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Research Article

Comparison of Effects of Balance Training Exercise and Gaze Stability Exercises on Balance and Postural Control in Elderly With Fall Risk: A Randomized Controlled Trial

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Received 29 Sep 2023, Accepted 05 Feb 2024, Published online: 26 Feb 2024
 

Abstract

Aim

To compare the changes in outcomes of balance and postural control after balance training exercise and gaze stability exercise in the elderly population with fall risk.

Methods

After the screening process, 44 subjects were randomized into three groups: Experimental Group A (Balance training exercises, BTE); Experimental Group B (Gaze stability exercises, GSE), and Control Group C (Fall prevention education only). The outcome measures were center of pressure (COP) range, COP sway, reaction time, proprioception, static balance, Clinical Test for Sensory Interaction in Balance (CTSIB), and Short Falls Efficacy Scale (SFES). The pre and post-data were recorded at baseline and after 8 weeks. The normality of the distribution was assessed using the Shapiro-Wilk test. Demographic data and baseline measures were compared using one-way ANOVA considering group as between factor and mixed model ANOVA was used to find out the group effect and time effect and time × group interaction effect. Statistical significance was indicated if p ≤ 0.05.

Results

GSE had significant changes only in CTSIB 4 whereas BTE had significant changes in CTSIB 4, 5, and 6. COP range showed a significant time effect in the front direction (p = 0.02). For proprioception, there was a significant time effect in the left (p = 0.018) and right direction (p = 0.005), whereas changes in front and back directions were found to be insignificant. SFES showed a significant time effect (p < 0.001), group effect (p = 0.21), and time × group interaction effect (p < 0.001).

Conclusion

Balance training exercises may be a more effective form of intervention to improve balance and postural control in the elderly population.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

There was no funding for the conduct of the study or for publication from any sources. The study was supported by Jamia Millia Islamia, New Delhi.

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