Improved Balance Confidence and Stability for Elderly After 6 Weeks of a Multimodal Self-Administered Balance-Enhancing Exercise Program

• Main Authors: Anna Hafström MD, PhD, Eva-Maj Malmström PhD, Josefine Terdèn MD, Per-Anders Fransson PhD, Måns Magnusson MD, PhD
• Format: Article
• Language: English
• Published: SAGE Publishing 2016-04-01
• Series: Gerontology and Geriatric Medicine
• Online Access: https://doi.org/10.1177/2333721416644149

Objective: To develop and assess the efficacy of a multimodal balance-enhancing exercise program (BEEP) designed to be regularly self-administered by community-dwelling elderly. The program aims to promote sensory reweighting, facilitate motor control, improve gaze stabilization, and stimulate continuous improvement by being constantly challenging. Method: Forty participants aged 60 to 80 years performed 6 weeks of BEEP training, on average for 16 min four times weekly, in a randomized one-arm crossover design. Results: One-leg standing time improved 32% with eyes open (EO), 206% with eyes closed (EC) on solid surface, and 54% EO on compliant surface ( p < .001). Posturography confirmed balance improvements when perturbed on solid and compliant surfaces with EO and EC ( p  ≤ .033). Walking, step stool, and Timed Up and Go speeds increased ( p  ≤ .001), as did scores in Berg Balance and balance confidence scales ( p  ≤ .018). Discussion: Multimodal balance exercises offer an efficient, cost-effective way to improve balance control and confidence in elderly.