EFFECTS OF A MULTICOMPONENT BALANCE AND STRENGTH TRAINING PROGRAM ON POSTURAL STABILITY IN OLDER ADULTS: A REPEATED-MEASURES ANALYSIS
Keywords:
Older adults, Balance training, Strength training, Postural control, Center of pressure (CoP), Half-squat position, Multicomponent exercise program, Fall preventionAbstract
Aging is characterized by a progressive decline in balance and mobility, leading to an increased risk of falls among older adults. This pilot study investigated the effects of a multicomponent balance and strength training program on postural control in community-dwelling older adults. Four participants (two men, two women; age 72–94 years, M = 79.0, SD = 9.9) completed a 6-week intervention consisting of thrice-weekly sessions (20–25 minutes, light-to-moderate intensity) including warm-up, progressive balance/strength exercises and cool-down. Postural stability was assessed using a BTS P-WALK baropodometric platform under six conditions: quiet standing and half-squat position with eyes open then closed, each on hard and soft surfaces. Thirty-six center-of-pressure variables (area, path length, velocity) were analyzed at three time points (baseline, intermediate, final). Given the small sample size (N = 4) and some non-normally distributed variables, Friedman’s test was used. No statistically significant differences were found across time (all p ≥ .105). However, descriptive trends indicated modest improvements in sway area, path length, and velocity under eyes-open and half-squat conditions, suggesting enhanced postural stability. Although underpowered, this study highlights the feasibility of implementing multicomponent balance training in older adults and suggests potential benefits for fall prevention. The absence of decline in postural stability itself may be clinically relevant. Future larger-scale trials with longer follow-up are needed to confirm these findings and to explore whether improvements in force-platform metrics translate into meaningful reductions in fall risk.
References
Antúnez-Espejo, L., Pérez-Mármol, J. M., Cardero-Durán, M. de los Á., Toledo-Marhuenda, J. V., & Albornoz-Cabello, M. (2020). The effect of proprioceptive exercises on balance and physical function in institutionalized older adults: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 101(10), 1780–1788. https://doi.org/10.1016/j.apmr.2020.06.010.
Chen, X., Mao, G., & Leng, S. X. (2014). Frailty syndrome: An overview. Clinical Interventions in Aging, 9, 433–441. https://doi.org/10.2147/CIA.S45300.
Chittrakul, J., Siviroj, P., Sungkarat, S., & Sapbamrer, R. (2020). Multi-system physical exercise intervention for fall prevention and quality of life in pre-frail older adults: A randomized controlled trial. International Journal of Environmental Research and Public Health, 17(9), 3102. https://doi.org/10.3390/ijerph17093102.
Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L. M., & Lamb, S. E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 2012(9), CD007146. https://doi.org/10.1002/14651858.CD007146.pub3.
Hosseini, L., Bahrampour, E., Mahmoudi, M., & Rezaei, I. (2018). Tai Chi Chuan and falls in older adults: A randomized controlled trial. Journal of Exercise Rehabilitation, 14(2), 282–288. https://doi.org/10.12965/jer.1836488.244.
Leandri, M., Campbell, J., Molfetta, L., Barbera, C., & Tabaton, M. (2015). Relationship between balance and cognitive performance in older people. Journal of Alzheimer’s Disease, 46(2), 385–391. https://doi.org/10.3233/JAD-142883
Liu, C. K., & Fielding, R. A. (2011). Exercise as an intervention for frailty. Clinics in Geriatric Medicine, 27(1), 101–110. https://doi.org/10.1016/j.cger.2010.08.001.
Menz, H. B., Morris, M. E., & Lord, S. R. (2005). Foot and ankle characteristics associated with impaired balance and functional ability in older people. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60(12), 1546–1552. https://doi.org/10.1093/gerona/60.12.1546
Patar, M. G., & Scheicher, M. (2014). Effects of strength and balance training on the mobility, fear of falling, and grip strength of elderly female fallers. Journal of Bodywork & Movement Therapies, 19(4), 646–650. https://doi.org/10.1016/j.jbmt.2014.11.009
Pasquetti, P., Apicella, L., & Mangone, G. (2014). Pathogenesis and treatment of falls in elderly. Clinical Cases in Mineral and Bone Metabolism, 11(3), 222–225. https://doi.org/10.11138/ccmbm/2014.11.3.222.
Rubenstein, L. Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing, 35(Suppl 2), ii37–ii41. https://doi.org/10.1093/ageing/afl084.
Sherrington, C., Michaleff, Z. A., Fairhall, N., et al. (2017). Exercise to prevent falls in older adults: An updated systematic review and meta-analysis. British Journal of Sports Medicine, 51(24), 1749–1757. https://doi.org/10.1136/bjsports-2016-096547.
Yoon, B., Choi, S. H., Jeong, J. H., Park, K. W., Kim, E.-J., Hwang, J., Jang, J.-W., Kim, H. J., Hong, J. Y., Lee, J.-M., Kang, J.-H., & Yoon, S. J. (2019). Balance and mobility performance along the Alzheimer’s disease spectrum. Journal of Alzheimer’s Disease. Advance online publication. https://doi.org/10.3233/JAD-190601.
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