Abstract
Objectives
To evaluate the efficacy of a proprioceptive exercise program on functional mobility,
musculoskeletal endurance, dynamic and static balance, gait, and risk of falls in
institutionalized older adults.
Design
Randomized, single-blind, controlled trial.
Setting
A Spanish nursing home in the autonomous community of Extremadura, Spain.
Participants
An initial sample was created by recruiting 148 older adult volunteers. The final
sample (N=42) was randomly divided into 2 groups.
Interventions
Both the control and experimental group received physical therapy treatment based
on a combination of adapted exercises and other physical therapy techniques (physical
therapy intervention program) for a period of 12 weeks. This program consisted of
45 minutes (group intervention) plus 100 minutes (individual intervention) a week,
for a total of 36 sessions (29 hours). The experimental group received a proprioceptive
training program during the same intervention period, which was conducted twice weekly
(24 sessions), with each session lasting 55 minutes.
Main Outcome Measures
Timed Up and Go (TUG), Cooper, Tinetti, 1-leg stance, and the Morse Fall Scale (MFS).
Results
Analysis of variance showed a time × group interaction in TUG score (F=10.41, P=.002), Cooper test (F=5.94, P=.019), Tinetti score (F=6.41, P=.015), and MFS scores (F=5.24, P=.028). Differences between groups were achieved for TUG scores (d=0.76), Tinetti scores (d=1.12), 1-leg stance test scores (d=0.77), and MFS scale scores (d=0.85). In the experimental group, within-group analyses showed pre- to post-treatment
differences for TUG scores (d=0.72), Cooper test scores in meters (d=0.18), Tinetti scores (d=0.60), 1-leg stance scores (d=0.55), and MFS scores (d=0.42).
Conclusions
A proprioceptive exercise program demonstrated significant improvements compared with
the control group in areas such as functional mobility, musculoskeletal endurance,
balance, gait, and risk of falls in institutionalized older adults. This study may
help to enhance our understanding of the impact of a specific protocol for a proprioceptive
rehabilitation program.
Keywords
List of abbreviations:
MDC95 (minimum detectable change at the 95% confidence level), MFS (Morse Fall Scale), OLS (1-leg stance), TUG (timed Up and Go)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 11, 2020
Footnotes
Disclosures: none.
Clinical Trial Registration No.: NCT02541305.
Identification
Copyright
© 2020 by the American Congress of Rehabilitation Medicine
