Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial

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2020
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Abstract
Effective interventions for indicated fall prevention are necessary for older adults with frailty. We aimed to determine the effectiveness of a Multi-system Physical Exercise (MPE) for fall prevention and Health-Related Quality of Life (HRQOL) in pre-frail older adults. This randomized control trial with allocation concealment included 72 adults aged 65 and above, identified as pre-frailty and with mild and moderate fall risk scores measured by the Physiological Profile Assessment (PPA). Randomly, using block randomization, participants were divided into two groups: an MPE group (n = 36) and a control group (n = 36). The intervention consisted mainly of proprioception, muscle strengthening, reaction time, and balance training and was carried out three days per week for 12 weeks. The primary outcome was fall risk assessed using PPA at 12 weeks post-baseline and at a 24 week follow-up. Significant differences were found in the improvement in fall risk, proprioception, muscle strength, reaction time and postural sway, and fear of fall scores in the MPE group compared with controls at week 12 and 24. In addition, HRQOL had increased significantly in the MPE group in comparison to controls. The MPE program significantly increased muscle strength and improved proprioception, reaction time, and postural sway leading to fall risk reduction in older adults with pre-frailty. Therefore, the MPE program is recommended for used in day-to-day primary care practice in the pre-frail population.
Reference Key
chittrakul2020internationalmulti-system Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Jiraporn Chittrakul;Penprapa Siviroj;Somporn Sungkarat;Ratana Sapbamrer;Chittrakul, Jiraporn;Siviroj, Penprapa;Sungkarat, Somporn;Sapbamrer, Ratana;
Journal International journal of environmental research and public health
Year 2020
DOI
10.3390/ijerph17093102
URL
https://www.mdpi.com/1660-4601/17/9/3102
Keywords
quality of life older adults frailty fall risk multi-system physical exercise National Center for Biotechnology Information NCBI NLM MEDLINE humans pubmed abstract nih national institutes of health national library of medicine research support non-u.s. gov't aged Randomized Controlled Trial quality of life exercise therapy* postural balance reaction time pmid:32365613 pmc7246743 doi:10.3390/ijerph17093102 jiraporn chittrakul penprapa siviroj ratana sapbamrer accidental falls / prevention & control* frail elderly* frailty* proprioception

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