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BASIC Training: A Pilot Study of Balance/Strengthening Exercises in Heart Failure
Rita McGuire1, Julie Honaker2, Bunny Pozehl3
1University of Nebraska Medical Center College of Nursing-Lincoln Division, Lincoln, NE, USA.
Summary
This study found that a balance and resistance training program improved mobility and reduced falls in older heart failure patients. This intervention enhances physical function and quality of life for this population.
Area of Science:
- Gerontology
- Cardiology
- Rehabilitation Medicine
Background:
- Heart failure (HF) significantly impacts physical function and fall risk in older adults.
- Community-dwelling elderly HF patients often experience reduced mobility and balance.
- Falls in HF patients can lead to increased morbidity, mortality, and healthcare costs.
Purpose of the Study:
- To assess the impact of a multicomponent balance and resistance training intervention.
- To evaluate effects on physical function, balance, and fall rates.
- To target community-dwelling heart failure patients aged 65 and older.
Main Methods:
- Randomized, two-group repeated-measures experimental design.
- Intervention included weekly supervised group sessions and encouraged twice-weekly home sessions.
- Outcome measures assessed physical function, balance confidence, and fall risk.
Main Results:
- A significant difference in the Dynamic Gait Index was observed between groups at 12 weeks (p = .029).
- The rate of reported falls per participant decreased from 0.92 to 0.54.
- Improvements in lower extremity strength and balance were noted.
Conclusions:
- Supervised group exercise interventions can enhance mobility and gait in heart failure patients.
- This training approach effectively reduces the fall rate among elderly HF patients.
- The intervention holds potential for improving quality of life and reducing healthcare costs for this demographic.
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