Original Research Article
Year: 2018 | Month: July | Volume: 8 | Issue: 7 | Pages: 122-134
Effectiveness of Perturbation Based Balance Training in an Older Individuals: A Randomized Clinical Trial
Dr. Parita Desai1, Dr. Tanpreet Kaur1, Dr. Philomena Dsouza1, Dr. Mayuri R Shah1
1Assistant Professor, Dr. D Y Patil College of Physiotherapy, Pune, Maharashtra, India
Corresponding Author: Dr. Parita Desai
ABSTRACT
Background: Aging commonly disrupts the balance control and compensatory postural responses that contribute to maintaining balance and preventing falls during perturbation of posture due to the weakness of lower limb muscles. Fall prevention program has to be given to the patients which will mainly focus on the stimulation of primary muscle groups of lower limb.
Aim: To evaluate the effect of perturbation based balance training along with strengthening and balance exercises in improving balance and to reduce risk of falls among older adults.
Methodology: 40 elderly patients aged 65 to 80 years were randomized in two groups by using block randomization. Outcome variables measured were TUG & on force plate are maximum CoP excursion, minimum CoP excursion and stability score. To the group 1 treatment given was standardized OTAGO exercise program and group 2 was given PBBT along with OTAGO exercise program. The results were checked after two months. Treatment effect was checked within the group by using paired t test and between the groups by using unpaired t test.
Results: The results showed significant difference in values of all outcome measures in all the four conditions which are NS EO, NS EC, PS EO & PS EC within the group. There was also a significant reduction in the values of TUG. Between groups analysis also show significant effect between both the groups.
Conclusion: The PBBT is a useful program for fall prevention. It is also inexpensive and compact commercial perturbation-delivery system.
Key words: Postural control, balance and aging, PBBT, COP.