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A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
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FallFitness exercise program provided using the train-the-trainer approach for community-dwelling older adults: a
Marina Arkkukangas1,2,3, Karin Strömqvist Bååthe4,5, Julia Hamilton6
1Department of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden. marina.arkkukangas@fou.sormland.se.
BMC Geriatrics
|November 30, 2024
Summary
This study shows that a peer-led exercise program effectively boosts physical activity and improves fall techniques in older adults. It also significantly reduces fear of falling, offering a practical approach to fall prevention.
Area of Science:
- Gerontology
- Public Health
- Exercise Science
Background:
- Falls and fall-related injuries are a significant health concern for older adults globally.
- Evidence-based fall prevention exercises are effective but challenging to deliver broadly.
- New models for promoting exercise in community-dwelling older adults are needed.
Purpose of the Study:
- To evaluate a peer-led, group-based exercise intervention using a train-the-trainer approach.
- To assess the intervention's impact on physical performance, activity levels, and fall prevention.
- To compare outcomes with a control group at 8-week follow-up.
Main Methods:
- A randomized controlled trial (RCT) involving trainers and participants from retired persons' organizations.
- The FallFitness program delivered weekly strength, balance, and falling techniques over eight weeks.
- 101 participants were randomized to the FallFitness group (n=50) or a control group (n=51).
Main Results:
- The peer-led program significantly improved physical activity levels (p=0.036).
- Backward and sideways falling techniques showed significant improvement (p<0.001).
- Fear of falling significantly decreased in the exercise group (p=0.009), while other outcomes were non-significant.
Conclusions:
- The train-the-trainer approach with the multicomponent exercise program is effective for promoting physical activity and motor skills.
- The FallFitness program may reduce fear of falling.
- The intervention shows potential for being time- and cost-effective for fall prevention.

