Exercise reduces Falls


Elisabet NY, Lena Kristina VK, Malin N, Susanne FA.Balance exercise program reduced falls in people with multiple sclerosis – a single group pretest posttest trial. Arch Phys Med Rehabil. 2014 Jul . pii: S0003-9993(14)00473-0. doi: 10.1016/j.apmr.2014.06.016. [Epub ahead of print]

OBJECTIVE: To evaluate the effects of a balance exercise program on falls in people with mild-to-moderate multiple sclerosis (MS).
PARTICIPANTS: Community-dwelling adults with MS (N=32) able to walk 100 metres but unable to maintain 30-second tandem stance with arms alongside the body.
INTERVENTION: Seven weeks of twice-weekly physiotherapist-led 60-minute sessions of group-based balance exercise targeting core stability, dual tasking, and sensory strategies (CoDuSe).
MAIN OUTCOME MEASURES: Primary outcomes: number of prospectively-reported falls and proportion of participants classified as fallers during 7 pre-intervention weeks, intervention period, and 7 post-intervention weeks.
RESULTS: Number of falls (166 to 43; p ≤ 0.001) and proportion of fallers (17/32 to 10/32; p ≤ 0.039) decreased significantly between the pre-intervention and post-intervention periods. Balance performance improved significantly. No significant differences were detected for perceived limitations in walking and balance confidence.
CONCLUSIONS: The CoDuSe program reduced falls and proportion of fallers and improved balance performance in people with mild-to-moderate MS, but did not significantly alter perceived limitations in walking and balance confidence.

You can exercise to improve balance and reduce falling risk, but you know this already

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1 comment

  • I'm sure that some the success noted is down to the fact that physios can change our mindset – getting us to focus on the close detail of gait and stance so that this becomes embedded in the brain. That's where physio is, at least initially, more valuable than exercise alone. I know I was taught to hear an 'internal voice' reminding me of the required hip position. More of what neuro physio is about would be good to explore in this blog.

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