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Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial

Author

Listed:
  • Jiraporn Chittrakul

    (Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand)

  • Penprapa Siviroj

    (Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand)

  • Somporn Sungkarat

    (Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand)

  • Ratana Sapbamrer

    (Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand)

Abstract

Effective interventions for indicated fall prevention are necessary for older adults with frailty. We aimed to determine the effectiveness of a Multi-system Physical Exercise (MPE) for fall prevention and Health-Related Quality of Life (HRQOL) in pre-frail older adults. This randomized control trial with allocation concealment included 72 adults aged 65 and above, identified as pre-frailty and with mild and moderate fall risk scores measured by the Physiological Profile Assessment (PPA). Randomly, using block randomization, participants were divided into two groups: an MPE group (n = 36) and a control group (n = 36). The intervention consisted mainly of proprioception, muscle strengthening, reaction time, and balance training and was carried out three days per week for 12 weeks. The primary outcome was fall risk assessed using PPA at 12 weeks post-baseline and at a 24 week follow-up. Significant differences were found in the improvement in fall risk, proprioception, muscle strength, reaction time and postural sway, and fear of fall scores in the MPE group compared with controls at week 12 and 24. In addition, HRQOL had increased significantly in the MPE group in comparison to controls. The MPE program significantly increased muscle strength and improved proprioception, reaction time, and postural sway leading to fall risk reduction in older adults with pre-frailty. Therefore, the MPE program is recommended for used in day-to-day primary care practice in the pre-frail population.

Suggested Citation

  • Jiraporn Chittrakul & Penprapa Siviroj & Somporn Sungkarat & Ratana Sapbamrer, 2020. "Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3102-:d:351985
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    Citations

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    Cited by:

    1. Cristina Lavareda Baixinho & Carla Madeira & Silvia Alves & Maria Adriana Henriques & Maria dos Anjos Dixe, 2022. "Falls and Preventive Practices among Institutionalized Older People," IJERPH, MDPI, vol. 19(13), pages 1-8, June.
    2. I-Fang Cheng & Li-Chieh Kuo & Yi-Jung Tsai & Fong-Chin Su, 2021. "The Comparisons of Physical Functional Performances between Older Adults with and without Regular Physical Activity in Two Different Living Settings," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
    3. María del Carmen Campos-Mesa & Marta Rosendo & Kevin Morton & Óscar DelCastillo-Andrés, 2023. "Effects of the Implementation of an Intervention Based on Falls Education Programmes on an Older Adult Population Practising Pilates–A Pilot Study," IJERPH, MDPI, vol. 20(2), pages 1-9, January.
    4. Uratcha Sadjapong & Supachai Yodkeeree & Somporn Sungkarat & Penprapa Siviroj, 2020. "Multicomponent Exercise Program Reduces Frailty and Inflammatory Biomarkers and Improves Physical Performance in Community-Dwelling Older Adults: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(11), pages 1-15, May.
    5. Hiroyasu Akatsu & Toshie Manabe & Yoshihiro Kawade & Yoshiyuki Masaki & Shigeru Hoshino & Takashi Jo & Shinya Kobayashi & Tomihiro Hayakawa & Hirotaka Ohara, 2022. "Effect of Ankle Weights as a Frailty Prevention Strategy in the Community-Dwelling Elderly: A Preliminary Report," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    6. Disatorn Dejvajara & Ranlaphat Aungkasuraphan & Piyathida Palee & Chanodom Piankusol & Wachiranun Sirikul & Penprapa Siviroj, 2022. "Effects of Home-Based Nine-Square Step Exercises for Fall Prevention in Thai Community-Dwelling Older Adults during a COVID-19 Lockdown: A Pilot Randomized Controlled Study," IJERPH, MDPI, vol. 19(17), pages 1-15, August.
    7. Valeska Gatica-Rojas & Ricardo Cartes-Velásquez, 2023. "Telerehabilitation in Low-Resource Settings to Improve Postural Balance in Older Adults: A Non-Inferiority Randomised Controlled Clinical Trial Protocol," IJERPH, MDPI, vol. 20(18), pages 1-13, September.

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