Exercise on Different Floor Texture : Effects on Body Balance and Walking in Elderly People with Hip Fracture
Exercise on Different Floor Texture in Elderly People
Keywords:
fall, balance, hip fracture, exerciseAbstract
Hip fracture in the elderly people affects their abilities of standing, walking and activities of daily living (ADLs). Seventy-five percent of patients with hip fracture had recurrent falls and fractures within four years. However, exercising on different surfaces increased their walking ability and reduced falls.This single blind, randomized controlled trial was conducted to compare the body balance, walking ability, and recurrent falls between exercising on different surfaces in 30 patients with fragile hip fracture who had undergone hip surgery. Participants were recruited and randomly divided into three groups: exercise on hard, soft and grass surfaces for 45-60 minutes/day, three days/week for four weeks. Timed up and go test (TU & G), Five times sit to stand test (FTSST), and Sit and reach test (SR) were used to evaluate the participants' balance and walking ability. Chi-square test, Kruskal Wallis test, Wilcoxon signed rank test and McNemar test were used to compare the functional outcomes with statistically significant level at 0.05. Most of the participants were female (83.3%) with a mean age of 73.4 ± 10.9 years. The results of the TU & G were significantly improved in all groups, but there were no differences between the groups. The median time for the FTSST and SR tests were significantly lower in the soft and grass exercise groups. Four participants (13.3%) had recurrent falls but no hip fracture. In conclusion, exercising on different surfaces increases the challenge of balance and walking. Thus, using different surfaces helps to promote the ability and safety of body balance and walking in the elderly people with fragile hip fracture.
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