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Effectiveness of Individualized Home-Based Exercise on Turning and Balance Performance Among Adults Older than 50
Asmidawati Ashari1, Tengku Aizan Hamid, Mohd Rizal Hussain
1From 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).
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.
Design:
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.
