Article

OBJECTIVE: To evaluate the effects of a balance training program including dual-
and multi-task exercises on
fall-related self-efficacy, fear of falling, gait and
balance performance, and physical function in older adults with osteoporosis with
an increased risk of falling and to evaluate whether additional physical activity
would further improve the effects. DESIGN: Randomized controlled trial, including
three groups: two intervention groups (Training, or Training+Physical activity)
and one Control group, with a 12-week follow-up. SETTING: Stockholm County,
Sweden. PARTICIPANTS: Ninety-six older adults, aged 66-87, with verified
osteoporosis. INTERVENTIONS: A specific and progressive balance training program
including dual- and multi-task three times/week for 12 weeks, and physical
activity for 30 minutes, three times/week.
MAIN MEASURES: Fall-related
self-efficacy (Falls Efficacy Scale-International), fear of falling (single-item
question - 'In general, are you afraid of falling?'), gait speed with and without
a cognitive dual-task at preferred pace and fast walking (GAITRite(R)), balance
performance tests (one-leg stance, and modified figure of eight), and physical
function (Late-Life Function and Disability Instrument). RESULTS: Both
intervention groups significantly improved their fall-related self-efficacy as
compared to the controls (p </= 0.034, 4 points) and improved their balance
performance. Significant differences over time and between groups in favour of
the intervention groups were found for walking speed with a dual-task (p=0.003),
at fast walking speed (p=0.008), and for advanced lower extremity physical
function (p=0.034). CONCLUSIONS: This balance training program, including dual-
and multi-task, improves fall-related self-efficacy, gait speed, balance
performance, and physical function in older adults with osteoporosis.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS