Article

This study evaluated the effectiveness of an individualized home-based
exercise program that included specific turning exercises in improving turning
performance in adults identified as having unsteadiness during turning. DESIGN: A
single-blind (assessors) randomized controlled trial was conducted with 68
community-dwelling Malaysians aged 50 yrs and older, who had abnormal turning
performance (outside of age and sex, normal limits on the Step/Quick Turn Test
[180-degree turn task on the NeuroCom Balance Master with long plate]). The
intervention group received a 16-wk home exercise program that included two
turning exercises, whereas the control group maintained their usual activities.
RESULTS: Significant group x time effects were found using two-way
repeated-measures analysis of variance for turning and balance/mobility measures.
The intervention group significantly improved relative to the control group for
(1) sway when turning 180 degrees Step/Quick Turn, F1,65 = 8.070, P = 0.006; (2)
time to perform 180-degree turn Step/Quick Turn, F1,65 = 8.216, P = 0.006; (3)
Timed Up and Go (single task), F1,65 = 6.647, P = 0.012; (4) Timed Up and Go
(dual task), F1,65 = 8.301,
P = 0.005; and (5) static stance sway, F1,65 = 10.491, P = 0.002. CONCLUSIONS: An individualized home exercise program that
included specific exercises to improve turning ability was effective in improving
turning performance in adults older than 50 yrs.

Langue : ANGLAIS