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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.
Purpose:
The aim of this pilot study was to evaluate the effect of a multicomponent balance and resistance training intervention on physical function, balance, and falls in older (≥65 years) community-dwelling heart failure (HF) patients.
Design:
Randomized, two-group repeated-measures experimental design.
Methods:
The intervention involved once weekly supervised group sessions with home sessions encouraged twice weekly. Focus groups held pre/post intervention. Outcome variables included measures of physical function, balance confidence, and falling risk.
Findings:
In a sample size of 33, the Dynamic Gait Index change from baseline to 12 weeks was significantly different in the groups (p = .029). The number of reported falls declined from 0.92 to 0.54 per participant.
Conclusions:
A supervised group session intervention can increase mobility and gait and reduce fall rate for HF patients.
Clinical Relevance:
This study was designed to improve lower extremity strength, balance, and falls in elderly HF patients, thus reducing costs and improving quality of life for this population.
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