Balance Exercise Circuit for fall prevention in older adults: a randomized controlled crossover trial.

Juliana N A Costa, Alexandre L A Ribeiro, Daniele B G Ribeiro, Silvia G R Neri, Daniel F Barbosa, Bruna P Avelar, Marisete P Safons
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Abstract

Objectives: This study aimed to assess the immediate and short-term effects of the Balance Exercise Circuit (BEC) on muscle strength, postural balance, and quality of life, with the aim of preventing falls in older adults.

Methods: Twenty-two volunteers participated in this randomized controlled crossover study. Group A performed BEC training in the initial 3 months and received no intervention in the following 3 months. Group B received no intervention during the first 3 months and then participated in BEC training for the next 3 months. In addition, participants were followed for an additional 3 months. Muscle strength, postural balance, functional mobility, and quality of life were assessed, respectively, using an isokinetic dynamometer, force platform, TUG test, and the WHOQOL.

Results: After 3 months of training, Group A presented improved balance and rate of force development (RFD), while Group B presented improvements in RFD, TUG performance, and WHOQOL physical and psychological domains. Regarding the short-term effects, the participants maintained the training effects in WHOQOL balance, RFD, and the social domain. In addition, the number of falls decreased during follow-up.

Conclusion: The BEC intervention improved muscle strength, postural balance, and quality of life in older adults, in addition to reducing the risk of falls.

Trial registration: Brazilian Registry of Clinical Trials (ReBEC) - RBR-5nvrwm.

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预防老年人跌倒的平衡练习回路:随机对照交叉试验。
研究目的本研究旨在评估平衡锻炼环路(BEC)对肌肉力量、姿势平衡和生活质量的直接和短期影响,以预防老年人跌倒:22名志愿者参加了这项随机对照交叉研究。方法:22 名志愿者参加了这项随机对照交叉研究。A 组在最初 3 个月进行 BEC 训练,随后 3 个月不接受干预。B 组在前 3 个月不接受干预,随后 3 个月参加 BEC 训练。此外,还对参与者进行了为期 3 个月的随访。分别使用等动测力计、测力平台、TUG 测试和 WHOQOL 对参与者的肌肉力量、姿势平衡、功能活动能力和生活质量进行评估:经过 3 个月的训练,A 组的平衡能力和力量发展速度(RFD)有所提高,而 B 组的力量发展速度、TUG 表现以及 WHOQOL 的生理和心理领域均有所改善。在短期效果方面,参与者在 WHOQOL 平衡、RFD 和社交领域保持了训练效果。此外,随访期间跌倒的次数也有所减少:BEC干预改善了老年人的肌肉力量、姿势平衡和生活质量,还降低了跌倒风险:试验注册:巴西临床试验注册中心(ReBEC)- RBR-5nvrwm。
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