Effect of Integrated Motor Control Training Program on Balance Ability and Fall Efficacy in Elderly

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Thanaree Krajangjaeng
Pratchaya Keawkaen

Abstract

         The objective of this research were to develop an Integrated Motor Control Training Program (IMCT) and to compare balance ability and fall efficacy between the experimental group using the developed program and the control group who received the general exercise program. The participants were sixty older women aged 61 - 83 years from Mueang Rayong district, Rayong province, who were assigned to the experimental group (n = 30) and the control group (n = 30). The research design pattern was an experimental design as pretest and posttest control group design. Balance ability was measured by Time Up and Go Test (TUGT) and evaluates fear of falling using Fall Efficacy Scale-International (Thai-FES-I). Data were analyzed by paired sample t-test. The results showed that the experimental group using an Integrated Motor Control Training (IMCT) program had more stability than the control group with statistical significance at .05 and also had higher fear of falling than the control group at .05.

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References

Chatterji S, Byles J, Cutler C, Seeman T, Verdes E. Health, functioning, and disability in older adults-present status and future implications. Lancet 2015;385(9967):563-75.

Al-Aama T. Falls in the elderly: spectrum and prevention. Can Fam Physician 2011;57(7):771-6.

Tanuchit S, Chinnacom D, Malathong N, Doungthipsirikul S, Tantivess S. Recommendations for emergency medical service for the elderly in Thailand: a research report. Nonthaburi: National Institute of Emergency Medicine; 2017. (in Thai).

Greenberg MR, Moore EC, Nguyen MC, Stello B, Goldberg A, Barraco RB, et al. Perceived fall risk and functional decline: gender differences in patient's willingness to discuss fall risk, fall history, or to have a home safety evaluation. Yale J Biol Med 2016;89(2):261-7.

Muangpaisan W, Suwanpatoomlerd S, Srinonprasert V, Sutipornpalangkul W, Wongprikron A, Assantchai P. Causes and course of falls resulting in hip fracture among elderly Thai patients. J Med Assoc Thai 2015;98(3):298-305. (in Thai).

Moreno-García A, Kun A, Calero O, Medina M, Calero M. An overview of the role of Lipofuscin in age-related neurodegeneration. Front Neurosci 2018;12(464):1-13.

Murman DL. The impact of age on cognition. Semin Hear 2015;36(3):111-21.

Oshima Y, Watanabe N, Takai S, Kawata M. Abnormal posture relating to the alignment of spine and lower extremity. [Internet]. [cited 2021 March 1]. Available from: https://downloads.hindawi.com/journals/aorth/2019/8460364.pdf.

Henry M, Baudry S. Age-related changes in leg proprioception: implications for postural control. J Neurophysiol 2019;122(2):525-38.

Tamsa A, Aree-Ue S, Leelacharas S. Fear of falling and functional ability in older adults undergoing hip surgery. JOPN 2015;7(1):64-82. (in Thai).

Meetam T, Sritan P, Thongprong T. The changes of temporospatial gait parameters during treadmill walking at preferred speed with and without song searching task. Thai Journal of Physical Therapy 2017;39(2):39-51. (in Thai).

Soontorntai P, Phakdepiboon T, Sanjaroensuttikul N, Sinithanon R. Efficacy of beguine dance on balance in elderly Thais with a history of fall. J Thai Rehabil Med 2016;26(2):61-6. (in Thai).

Ng CACM, Fairhall N, Wallbank G, Tiedemann A, Michaleff ZA, Sherrington C. Exercise for falls prevention in community-dwelling older adults: trial and participant characteristics, interventions and bias in clinical trials from a systematic review. BMJ Open Sport Exerc Med 2019;5(1):e000663. doi: 10.1136/bmjsem-2019-000663.

Langhammer B, Bergland A, Rydwik E. The importance of physical activity exercise among older people. Biomed Res Int 2018 Dec 5;2018:7856823. doi: 10.1155/2018/7856823.

Suwan P, Kanthanaphat N, Soawaphan J, Intarasongkor S, Uonkeaw A, Hankla S. The development of practice guideline for preventing fall using 10 P’s multifactorial concepts among older adults in community. Royal Thai Navy Medical Journal 2020;47(2):414-31. (in Thai).

Kisner C, Colby LA. Therapeutic exercise. 5th ed. Philadephia: Margaret Biblis; 2007.

Umphred DA, Lazaro RT, Roller M, Burton G. Neurological rehabilitation. 6th ed. St. Louis: Elsevier Health Sciences; 2013.

Ngowtrakul B, Chadcham S, Kaewkaen P. Increasing lower extremity muscle strength and the speed of sit-to-stand by using a motor imagery control combined with exercise program in older adults: an EEG study. Research Methodology & Cognitive Science 2017;15(2):53-68. (in Thai).

Noohu MM, Dey AB, Hussain ME. Relevance of balance measurement tools and balance training for fall prevention in older adults. Journal of Clinical Gerontology and Geriatrics 2014;5(2):31-5.

Shaffer SW, Harrison AL. Aging of the somatosensory system: a translational perspective. Physical Therapy 2007;87(2):193-207.

Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J AM Geriatr Soc 1991;39(2):142-8.

Thiamwong L. Psychometric testing of the Falls Efficacy Scale-International (FES-I) in Thai older adults. Songkla Med J 2011;29(6):277-87. (in Thai).

Nokham R, Panuthai S, Khampolsiri T. Effect of square-stepping exercise on balance among older persons. Nursing Journal 2016;43(3):58-68.

Redfern MS, Jennings JR, Martin C, Furman JM. Attention influences sensory integration for postural control in older adults. Gait & Posture 2001;14(3):211-6.

Wannapakhe J, Kongpijitwong P, Lomsomboon S, Thongprasart A. Comparison of physical abilities in elderly with and without fear of fall. J Med Tech Phy Ther 2018;30(1):70-80. (in Thai).

St Jacques P, Dolcos F, Cabeza R. Effects of aging on functional connectivity of the amygdala during negative evaluation: a network analysis of fMRI data. Neurobiol Aging 2010;31(2):315-27.