Systematic Review of Randomized Controlled Trials. Rhonda Orr, 1 Jacqui Raymond1 and Maria Fiatarone Singh1, 2, 3 Sports Med 2008; 38 (4): 317-343 Review Article 0112-1642/08/0004-0317/$48.00/0
12. Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol A BiolSci Med Sci. 1991; 46 (3): M69-76
13. Shumway-Cook A, Gruber W, Baldwin M, et al. The effect of multidimensional exercises on balance, mobility, and fall risk in community-dwelling older adults. Physiother. 1997; 77 (1): 46-57
14. Robbins AS, Rubenstein LZ, Josephson KR, et al. Predictors of falls among elderly people: results of two population-based age studies. Arch Intern Med. 1989; 149 (7): 1628-33
15. MG Ory, KB Schechtman, JP Miller. Frailty and injuries in later life: the FICSIT trials. J Am Geriatr Soc. 1993; 41: 283-96.
16. Gusi N, Carmelo Adsuar J, Corzo H, Del Pozo-Cruz B, Olivares PR, Parraca JA; Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalized older people. A randomized trial. J Physiother. 2012; 58(2): 97-104.
17. Means KM, Rodell DE, O Sullivan PS; Balance, mobility, and falls among community-dwelling elderly persons: Effects of a rehabilitation exercise program. Am J Phys Med Rehabil. 2005; 84(4): 238-250.
18. Teresa M Steffen, Timothy A Hacker, Louise Mollinger, Age- and Gender-Related Test Performance in Community- Dwelling Elderly People: Six- Minute Walk Test, Berg Balance Scale, Timed Up & Go Test and Gait speeds, APTA February 2002.
19. Berg KO, Wood-Dauphinee SL, William JI, Gayton D. Measuring balance in elderly: preliminary development of an instrument. Physiotherapy Canada. 1989; 41: 304-311.
20. Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the “Get-Up and Go” Test. Arch Phys Med Rehabil. 1986; 67: 387-389.
21. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39:142-148.
22. Alan S et al. Predicators of fall among Elderly People Results of Two Population-Based Studies. Arch Intern Med. 1989; 149(7): 1628-1633
23. Postural Stability and Associated Physiological Factors in a Population of Aged Persons. Stephen R. Lord, Russell D. Clark, Ian W. Webster. Journal of Gerontology. 1991; 46(3):M 69-M76.
24. Editorial: Systems Contributing to Balance Disorders in Older Adults. Marjorie Hines Woollacott. The journals of Gerontology: Series A. 2000; 55(8): M24-M428.
25. The Reliability and Validity of the Four-Square Step Test for People with Balance Deficits Secondary to a Vestibular Disorder. Archives of Physical Medicine and Rehabilitation. 2007; 88(1): 99-104.