Influence of balance exercises during an attention task on fear of falling among frail elderly fallen

Abstract

Aim: Recent research suggests that the fear of falling may be a more serious problem than actual falling among frail elderly people. The purpose of this study was to investigate whether or not it is possible to influence the fear of falling among frail elderly people who previously had fallen, by balance exercises under attention tasks. Methods: The subjects were 22 frail elderly people in nursing homes (3 men and 19 women, mean age 83.1±5.2 SD)who had fallen. Written informed consent was given for participation in the study. Subjects were divided into two groups at random: the balance exercise group (the control group) and the balance exercise during an attention task (the attention group). Balance exercise continued for 10 weeks, consisting of one 5 minute session, 3 times weekly. The control and intervention subjects were evaluated using the Fall Efficacy Scale (FES), Functional Reach Test (FRT),Timed Up & Go Test (TUGT) and walking speed, before the program, at the end of the trial, and 10 weeks after the program. Results: There was no change in walking speed in either group, and difference in TUGT of the control group was observed. We found improvement in FRT and TUGT of the attention group. The FES decreased in the attention group. Conclusion: These findings indicate that balance exercise during an attention task can improve standing posture balance in frail elderly people who have fallen. These results also suggest that it is important to intervene in both motor function and attention function to decrease the fear of falling.