title: Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50 yrs: A Randomized Controlled Trial.
abstract: OBJECTIVE
  This study evaluated the effectiveness of an individualized home-based exercise program that included specific turning exercises in improving turning performance in adults identified as having unsteadiness during turning.
  
  
  METHODS
  A single-blind (assessors) randomized controlled trial was conducted with 68 community-dwelling Malaysians aged 50 yrs and older, who had abnormal turning performance (outside of age and sex, normal limits on the Step/Quick Turn Test [180-degree turn task on the NeuroCom Balance Master with long plate]). The intervention group received a 16-wk home exercise program that included two turning exercises, whereas the control group maintained their usual activities.
  
  
  RESULTS
  Significant group × time effects were found using two-way repeated-measures analysis of variance for turning and balance/mobility measures. The intervention group significantly improved relative to the control group for (1) sway when turning 180 degrees Step/Quick Turn, F1,65 = 8.070, P = 0.006; (2) time to perform 180-degree turn Step/Quick Turn, F1,65 = 8.216, P = 0.006; (3) Timed Up and Go (single task), F1,65 = 6.647, P = 0.012; (4) Timed Up and Go (dual task), F1,65 = 8.301, P = 0.005; and (5) static stance sway, F1,65 = 10.491, P = 0.002.
  
  
  CONCLUSIONS
  An individualized home exercise program that included specific exercises to improve turning ability was effective in improving turning performance in adults older than 50 yrs.
authors.affiliation: From the School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia (AA, KDH); and Institute of Gerontology, Universiti Putra Malaysia, Selangor, Malaysia (AA, TAH, MRH).
authors.forename: Asmidawati
authors.initials: A
authors.lastname: Ashari
authors.forename: Tengku Aizan
authors.initials: TA
authors.lastname: Hamid
authors.forename: Mohd Rizal
authors.initials: MR
authors.lastname: Hussain
authors.forename: Keith David
authors.initials: KD
authors.lastname: Hill
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D004856:Postural Balance / Q000502:physiology*; D016037:Single-Blind Method