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Accepted VersionCC BY-NC-ND V4.0, Open Access
Journal article
Engineering Improved Balance Confidence in Older Adults With Complex Health Care Needs: Learning From the Muscling Up Against Disability Study
Archives of Physical Medicine and Rehabilitation, Vol.99(8), pp.1525-1532
2018
Abstract
Objective: To investigate the associations of balance confidence with physical and cognitive markers of well-being in older adults receiving government-funded aged care services and whether progressive resistance plus balance training could positively influence change. Design: Intervention study. Setting: Community-based older adult-specific exercise clinic. Participants: Older adults (N=245) with complex care needs who were receiving government-funded aged care support. Interventions: Twenty-four weeks of twice weekly progressive resistance plus balance training carried out under the supervision of accredited exercise physiologists. Main Outcome Measures: The primary measure was the Activity-specific Balance Confidence Scale. Secondary measures included the Short Physical Performance Battery; fall history gathered as part of the health history questionnaire; hierarchical timed balance tests; Geriatric Anxiety Index; Geriatric Depression Scale; Fatigue, Resistance, Ambulation, Illness, Loss of Weight scale; and EuroQoL-5 dimension 3 level. Results: At baseline, better physical performance (r=.54; P<.01) and quality of life (r=.52; P<.01) predicted better balance confidence. In contrast, at baseline, higher levels of frailty predicted worse balance confidence (r=-.55; P<.01). Change in balance confidence after the exercise intervention was accompanied by improved physical performance (+12%) and reduced frailty (-11%). Baseline balance confidence was identified as the most consistent negative predictor of change scores across the intervention. Conclusions: This study shows that reduced physical performance and quality of life and increased frailty are predictive of worse balance confidence in older adults with aged care needs. However, when a targeted intervention of resistance and balance exercise is implemented that reduces frailty and improves physical performance, balance confidence will also improve. Given the influence of balance confidence on a raft of well-being determinants, including the capacity for positive physical and cognitive change, this study offers important insight to those looking to reduce falls in older adults. © 2018 American Congress of Rehabilitation Medicine
Details
- Title
- Engineering Improved Balance Confidence in Older Adults With Complex Health Care Needs: Learning From the Muscling Up Against Disability Study
- Authors
- Sharon Hetherington (Author) - Burnie Brae LtdTim Henwood (Author) - University of QueenslandPaul Swinton (Author) - Robert Gordon University, United KingdomJustin W L Keogh (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringPaul Gardiner (Author) - University of QueenslandAnthony Tuckett (Author) - University of QueenslandKevin Rouse (Author) - Burnie Brae Ltd
- Publication details
- Archives of Physical Medicine and Rehabilitation, Vol.99(8), pp.1525-1532
- Publisher
- W.B. Saunders Co.
- Date published
- 2018
- DOI
- 10.1016/j.apmr.2018.03.004
- ISSN
- 0003-9993; 0003-9993
- Copyright note
- Copyright © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99451438302621
- Output Type
- Journal article
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