Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 1 | Page No. 1352-1359
Date of Publication: 11-02-2016
COMPARATIVE STUDY ON THE EFFECT OF SQUARE STEPPING EXERCISES VERSUS BALANCE TRAINING EXERCISES ON FEAR OF FALL AND BALANCE IN ELDERLY POPULATION
Harshika Bhanusali 1, Vishnu Vardhan *2, Tushar Palekar 3Shilpa Khandare 4.
1 PG Student, Dr.D.Y.Patil college of Physiotherapy, Pune, India.
*2 Assistant Professor,Dr.D.Y.Patil College of Physiotherapy, Pune, India.
3 Principal, Dr.D.Y.Patil College of Physiotherapy,Dr.D.Y.Patil Vidyapeeth, Pune, India.
4 Assistant Professor, Dr.D.Y.Patil College of Physiotherapy, Pune, India.
Corresponding author: Dr. Vishnu Vardhan. PT., Assistant Professor, Dr.D.Y.Patil College of Physiotherapy, Bhosari,Pune-26, Maharashtra, India.
Background: Balance is a complex process involving the reception and integration of sensory inputs and the planning and execution of movement to achieve a goal requiring upright posture. The need of the study is to compare the effect of square stepping exercises versus balance exercises on fear of falling and balance in elderly.
Aims and Objectives: 1. To study the effects of square stepping exercise on older adults to improve balance impairments and reducing fear of falling. 2. To identify the effects of balance exercise on fear of falling and balance in elderly. 3. To compare effect of balance exercise and square stepping exercise and in older adults to improve balance and reducing fear of falling.
Materials and Methods: 36 elderly individuals with age 60 year and above having MMSE score >24 and BBS scores of more than 41/56 with vital signs within normal range for elderly population were included in the study. Subjects with history of any neurological disease and musculoskeletal impairment that could account for possible balance impairment like CVA, Parkinson's disease, vestibular disorder, joint replacement, fractures etc, diagnosed with visual and auditory impairment, uncontrolled diabetes mellitus, unstable cardio-respiratory condition, which may affect the training procedure were excluded. Purpose of the study was explained to the subject. Written consent was taken. All participants were selected by simple random sampling and randomly divided into two groups. Group A received Square stepping exercises and group B received Balance training exercises for a period of 30 minutes with appropriate rest pause, 3 times per week for 4 weeks. Mini Mental State Examination (MMSE), Berg Balance Scale (BBS), Timed Get Up Go (TUG) were used to assess cognition, balance respectively and Fall Efficacy Scale (FES) was used to assess fear of falling
Result: Participants in both the groups improved on BBS and TUG (p<0.0001) scores.
Conclusion: The study concluded that square stepping exercise group exhibited statistically significant improvement on BBS and TUG test score and Fall Efficacy Test scores compared to the balance training exercise group.
Key Words: Elderly population, balance, Square stepping exercise Training, Balance training exercises.
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Harshika Bhanusali, Vishnu Vardhan, Tushar Palekar, Shilpa Khandare. COMPARATIVE STUDY ON THE EFFECT OF SQUARE STEPPING EXERCISES VERSUS BALANCE TRAINING EXERCISES ON FEAR OF FALL AND BALANCE IN ELDERLY POPULATION. Int J Physiother Res 2016;4(1):1352-1359. DOI: 10.16965/ijpr.2015.206