Interventions aiming at balance confidence improvement in older adults: an updated review.

Details

Serval ID
serval:BIB_A3EEDDD9A260
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Interventions aiming at balance confidence improvement in older adults: an updated review.
Journal
Gerontology
Author(s)
Büla C.J., Monod S., Hoskovec C., Rochat S.
ISSN
1423-0003 (Electronic)
ISSN-L
0304-324X
Publication state
Published
Issued date
2011
Volume
57
Number
3
Pages
276-286
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
BACKGROUND: Loss of balance confidence is a frequent condition that affects 20-75% of community-dwelling older persons. Although a recent fall is a common trigger, loss of balance confidence also appears independent of previous experience with falls. Maintaining or improving balance confidence is important to avoid unnecessary, self-imposed restrictions of activity and subsequent disability. Holding another person's hand or using an assistive device while walking are simple interventions that are used naturally to address poor balance confidence in daily life. However, more complex interventions have also been developed and tested to achieve more sustained improvement in balance confidence.
OBJECTIVES: This review describes interventions that have been tested to improve balance confidence in older community-dwelling persons.
METHODS: Based on 2 recent systematic reviews, an additional search for literature was performed to update current information on interventions aiming at balance confidence improvement. Interventions were classified as those directly aimed at increasing balance confidence or not, and further stratified into those using monofactorial or multifactorial approaches.
RESULTS: A total of 46 randomized controlled trials were identified. Five of the 8 interventions that directly targeted balance confidence showed benefits. Among those, multicomponent behavioral group interventions provided the most robust evidence of benefits in improving balance confidence and in decreasing activity avoidance. Among interventions not directly aiming at balance confidence improvement (11/21 studies with benefits), exercise (including tai chi) appears as the most promising monofactorial intervention. Nine of the 17 multifactorial fall prevention programs showed an effect on balance confidence, exercise being a main component in 7 of these 9 studies. Interventions that targeted elderly persons reporting poor balance confidence and/or those at risk for falls seemed more likely to be beneficial.
CONCLUSIONS: Positive and sometimes sustained improvement in balance confidence can be achieved by various interventions among community-dwelling elderly persons. The effect of these interventions on activity restriction associated with poor balance confidence have been less well studied, but some studies also suggest potential benefits.
Keywords
Accidental Falls/prevention & control, Activities of Daily Living, Aged, Aging/physiology, Aging/psychology, Cognitive Therapy/methods, Fear, Female, Humans, Male, Postural Balance/physiology, Randomized Controlled Trials as Topic
Pubmed
Web of science
Create date
17/05/2011 14:54
Last modification date
20/08/2019 15:09
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