Effects of the Otago exercise program on falls, balance, and physical performance in older nursing home residents with high fall risk: a randomized controlled trial

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dc.contributor.authorJahanpeyma, Parinaz
dc.contributor.authorKayhan Kocak, Fatma Ozge
dc.contributor.authorYildirim, Yasemin
dc.contributor.authorSahin, Sevnaz
dc.contributor.authorSenuzun Aykar, Fisun
dc.date.accessioned2021-05-03T20:36:48Z
dc.date.available2021-05-03T20:36:48Z
dc.date.issued2021
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose The aim of this study was to evaluate the effects of Otago exercises on falls, balance, and physical performance in old-aged adults with high fall risk living in a nursing home. Methods This randomized controlled trial included 72 individuals over 65 years of age residing in a single nursing home in Izmir, Turkey. The participants were randomized into the Otago exercise group and walking (control) group. The Otago group performed 45 min of Otago exercises 3 days/week for 12 weeks plus a walking program on 3 other days of the week. The control group did only the walking program (minimum of 30 min 3 days/week). Number of falls, Berg Balance Scale (BBS), 30-s Chair Stand Test (30 s-CST), and 6-min Walk Test (6MWT) were assessed before the intervention and at the end of the 3-month intervention. The primary outcome was number of falls. Results The groups were well matched in terms of age (74.6 +/- 5.9 vs. 75.8 +/- 4.5) and sex (p > 0.05). The Otago group showed a significantly greater reduction in number of falls at the end of the intervention (p < 0.05). of the secondary outcomes, the Otago group had greater median increases in BBS score (p < 0.05) and 30 s-CST score (p < 0.05) post-intervention compared to the walking group. There was no significant difference between the groups in terms of post-intervention change in 6MWT distance (p > 0.05). Conclusion The Otago exercise program improved balance and physical performance and reduced falls in our sample and may be effective in falls prevention interventions for old-aged nursing home residents. Key summary pointsAim This study evaluated the effects of Otago exercises on falls, balance, and physical performance in older adults with high falls risk living in a nursing home. Findings The Otago exercise group showed a significantly greater reduction in number of falls at the end of the 3-month intervention compared to the walking group. Message The Otago exercise program may have a role in the prevention of falls in older persons.en_US
dc.identifier.doi10.1007/s41999-020-00403-1en_US
dc.identifier.endpage115en_US
dc.identifier.issn1878-7649
dc.identifier.issn1878-7657
dc.identifier.issue1en_US
dc.identifier.pmid33237565en_US
dc.identifier.scopus2-s2.0-85096591677en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage107en_US
dc.identifier.urihttps://doi.org/10.1007/s41999-020-00403-1
dc.identifier.urihttps://hdl.handle.net/11454/70229
dc.identifier.volume12en_US
dc.identifier.wosWOS:000592639000002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Geriatric Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOld-ageden_US
dc.subjectOtago exercise programen_US
dc.subjectFallsen_US
dc.subjectBalanceen_US
dc.subjectPhysical performanceen_US
dc.subjectNursing homeen_US
dc.titleEffects of the Otago exercise program on falls, balance, and physical performance in older nursing home residents with high fall risk: a randomized controlled trialen_US
dc.typeArticleen_US

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