Effects of the Otago exercise program on fall efficacy, activities of daily living and quality of life in elderly stroke patients

Youngju Park, Moonyoung Chang, Youngju Park, Moonyoung Chang

Abstract

[Purpose] The purpose of this study was to determine the effects of the Otago exercise program on fall efficacy, activities of daily living, and quality of life in elderly stroke patients. [Subjects and Methods] Eight subjects performed the Otago exercise program three times per week, for 8 weeks. The outcome measures were the Fall Efficacy Scale score for fall efficacy, modified Barthel index for activities of daily living, and EQ-5D for quality of life. [Results] In our comparison of the results before and after the intervention, we found that the Otago exercise program improved fall efficacy significantly as well as the score for activities of daily living and quality of life, though not significantly. [Conclusion] We consider that the Otago exercise program is an effective method for improving fall efficacy in elderly stroke patients.

Keywords: Elderly; Fall efficacy; Stroke.

References

    1. Jørgensen L, Engstad T, Jacobsen BK: Higher incidence of falls in long-term stroke survivors than in population controls: depressive symptoms predict falls after stroke. Stroke, 2002, 33: 542–547.
    1. Menz HB, Lord SR, Fitzpatrick RC: A structural equation model relating impaired sensorimotor function, fear of falling and gait patterns in older people. Gait Posture, 2007, 25: 243–249.
    1. Jung Y, Lee S, Chung K: Prevalence and associated factors of falls according to health status in elderly living in the community. J Korean Gerontol, 2006, 26: 291–303.
    1. World Health Organization: WHO global report on falls prevention in older age. Geneva: World Health Organization, 2007.
    1. Kang KY: Indoor gateball’s influence on life satisfaction and the prevention of falls by the elderly. J Phys Ther Sci, 2014, 26: 1885–1886.
    1. Cho SI, An DH: Effects of a fall prevention exercise program on muscle strength and balance of the old-old elderly. J Phys Ther Sci, 2014, 26: 1771–1774.
    1. Kim WJ, Chang M, An DH: Effects of a community-based fall prevention exercise program on activity participation. J Phys Ther Sci, 2014, 26: 651–653.
    1. Chu LW, Chi I, Chiu AY: Falls and fall-related injuries in community dwelling elderly persons in Hong Kong: a study on risk factors, functional decline, and health services utilization after falls. Hong Kong Med, 2007, 13: 8–12.
    1. Yoo HN, Chung E, Lee BH: The effects of augmented reality-based Otago exercise on balance, gait, and falls efficacy of elderly women. J Phys Ther Sci, 2013, 25: 797–801.
    1. Otago Medical School: Otago exercise programme to prevent falls in older adults. Otago: University of Otago, 2003.
    1. Shubert TE, Smith ML, Ory MG, et al. : Translation of the otago exercise program for adoption and implementation in the United States. Front Public Health, 2014, 2: 152–160.
    1. Liu-Ambrose T, Donaldson MG, Ahamed Y, et al. : Otago home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. J Am Geriatr Soc, 2008, 56: 1821–1830.
    1. Hartholt KA, van Beeck EF, Polinder S, et al. : Societal consequences of falls in the older population: injuries, healthcare costs, and long-term reduced quality of life. J Trauma, 2011, 71: 748–753.
    1. Tsai SF, Yin JH, Tung TH, et al. : Falls efficacy among stroke survivors living in the community. Disabil Rehabil, 2011, 33: 1785–1790.
    1. Fagerström C, Borglin G: Mobility, functional ability and health-related quality of life among people of 60 years or older. Aging Clin Exp Res, 2010, 22: 387–394.
    1. Davis JC, Marra CA, Najafzadeh M, et al. : The independent contribution of executive functions to health related quality of life in older women. BMC Geriatr, 2010, 10: 16.
    1. Davis JC, Marra CA, Liu-Ambrose TY: Falls-related self-efficacy is independently associated with quality-adjusted life years in older women. Age Ageing, 2011, 40: 340–346.
    1. Shah S, Vanclay F, Cooper B: Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol, 1989, 42: 703–709.
    1. Dolan P: Modeling valuations for EuroQol health states. Med Care, 1997, 35: 1095–1108.
    1. Kim O, Kim JH: Falls and use of assistive devices in stroke patients with hemiparesis: association with balance ability and fall efficacy. Rehabil Nurs, 2015, 40: 267–274.
    1. Cioncoloni D, Piu P, Tassi R, et al. : Relationship between the modified Rankin Scale and the Barthel Index in the process of functional recovery after stroke. NeuroRehabilitation, 2012, 30: 315–322.
    1. Golicki D, Niewada M, Buczek J, et al. : Validity of EQ-5D-5L in stroke. Qual Life Res, 2015, 24: 845–850.
    1. Benavent-Caballer V, Rosado-Calatayud P, Segura-Ortí E, et al. : Effectiveness of a video-supported group-based Otago exercise programme on physical performance in community-dwelling older adults: a preliminary study. Physiotherapy, 2015. [Epub ahead of print].
    1. Liston MB, Alushi L, Bamiou DE, et al. : Feasibility and effect of supplementing a modified OTAGO intervention with multisensory balance exercises in older people who fall: a pilot randomized controlled trial. Clin Rehabil, 2014, 28: 784–793.

Source: PubMed

Sponsorzy i współpracownicy

Warunki medyczne

Interwencje lekowe

3
Subskrybuj