| Interventions for addressing low balance confidence in older adults: a systematic review and meta-analysis. | |
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MedLine Citation:
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PMID: 21508204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: low balance confidence is a major health problem among older adults restricting their participation in daily life. OBJECTIVES: to determine what interventions are most effective in increasing balance confidence in older adults. DESIGN: systematic review with meta-analysis of randomised controlled trials including at least one continuous end point of balance confidence. Studies, including adults 60 years or older without a neurological condition, were included in our study. METHODS: the standardised mean difference (SMD) of continuous end points of balance confidence was calculated to estimate the pooled effect size with random-effect models. Methodological quality of trials was assessed using the Physical Therapy Evidence Database (PEDro) Scale. RESULTS: thirty studies were included in this review and a meta-analysis was conducted for 24 studies. Interventions were pooled into exercise (n = 9 trials, 453 subjects), Tai Chi (n = 5 trials, 468 subjects), multifactorial intervention (n = 10 trials, 1,233 subjects). Low significant effects were found for exercise and multifactorial interventions (SMD 0.22-0.31) and medium (SMD 0.48) significant effects were found for Tai Chi. CONCLUSION: Tai chi interventions are the most beneficial in increasing the balance confidence of older adults. |
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Authors:
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Debbie Rand; William C Miller; Jeanne Yiu; Janice J Eng |
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Publication Detail:
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Type: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Age and ageing Volume: 40 ISSN: 1468-2834 ISO Abbreviation: Age Ageing Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-21 Completed Date: 2011-08-10 Revised Date: 2012-02-27 |
Medline Journal Info:
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Nlm Unique ID: 0375655 Medline TA: Age Ageing Country: England |
Other Details:
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Languages: eng Pagination: 297-306 Citation Subset: IM |
Affiliation:
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Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. drand@post.tau.ac.il |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidental Falls
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prevention & control Aged Aged, 80 and over Exercise* Female Humans Male Postural Balance* Randomized Controlled Trials as Topic Tai Ji* |
| Grant Support | |
ID/Acronym/Agency:
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76731//Canadian Institutes of Health Research; //Canadian Institutes of Health Research |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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