Effects of a Group Balance Training Program to Reduce Fear of Falling for Older Adults with Diabetes Mellitus: a Pilot Study
Keywords:
Older adults, diabetes mellitus, balance training, fear of fallingAbstract
Older adults with diabetes mellitus have an increased risk of falls. It is an important cause of developing a fear of falling. The objective of this study was to investigate the effects of a group balance training program for fear of falling in the older adults with diabetes mellitus. Eight older adults with diabetes mellitus volunteered for this study. They were randomly assigned into two groups: (1) a balance training group (n=4) and (2) a control group (n=4). The balance training group received a group balance training program while the control group received an individual aerobic exercise with resistance bands. Fears of Falling were measured by Thai Geriatric Fear of Falling Questionnaire before and after training during week 4. After four weeks of training, the balance training group showed significant decrease in the fear of falling evaluated by Thai Geriatric Fear of Falling Questionnaire as compared with the control group (p<0.05). It can thus be concluded that the group exercise program for balance training for this study could decrease the fear of falling of older adults with diabetes mellitus within four weeks of training.
References
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Björk, S. (2001). The cost of diabetes and diabetes care. Diabetes Research and Clinical Practice, 54(1), 13-18.
Bruce, D., Hunter, M., Peters, K., Davis, T., & Davis W. (2015). Fear of falling is common in patients with type 2 diabetes and is associated with increased risk of falls. Age Ageing, 44(4), 687-690.
Chapman, A., Meyer, C., Renehan, E., Hill, KD., & Browning, CJ. (2017). Exercise interventions for the improvement of falls-related outcomes among older adults with diabetes mellitus: A systematic review and meta-analyses. Diabetes Complications, 31(3), 631-645.
Charoensuksiri, K., Saelim, N., Saraphunt, H., Promsuk, T. (2018). Effect of square-stepping exercise and balance training on balance and health for quality of life in Thai elderly. Journal of Health Science Research, 12(2), 98-107
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Doumas, M., & Krampe, RT. (2010). Adaptation and reintegration of proprioceptive information in young and older adults' postural control. J Neurophysiol, 104(4), 1969-1977.
Emam, AA., Gad, AM., Ahmed, MM., Assal, HS., & Mousa, SG. (2009). Quantitative assessment of posture stability using computerised dynamic posturography in type 2 diabetic patients with neuropathy and its relation to glycaemic control. Singapore Med, 50(6), 614-618.
Feldman, EL., Stevens, MJ., Thomas, PK., Brown, MB., Canal, N., & Greene, DA. (1994). A practical two-step quantitative clinical and electrophysiological assessment for the diagnosis and staging of diabetic neuropathy. Diabetes Care, 17(11), 1281-1289.
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Hewston, P., & Deshpande, N. (2018). Fear of falling and balance confidence in older adults with type 2 diabetes mellitus: A scoping review. Can J Diabetes, 42(6), 664-670.
Hewston, P., Garcia, A., Alvarado, B., & Deshpande, N. (2018). Fear of falling in older adults with diabetes mellitus: The IMIAS Study. Can J Aging, 37(3), 261-269.
Horak, FB. (2006). Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age Ageing, 35(2), 7-11.
Kim, S., Lockhart, T., & Roberto, K. (2009). The effects of 8-week balance training or weight training: For the elderly on fear of falling measures and social activity levels. Qual Ageing, 10(4), 37-48.
Kuptniratsaikul, V., Praditsuwan, R., Assantachai, P., Ploypetch, T., Udompunturak, S., & Pooliam, J. (2011). Effectiveness of simple balancing training program in elderly patients with history of frequent falls. Clin Interv Aging, 6, 111-117.
Lach, HW. (2005). Incidence and risk factors for developing fear of falling in older adults. Public Health Nurs, 22(1), 45-52.
Nitiyanant, W., Chetthakul, T., Sang, AkP., Therakiatkumjorn, C., Kunsuikmengrai, K., & Yeo, JP. (2007). A survey study on diabetes management and complication status in primary care setting in Thailand. J Med Assoc Thai, 90(1), 65-71.
Oguejiofor, OC., Odenigbo, CU., & Oguejiofor, CB. (2010). Evaluation of the effect of duration of diabetes mellitus on peripheral neuropathy using the United Kingdom screening test scoring system, bio-thesiometry and aesthesiometry. Niger J Clin Pract, 13(3), 240-247.
Sangpring, P., Vongsirinavarat, M., Hiengkaew, V., & Kaewkungwal, J. (2012). Development of a geriatric fear of falling questionnaire for assessing the fear of falling of Thai elders. J Phys Ther Sci, 24(4), 359-364.
Thungtak, R., Lapanantasin, S., & Thongthae, R. (2013). An analysis of a group exercise program to promote balance performance for elderly with diabetic peripheral neuropathy. Jean Marc Marcel Dautrey (Ed.), Proceedings of the 28th national graduate research conference (pp.690-698). Suvarnabhumi, Thailand.
Aekplakorn, W., Chariyalertsak, S., Kessomboon, P., Sangthong, R., Inthawong, R., Putwatana, P., & Taneepanichskul, S. (2011). Prevalence and management of diabetes and metabolic risk factors in Thai adults: the Thai National Health Examination Survey IV, 2009. Diabetes Care, 34(9), 1980-1985.
American Diabetes Association. (2012). Diagnosis and classification of diabetes mellitus. Diabetes Care, 35(1), 64-71.
Björk, S. (2001). The cost of diabetes and diabetes care. Diabetes Research and Clinical Practice, 54(1), 13-18.
Bruce, D., Hunter, M., Peters, K., Davis, T., & Davis W. (2015). Fear of falling is common in patients with type 2 diabetes and is associated with increased risk of falls. Age Ageing, 44(4), 687-690.
Chapman, A., Meyer, C., Renehan, E., Hill, KD., & Browning, CJ. (2017). Exercise interventions for the improvement of falls-related outcomes among older adults with diabetes mellitus: A systematic review and meta-analyses. Diabetes Complications, 31(3), 631-645.
Charoensuksiri, K., Saelim, N., Saraphunt, H., Promsuk, T. (2018). Effect of square-stepping exercise and balance training on balance and health for quality of life in Thai elderly. Journal of Health Science Research, 12(2), 98-107
Colberg, SR., Sigal, RJ., Yardley, JE., Riddell, MC., Dunstan, DW., Dempsey, PC., Horton, ES., Castorino, K.,Tate, DF. (2016). Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care, 39(11), 2065-2079.
Doumas, M., & Krampe, RT. (2010). Adaptation and reintegration of proprioceptive information in young and older adults' postural control. J Neurophysiol, 104(4), 1969-1977.
Emam, AA., Gad, AM., Ahmed, MM., Assal, HS., & Mousa, SG. (2009). Quantitative assessment of posture stability using computerised dynamic posturography in type 2 diabetic patients with neuropathy and its relation to glycaemic control. Singapore Med, 50(6), 614-618.
Feldman, EL., Stevens, MJ., Thomas, PK., Brown, MB., Canal, N., & Greene, DA. (1994). A practical two-step quantitative clinical and electrophysiological assessment for the diagnosis and staging of diabetic neuropathy. Diabetes Care, 17(11), 1281-1289.
Gu, Y., & Dennis, SM. (2017). Are falls prevention programs effective at reducing the risk factors for falls in people with type-2 diabetes mellitus and peripheral neuropathy: A systematic review with narrative synthesis. J Diabetes Complications, 31(2), 504-516.
Hewston, P., & Deshpande, N. (2018). Fear of falling and balance confidence in older adults with type 2 diabetes mellitus: A scoping review. Can J Diabetes, 42(6), 664-670.
Hewston, P., Garcia, A., Alvarado, B., & Deshpande, N. (2018). Fear of falling in older adults with diabetes mellitus: The IMIAS Study. Can J Aging, 37(3), 261-269.
Horak, FB. (2006). Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age Ageing, 35(2), 7-11.
Kim, S., Lockhart, T., & Roberto, K. (2009). The effects of 8-week balance training or weight training: For the elderly on fear of falling measures and social activity levels. Qual Ageing, 10(4), 37-48.
Kuptniratsaikul, V., Praditsuwan, R., Assantachai, P., Ploypetch, T., Udompunturak, S., & Pooliam, J. (2011). Effectiveness of simple balancing training program in elderly patients with history of frequent falls. Clin Interv Aging, 6, 111-117.
Lach, HW. (2005). Incidence and risk factors for developing fear of falling in older adults. Public Health Nurs, 22(1), 45-52.
Nitiyanant, W., Chetthakul, T., Sang, AkP., Therakiatkumjorn, C., Kunsuikmengrai, K., & Yeo, JP. (2007). A survey study on diabetes management and complication status in primary care setting in Thailand. J Med Assoc Thai, 90(1), 65-71.
Oguejiofor, OC., Odenigbo, CU., & Oguejiofor, CB. (2010). Evaluation of the effect of duration of diabetes mellitus on peripheral neuropathy using the United Kingdom screening test scoring system, bio-thesiometry and aesthesiometry. Niger J Clin Pract, 13(3), 240-247.
Sangpring, P., Vongsirinavarat, M., Hiengkaew, V., & Kaewkungwal, J. (2012). Development of a geriatric fear of falling questionnaire for assessing the fear of falling of Thai elders. J Phys Ther Sci, 24(4), 359-364.
Thungtak, R., Lapanantasin, S., & Thongthae, R. (2013). An analysis of a group exercise program to promote balance performance for elderly with diabetic peripheral neuropathy. Jean Marc Marcel Dautrey (Ed.), Proceedings of the 28th national graduate research conference (pp.690-698). Suvarnabhumi, Thailand.
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Published
2019-09-30
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Research Article
