THE EFFECTS OF OTAGO EXERCISE PROGRAMME FOR FALL PREVENTION IN ELDERLY PEOPLE

Ms. Nancy N.  Patel; Dr. Shweta  Pachpute

doi:10.15621/ijphy/2015/v2i4/67743

Authors

Ms. Nancy N. Patel Intern, Sinhgad Society’s SKN College of Physiotherapy, Pune, India
Dr. Shweta Pachpute Sinhgad Society’s SKN College of Physiotherapy, Pune, India.

DOI:

https://doi.org/10.15621/ijphy/2015/v2i4/67743

Keywords:

Otago Exercise Programme, Strength, Balance, Elderly People, Fall, Tinetti Performance Oriented Mobility Assessment, 10RM, Chair stand test

Abstract

Background: The ‘Otago exercise programme’ (OEP) is a strength and balance retraining programme designed to prevent falls in older people living in the community. The aim of this study was to find the effects of Otago exercise programme for fall prevention in community dwelling elderly people.
Method: The sample comprised 30 community dwelling elderly around sinhgad road, pune (out of 30, 4 were dropouts) aged over 60 years both male and female falling under moderate fall risk measured by Tinetti Performance Oriented Mobility Assessment. The intervention consisted mainly strength and balance training. Intervention was done for 1 hr every day, 5 days per week for 6weeks. Outcome measure assessment was done pre, 3rd week and post intervention. Pre and post comparison of following three outcome measures was done.
Outcome measures: Tinetti Performance Oriented Mobility Assessment, 10RM and Chair stand test.
Result: Paired t-test was done. Results of p value for 10RM (p value = 0.00), Tinetti performance oriented mobility assessment (p value = 0.00) and chair stand test (p value = 0.01) was found to be highly significant. Out of 26 subjects with moderate risk of fall pre intervention, 24 subjects showed low risk of fall during post intervention assessment of Tinetti Performance Oriented Mobility Assessment.
Conclusion: The Otago exercise programme is significantly effective increasing strength of lower limb and improving in balance, gait and therefore ultimately preventing fall in community dwelling Indian elder people. Hence, Otago exercise protocol can be used in day to day clinical practice and also as a home exercise program.

References

1. Jani, B., Rajkumar, C. Ageing and vascular ageing. Postgrad Med J. 2006; 82(968): 357–362. 2. Dr. B. Krishnaswamy, Professor and Head, Dr. Gnanasambandam Usha, Assistant Professor, Department of Geriatric Medicine, Madras Medical College and Government General Hospital, Chennai, Tamil Nadu- Falls in older people – National/ Regional review India. 3. SA Dsouza, B Rajashekar , HS Dsouza , KB Kumar. Falls in Indian older adults: a barrier to active ageing. Asian Journal of Gerontology & Geriatrics .2014;9(1): 33-40. 4. NICE clinical guideline 161, 2013. 5. National Center for injury prevention and control, Atlanta, Georgia, 2008 6. Suraj Kumar, G Venu Vendhan, Dr Sachin Awasthi, Madhusudan Tiwari- Relationship Between Fear of Falling, Balance, Impairment and Functional Mobility in Community, Dwelling Elderly. IJPMR 2008 October. 7. Tracey E Howe Lynn Rochester, Fiona Neil, Dawn A Skelton, Claire Ballinger -Exercise for improving balance in older people Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group Published Online: 9 NOV 2011. 8. Takshashila S Mor1, Keerthi Rao, Dheeraj Shet, Deepali Hande. Effectiveness of ten weeks of balance and strength training on dynamic balance of older adults. Romanian Journal of Physical Therapy.2012;18(30):48-55. 9. Preventing falls- how to develop community based fall prevention programme for older adults, Cochrane review, Cochrane Library 2007. 10. Gillespie LD, Robertson M, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009;15(2):CD007146 11.M. Gardner, M Robertson, and A Campbell. Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials. Br J Sports Med. 2000;34(1):7- 17. 12. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BHInterventions for preventing falls in elderly people, Cochrane Database Systematic Rev. 2001;(3):CD000340. 13. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev. 2012;12:12:CD005465. 14. Liu-Ambrose T, Donaldson MG, Ahamed Y, Graf P, Cook WL, Close J, Lord SR, Khan KM. Otago home-based strength and balance Int J Physiother 2015; 2(4) Page | 639 retraining improves executive functioning in older fallers: a randomized controlled trial. J Am Geriatric Soc. 2008; 56(10):1821-30. 15. Susie Thomas, Shylie Mackintosh and Julie Halbert. Does the ‘Otago exercise programme’ reduce mortality and falls in older adults? a systematic review and meta-analysis. Age Ageing. 2010;39(6):681-7. 16. Does a home-based strength and balance programme in people aged > or =80 years provide the best value for money to prevent falls? A systematic review of economic evaluations of falls prevention interventions. Br J Sports Med. 2010 Feb;44(2):80-9. 17. Robertson MC, Devlin N, Gardner MM, Campbell AJ. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls, Randomised controlled trial. BMJ. 2001; 322(7288): 701. 18. Gardner MM, Robertson MC, Campbell AJ. Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials. Br J Sports Med. 2000;34:7–17. 19. Yang XJ, Hill K, Moore K, Williams S, Dowson L, Borschmann K, Simpson JA, Dharmage SC. Effectiveness of a targeted exercise intervention in reversing older people's mild balance dysfunction: a randomized controlled trial. Phys Therapy. 2012; 92(1):24-37. 20. Robertson MC, Campbell AJ, Gardner MM, Devlin N. Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. J Am Geriatric Soc. 50(5):905-11

THE EFFECTS OF OTAGO EXERCISE PROGRAMME FOR FALL PREVENTION IN ELDERLY PEOPLE

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