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Effect of Sensory-specific Balance Training in Elderly


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1 PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, India
     

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Background: Postural control depends upon the ability to extract peripheral sensory inputs, integrating this information within the central nervous system (CNS), coordinate and execute an appropriate motor response. Age related changes in the ability to adjust to alteration in sensory information contribute to impaired postural stability. The purpose of this study was to investigate the effect of sensory-specific balance training on balance in elderly.

Aims: To study the effect of sensory-specific balance training on the balance in elderly.

Settings and design: Prospective longitudinal comparative study carried out at tertiary care hospital, Mumbai.

Materials and Methods: 60 healthy elders were randomly assigned balance training and fall prevention education group. Sensory specific balance training was given for period of 4 weeks. Participants were reassessed at end of 4 weeks. Outcome measures were modified: Clinical Test for Sensory Interaction on Balance, Fullerton advanced balance score, activities specific balance confidence scale and 1 RM.

Statistical analysis: Wilcoxson Signed rank test and Mann Whitney test were used to analyze the difference between the balance scores within group and intergroup

Results: Balance improved significantly in all four conditions of mCTSIB scale following sensory specific balance training(p<0.001) Improvements were seen in Fullerton Advanced Balance score(p<0.001) and Activities Specific Balance Confidence Scale score(p<0.001) but there was no improvement in 1 RM(p>0.001)

Conclusion: From the study it can be concluded that sensory-specific balance training can bring about a significant improvement in balance without any change in the muscle strength.


Keywords

Modified CTSIB, Healthy Elderly, Sensory Specific Balance Training
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  • Anne Shumway-Cook, Majorie Woolacott. Postural Control.In Shumway CC .Motor Control-Translating research into clinical practice. ,Williams and Wikins, 2007: 157-257.
  • Rose DJ. “Fall Proof! A Comprehensive Balance and Mobility Training for Elderly.”Windor, Ontario, Canada: Human Kinetics; 2003.
  • Myers AM, Fletcher PC. Descriptive and evaluative properties of the “Activities Specific Balance Confidence Scale” J. Gerentology. Series A: Bio.Sci. and Med.Sci,1998; Vol 53, Issue 4, M287-M294.
  • Brzycki, MStrength testing - Predicting a one-rep max from a reps-to-fatigue. Journal of Physical Education, Recreation and Dance.1993; 64 (1), 88-90.
  • Rose DJ. “Fall Proof! A Comprehensive Balance and Mobility Training for Elderly.” Multisensory training Windor, Ontario, Canada: Human Kinetics; 2003.
  • www.nari.org: Tips for Healthy ageing, Avoiding falls.
  • Westlake et al, Sensory-specific balance training in older adults- Effect on Position, Movement and Velocity sense at ankle. Physical Therapy Journal, May 2007; vol 87, no. 5.
  • Orrell AJ, Eves. Implicit Motor Learning of a Balance Task. Gait and Posture. 2006; 9-16.
  • Fernando Ribeiro. aging effect on joint proprioception:the role of physical activity in propriception preservation.Eur Rev Aging Phy Act. 2007; 4; 71-76.
  • SerrC,Borel L.Synergistic interaction and fictional working range of the visual and vestibular systems in postural control; neuronal correlates Prog Brain Res.1988; 76:196-203.
  • Strabe and Brandt. Importance of the visual and vestibular cortex for self motion perception in man (circular vector). Hum Neuro Bio1987; 6 211-218.
  • Pomperiano O. Experimental Central Nervous System lesions and posture. Black FO eds. Vestibular and visual control on posture and locomotor equilibrium. Basel:Karger. 1985; 218-231.
  • Black IB, Adler JE et al. Neurotransmitter Plasticity at the molecular level. Science.1984; 225: 1266-1270.
  • Glibert PFC et al .Purkinje cell activity during motor learning. Brain Res.1977; 128: 309-328.
  • Rucker D, Rowe BH,,et al. Education Intervention to reduce fall and fear of falling in patients after fragility fracture: results of a controlled pilot study. Prev Med 2006; 42: 316-319.
  • Chang JT, Morton SC, et al. Intervention for prevention of falls in older adults: systemic review and meta-analysis of randomized clinical trails. BMJ; 2004; 328: 680.

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  • Effect of Sensory-specific Balance Training in Elderly

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Authors

Manjiri Puranik
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, India
Saraswati Iyer
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, India
Archana Gore
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, India
Lakshmi Prabha
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, India
Poonam Khachane
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, India
Amita Mehta
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai-400012, India

Abstract


Background: Postural control depends upon the ability to extract peripheral sensory inputs, integrating this information within the central nervous system (CNS), coordinate and execute an appropriate motor response. Age related changes in the ability to adjust to alteration in sensory information contribute to impaired postural stability. The purpose of this study was to investigate the effect of sensory-specific balance training on balance in elderly.

Aims: To study the effect of sensory-specific balance training on the balance in elderly.

Settings and design: Prospective longitudinal comparative study carried out at tertiary care hospital, Mumbai.

Materials and Methods: 60 healthy elders were randomly assigned balance training and fall prevention education group. Sensory specific balance training was given for period of 4 weeks. Participants were reassessed at end of 4 weeks. Outcome measures were modified: Clinical Test for Sensory Interaction on Balance, Fullerton advanced balance score, activities specific balance confidence scale and 1 RM.

Statistical analysis: Wilcoxson Signed rank test and Mann Whitney test were used to analyze the difference between the balance scores within group and intergroup

Results: Balance improved significantly in all four conditions of mCTSIB scale following sensory specific balance training(p<0.001) Improvements were seen in Fullerton Advanced Balance score(p<0.001) and Activities Specific Balance Confidence Scale score(p<0.001) but there was no improvement in 1 RM(p>0.001)

Conclusion: From the study it can be concluded that sensory-specific balance training can bring about a significant improvement in balance without any change in the muscle strength.


Keywords


Modified CTSIB, Healthy Elderly, Sensory Specific Balance Training

References