A home-based exercise program focused on proprioception to reduce falls in frail and pre-frail community-dwelling older adults.

Author: Pérez-Ros P1, Vila-Candel R2, Martínez-Arnau FM3
Author Information:
1Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, 46007 Valencia, Spain; Frailty and Cognitive Impairment Research Group (FROG), University of Valencia, 46010 Valencia, Spain. Electronic address: pilar.perez@ucv.es.
2Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, 46007 Valencia, Spain; Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, FISABIO. Crtra. Corbera km 1, 46600 Valencia, Spain; Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Jaume Roig, s/n, 46010 Valencia, Spain.
3Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, 46007 Valencia, Spain; Frailty and Cognitive Impairment Research Group (FROG), University of Valencia, 46010 Valencia, Spain; Department of Physiotherapy, Universitat de València, 46010 Valencia, Spain.
Conference/Journal: Geriatr Nurs.
Date published: 2020 Mar 18
Other: Pages: S0197-4572(20)30053-7 , Special Notes: doi: 10.1016/j.gerinurse.2020.01.017. [Epub ahead of print] , Word Count: 147


Frailty and falls are closely associated with each other as well as with disability, hospitalization, and death. Exercise can reduce these risks in both robust and frail older people. This before-after, non-randomized intervention study assessed a one-year proprioception training program with individual daily home exercises in 564 community-dwelling people aged 70 years and over, with different frailty phenotypes. After the exercise program, we observed a moderate reduction in the mean number of falls, fear of falls, body mass index and body fat percentage in frail and pre-frail participants. These results suggest that a home proprioception program may be a viable alternative to complex multicomponent exercise programs in settings where these are not feasible, since home proprioception can reach a larger population at a lower cost, and it affords clear benefits.

Copyright © 2020 Elsevier Inc. All rights reserved.

KEYWORDS: Community dwelling; Falls; Frail; Older people; Proprioception exercises

PMID: 32199736 DOI: 10.1016/j.gerinurse.2020.01.017

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