1. Home-Based Exercise Program Improves Balance and Fear of Falling in Community-Dwelling Older Adults with Mild Alzheimer's Disease: A Pilot Study.
- Author
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Bopp, Melinda M., Padala, Kalpana P., Dennis, Richard A., Sullivan, Dennis H., Padala, Prasad R., Lensing, Shelly Y., and Roberson, Paula K.
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ALZHEIMER'S patients , *ELDER care , *FEAR of falling , *EXERCISE , *CAREGIVERS , *ALZHEIMER'S disease , *COMPARATIVE studies , *POSTURAL balance , *EXERCISE therapy , *ACCIDENTAL falls , *FEAR , *LONGITUDINAL method , *RESEARCH methodology , *MEDICAL cooperation , *PSYCHOLOGICAL tests , *RESEARCH , *RESEARCH funding , *TIME , *VIDEO recording , *WALKING , *PILOT projects , *ACTIVITIES of daily living , *EVALUATION research , *RANDOMIZED controlled trials , *SENSORY disorders , *INDEPENDENT living , *DISEASE complications , *PREVENTION , *PSYCHOLOGY - Abstract
Background/objective: Balance problems are common in older adults with Alzheimer's disease (AD). The objective was to study the effects of a Wii-Fit interactive video-game-led physical exercise program to a walking program on measures of balance in older adults with mild AD.Methods: A prospective randomized controlled parallel-group trial (Wii-Fit versus walking) was conducted in thirty community-dwelling older adults (73±6.2 years) with mild AD. Home-based exercises were performed under caregiver supervision for 8 weeks. Primary (Berg Balance Scale, BBS) and secondary outcomes (fear of falls and quality of life) were measured at baseline, 8 weeks (end of intervention), and 16 weeks (8-weeks post-intervention).Results: At 8 weeks, there was a significantly greater improvement (average inter-group difference [95% CI]) in the Wii-Fit group compared to the walking group in BBS (4.8 [3.3-6.2], p < 0.001), after adjusting for baseline. This improvement was sustained at 16 weeks (3.5 [2.0-5.0], p < 0.001). Analyses of the secondary outcome measures indicated that there was a significantly greater improvement in the Wii-Fit group compared to walking group in Activity-specific Balance Confidence scale (6.5 [3.6-9.4], p < 0.001) and Falls Efficacy Scale (-4.8 [-7.6 to -2.0], p = 0.002) at 8 weeks. However, this effect was not sustained at 16 weeks. Quality of life improved in both groups at 8 weeks; however, there were no inter-group differences (p = 0.445).Conclusion: Home-based, caregiver-supervised Wii-Fit exercises improve balance and may reduce fear of falling in community-dwelling older adults with mild AD. [ABSTRACT FROM AUTHOR]- Published
- 2017
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