Effect of a physical therapeutic intervention for balance problems in the elderly: a single-blind, randomized, controlled multicentre trial.
OBJECTIVE
To establish the effect of a short, individualized exercise programme on balance dysfunction in the elderly.


METHODS
A single-blind, randomized, controlled, multicentre trial.


METHODS
Physical and recreational therapy departments from two rehabilitation centres.


METHODS
Ninety-four subjects of >75 years with functional balance problems living independently or in a residential care facility. Seventy-seven subjects completed the intervention period and four-week follow-up. At a one-year follow-up 49 subjects were evaluated on balance functioning.


METHODS
Twelve sessions of an individualized balance training programme (experimental group) or 12 sessions of an individualized extra attention programme (control group) given in 4-6 weeks.


METHODS
Berg Balance Scale and the Dynamic Gait Index to establish balance functioning, a visual analogue scale to establish fear of falling in daily life and the Hospital Anxiety Depression Scale to verify feelings of anxiety and depression.


RESULTS
Subjects in the experimental group improved significantly more on the Berg Balance Scale and the Dynamic Gait Index than those in the control group (p f 0.001, p f 0.001, respectively). However the effect disappeared at a one-year follow-up on the Berg Balance Scale. No prognostic factors could be identified to determine who would benefit most from the individualized exercise programme. Results on the other response variables revealed no effect of the intervention.


CONCLUSIONS
A short individualized exercise programme can improve functional balance in people aged 75 years and older. This improvement was maintained at least for one month but had worn off by one year.
Wolf
B
B
Department of Physical Therapy, Stichting Zorgcentrum Texel, Texel, The Netherlands.
Feys
H
H
De Weerdt
van der Meer
J
J
Noom
M
M
Aufdemkampe
G
G
Noom
M
M
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy; D005260:Female; D005684:Gait; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D009426:Netherlands; D004856:Postural Balance; D012678:Sensation Disorders / Q000534:rehabilitation*; D016037:Single-Blind Method