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Group tele-exercise for improving balance in elders.

Ge Wu1, Lawrence Malcolm Keyes

  • 1Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT 05401, USA. ge.wu@uvm.edu

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|October 18, 2006
PubMed
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This study shows that a group tele-exercise program using videoconferencing is effective for improving balance and reducing fear of falling in elderly individuals. The program was well-accepted by participants, demonstrating its feasibility for remote health interventions.

Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Digital Health

Background:

  • Falls are a major concern for elderly individuals, leading to reduced mobility and quality of life.
  • Traditional exercise programs may present barriers for some seniors, such as transportation and accessibility.
  • Tele-exercise offers a potential solution to deliver supervised physical activity remotely.

Purpose of the Study:

  • To evaluate the acceptance and efficacy of a group tele-exercise program for balance-impaired elders.
  • To assess improvements in balance, reduction in fear of falling, and overall health.
  • To determine the feasibility of using videoconferencing for supervised, interactive exercise classes at home.

Main Methods:

  • 17 independent living elderly subjects (mean age 81) participated.

Related Experiment Videos

  • A 15-week Tai Chi Quan program delivered three times weekly via a videoconferencing device (VCD) in their homes.
  • Key measures included exercise compliance, acceptance, satisfaction, balance tests (single leg stance, Up-and-Go, body sway), and fear of falling scores.

    • Main Results:

    • Average compliance was 78% among the 14 completers.
    • Significant improvements observed in fear of falling (18%), single leg stance time (43%), Up-and-Go time (21%), and body sway (>8%) (p < 0.05).
    • All participants could operate the VCD independently and expressed interest in future tele-exercise programs.

    Conclusions:

    • Group tele-exercise is an acceptable and well-received intervention for elders.
    • The program effectively improves balance and reduces fear of falling in the elderly population.
    • Tele-exercise programs show promise as a viable method for remote delivery of health and wellness interventions to seniors.