Article

OBJECTIVE: To give the rationale and evidence for and a detailed description of a
rehabilitation programme of proven effectiveness in improving balance in older adults. BACKGROUND THEORY : Based on the knowledge that balance loss
usually occurs in situations when attention is divided, especially when being
older, and that balance control relies on the interaction of several
physiological systems, we have developed a specific and progressive balance
training programme with dual- and multi-task exercises for older adults.
PRACTICAL APPLICATION: Balance demanding exercises, specific to the various
components of balance control and to situations in daily life, were performed in
sitting, standing and walking at three different levels of progression (basic,
moderate and advanced) of increasing difficulty and complexity. The training was
performed in 45-minutes group sessions, with 6-10 participants in each group,
three times per week during 12 weeks, with two or three physiotherapists present.
CONCLUSIONS: This balance training programme strengthens self-efficacy in balance
control leading to improved fall-related self-efficacy, reduced fear of falling,
increased walking speed, and improved physical function. Participants found the
programme motivating, valuable, fun, and enjoyable, which was reflected in a high
attendance rate.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS