Back to Search
Start Over
Home-Based Exercise Program Improves Balance and Fear of Falling in Community-Dwelling Older Adults with Mild Alzheimer's Disease: A Pilot Study.
- Source :
-
Journal of Alzheimer's Disease . 2017, Vol. 59 Issue 2, p565-574. 10p. 3 Charts, 1 Graph. - Publication Year :
- 2017
-
Abstract
- <bold>Background/objective: </bold>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.<bold>Methods: </bold>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).<bold>Results: </bold>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).<bold>Conclusion: </bold>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]
- Subjects :
- *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
Subjects
Details
- Language :
- English
- ISSN :
- 13872877
- Volume :
- 59
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Alzheimer's Disease
- Publication Type :
- Academic Journal
- Accession number :
- 124284645
- Full Text :
- https://doi.org/10.3233/JAD-170120