Document Detail


Interventions for addressing low balance confidence in older adults: a systematic review and meta-analysis.
MedLine Citation:
PMID:  21508204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Debbie Rand; William C Miller; Jeanne Yiu; Janice J Eng
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Age and ageing     Volume:  40     ISSN:  1468-2834     ISO Abbreviation:  Age Ageing     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-21     Completed Date:  2011-08-10     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  297-306     Citation Subset:  IM    
Affiliation:
Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. drand@post.tau.ac.il
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / 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:
76731//Canadian Institutes of Health Research; //Canadian Institutes of Health Research
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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