Otago home-based strength and balance retraining improves executive functioning in older fallers : A randomized controlled trial

Journal article


Liu-Ambrose, Teresa, Donaldson, Meghan, Ahamed, Yasmin, Graf, Peter, Cook, Wendy, Close, Jacqueline, Lord, Stephen and Khan, Karim. (2008) Otago home-based strength and balance retraining improves executive functioning in older fallers : A randomized controlled trial. Journal of the American Geriatrics Society. 56(10), pp. 1821 - 1830. https://doi.org/10.1111/j.1532-5415.2008.01931.x
AuthorsLiu-Ambrose, Teresa, Donaldson, Meghan, Ahamed, Yasmin, Graf, Peter, Cook, Wendy, Close, Jacqueline, Lord, Stephen and Khan, Karim
Abstract

Objectives: To primarily ascertain the effect of the Otago Exercise Program (OEP) on physiological falls risk, functional mobility, and executive functioning after 6 months in older adults with a recent history of falls and to ascertain the effect of the OEP on falls during a 1-year follow-up period. Design: Randomized controlled trial. Setting: Dedicated falls clinics. Participants: Seventy-four adults aged 70 and older who presented to a healthcare professional after a fall. Intervention: The OEP, a home-based program that consists of resistance training and balance training exercises. Measurements: Physiological falls risk was assessed using the Physiological Profile Assessment. Functional mobility was assessed using the Timed Up and Go Test. Three central executive functions were assessed: set shifting, using the Trail Making Test Part B; updating, using the verbal digits backward test; and response inhibition, using the Stroop Color-Word Test. Falls were prospectively monitored using daily calendars. Results: At 6 months, there was no significant between-group difference in physiological falls risk or functional mobility (P≥ .33). There was a significant between-group difference in response inhibition (P=.05). A falls histogram revealed two outliers. With these cases removed, using negative binomial regression, the unadjusted incidence rate ratio of falls in the OEP group compared with the control group was 0.56. The adjusted incidence rate ratio was 0.47. Conclusion: The OEP may reduce falls by improving cognitive performance.

Year2008
JournalJournal of the American Geriatrics Society
Journal citation56 (10), pp. 1821 - 1830
ISSN0002-8614
Digital Object Identifier (DOI)https://doi.org/10.1111/j.1532-5415.2008.01931.x
Page range1821 - 1830
Research GroupMary MacKillop Institute for Health Research
Publisher's version
File Access Level
Controlled
Permalink -

https://acuresearchbank.acu.edu.au/item/8805y/otago-home-based-strength-and-balance-retraining-improves-executive-functioning-in-older-fallers-a-randomized-controlled-trial

Restricted files

Publisher's version

  • 10
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Determining brain mechanisms that underpin analgesia induced by the use of pain coping skills
Cole, Leonie J., Bennell, Kim, Ahamed, Yasmin, Pachana, Nancy A., Keefe, Francis J., Moseley, G. Lorimer, Hodges, Paul and Farrell, Michael J.. (2018) Determining brain mechanisms that underpin analgesia induced by the use of pain coping skills. Pain Medicine. 19(11), pp. 2177 - 2190. https://doi.org/10.1093/pm/pnx301
Multimorbidity and the risk of all-cause 30-day readmission in the setting of multidisciplinary management of chronic heart failure: A retrospective analysis of 830 hospitalized patients in Australia
Wiley, Joshua F., Chan, Yih-Kai, Ahamed, Yasmin, Ball, Jocasta, Carrington, Melinda J., Reigel, Barbara and Stewart, Simon. (2018) Multimorbidity and the risk of all-cause 30-day readmission in the setting of multidisciplinary management of chronic heart failure: A retrospective analysis of 830 hospitalized patients in Australia. Journal of Cardiovascular Nursing. 33(5), pp. 437 - 445. https://doi.org/10.1097/JCN.0000000000000391
Physical Therapist-Delivered Pain Coping Skills Training and Exercise for Knee Osteoarthritis: Randomized Controlled Trial
Bennell, Kim L., Ahamed, Yasmin, Jull, Gwendolen J., Bryant, Christina, Hunt, Michael A., Forbes, Andrew B., Kasza, Jessica, Akram, Muhammed, Metcalf, Ben R., Harris, Anthony, Egerton, T., Kenardy, Justin A., Nicholas, Michael K. and Keefe, Francis J.. (2016) Physical Therapist-Delivered Pain Coping Skills Training and Exercise for Knee Osteoarthritis: Randomized Controlled Trial. Arthritis Care and Research. 68(5), pp. 590 - 602. https://doi.org/10.1002/acr.22744
Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement
Stewart, Simon, Riegel, Barbara, Boyd, Cynthia, Ahamed, Yasmin, Thompson, David Robert, Burrell, Louise M., Carrington, Melinda Jane, Coats, Andrew, Granger, Bradi B., Hides, Julie Anne, Weintraub, William S., Moser, Debra K., Dickson, Victoria Vaughan, McDermott, Cressida J., Keates, Ashley K. and Rich, Michael W.. (2016) Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement. International Journal of Cardiology. 212, pp. 1 - 10. https://doi.org/10.1016/j.ijcard.2016.03.001
Current and projected burden of heart failure in the Australian adult population: A substantive but still ill-defined major health issue
Chan, Yih-Kai, Tuttle, Camilla, Ball, Jocasta C., Teng, Tiew-Hwa Katherine, Ahamed, Yasmin, Carrington, Melinda Jane and Stewart, Simon. (2016) Current and projected burden of heart failure in the Australian adult population: A substantive but still ill-defined major health issue. BMC Health Services Research. 16(501), pp. 1 - 10. https://doi.org/10.1186/s12913-016-1748-0
Impact of nurse-led, multidisciplinary home-based intervention on event-free survival across the spectrum of chronic heart disease: Composite analysis of health outcomes in 1226 patients from 3 randomized trials
Stewart, Simon, Wiley, Joshua F., Ball, Jocasta Clare, Chan, Yih-Kai, Ahamed, Yasmin, Thompson, David Robert and Carrington, Melinda Jane. (2016) Impact of nurse-led, multidisciplinary home-based intervention on event-free survival across the spectrum of chronic heart disease: Composite analysis of health outcomes in 1226 patients from 3 randomized trials. Circulation. 133(19), pp. 1867 - 1877. https://doi.org/10.1161/CIRCULATIONAHA.116.020730
Rediscovering Heart Failure: The contemporary burden and profile of heart failure in Australia
Chan, Yih-Kai, Gerber, Tracey, Tuttle, Camilla, Ball, Jocasta, Teng, Tiew-Hwa Katherine, Ahamed, Yasmin and Carrington, Melinda. (2015) Rediscovering Heart Failure: The contemporary burden and profile of heart failure in Australia Melbourne, Australia: Mary MacKillop Institute for Health Research.
Reexamining the surfaces of bone in boys and girls during adolescent growth: A 12-Year mixed longitudinal pQCT Study
Gabel, Leigh, Nettlefold, Lindsay, Brasher, Penelope M., Moore, Sarah A., Ahamed, Yasmin, Macdonald, Heather M. and McKay, Heather A.. (2015) Reexamining the surfaces of bone in boys and girls during adolescent growth: A 12-Year mixed longitudinal pQCT Study. Journal of Bone and Mineral Research. 30(12), pp. 2158 - 2167. https://doi.org/10.1002/jbmr.2570
Can physical therapists deliver a pain coping skills program? An examination of training processes and outcomes
Bryant, Christina, Lewis, Prudence, Bennell, Kim, Ahamed, Yasmin, Crough, Denae, Jull, Gwendolen, Kenardy, Justin, Nicholas, Michael and Keefe, Francis. (2014) Can physical therapists deliver a pain coping skills program? An examination of training processes and outcomes. Physical Therapy. 94(10), pp. 1443 - 1454. https://doi.org/10.2522/ptj.20130444
Can physical therapists deliver a pain coping skills program? An examination of training processes and outcomes
Bryant, Christina, Lewis, Prudence, Bennell, Kim, Ahamed, Yasmin, Crough, Denae, Jull, Gwendolen, Kenardy, Justin, Nicholas, Michael and Keefe, Francis. (2014) Can physical therapists deliver a pain coping skills program? An examination of training processes and outcomes. Physical Therapy. 94(10), pp. 1443 - 1454. https://doi.org/10.2522/ptj.20130444
Alternating bouts of sitting and standing attenuate postprandial glucose responses
Thorp, Michael, Keefe, Francis, Bryant, Christina, Metcalf, Ben, Ahamed, Yasmin, Nicholas, Michael and Bennell, Kim. (2013) Alternating bouts of sitting and standing attenuate postprandial glucose responses. Medicine and Science in Sports and Exercise. 20(2), pp. 106 - 112. https://doi.org/10.1249/MSS.0000000000000337
A physiotherapist-delivered, combined exercise and pain coping skills training intervention for individuals with knee osteoarthritis : A pilot study
Hunt, Michael, Keefe, Francis, Bryant, Christina, Metcalf, Ben, Ahamed, Yasmin, Nicholas, Michael and Bennell, Kim. (2013) A physiotherapist-delivered, combined exercise and pain coping skills training intervention for individuals with knee osteoarthritis : A pilot study. The Knee. 20(2), pp. 106 - 112. https://doi.org/10.1016/j.knee.2012.07.008
A physiotherapist-delivered integrated exercise and pain coping skills training intervention for individuals with knee osteoarthritis: A randomised controlled trial protocol
Bennell, Kim, Ahamed, Yasmin, Bryant, Christina, Jull, Gwendolen, Hunt, Michael, Kenardy, Justin, Forbes, Andrew, Harris, Anthony, Nicholas, Michael, Metcalf, Ben, Egerton, Thorlene and Keefe, Francis. (2012) A physiotherapist-delivered integrated exercise and pain coping skills training intervention for individuals with knee osteoarthritis: A randomised controlled trial protocol. BMC Musculoskeletal Disorders. 13(129), pp. 1 - 17. https://doi.org/10.1186/1471-2474-13-129
Older fallers with poor working memory overestimate their postural limits
Liu-Ambrose, Teresa, Ahamed, Yasmin, Graf, Peter, Feldman, Fabio and Robinovitch, Stephen. (2008) Older fallers with poor working memory overestimate their postural limits. Archives of Physical Medicine and Rehabilitation. 89(7), pp. 1335 - 1340. https://doi.org/10.1016/j.apmr.2007.11.052
Otago home-based strength and balance retraining improves executive functioning in older fallers: A randomized controlled trial
Liu-Ambrose, Teresa, Donaldson, Meghan, Ahamed, Yasmin, Graf, Peter, Cook, Wendy, Close, Jacqueline, Lord, Stephen and Khan, Karim. (2008) Otago home-based strength and balance retraining improves executive functioning in older fallers: A randomized controlled trial. Journal of the American Geriatrics Society. 56(10), pp. 1821 - 1830. https://doi.org/10.1111/j.1532-5415.2008.01931.x
Characterising cortical density in the mid-tibia: Intra-individual variation in adolescent girls and boys
Cooper, David M.L., Ahamed, Yasmin, Macdonald, Heather M. and McKay, Heather Anne. (2008) Characterising cortical density in the mid-tibia: Intra-individual variation in adolescent girls and boys. British Journal of Sports Medicine. 42(8), pp. 690 - 695. https://doi.org/10.1136/bjsm.2008.049528
Characterising cortical density in the mid-tibia : Intra-individual variation in adolescent girls and boys
Cooper, David, Ahamed, Yasmin, Macdonald, Heather and McKay, Heather. (2008) Characterising cortical density in the mid-tibia : Intra-individual variation in adolescent girls and boys. British Journal of Sports Medicine. 42(8), pp. 690 - 695. https://doi.org/10.1136/bjsm.2008.049528
Characterising cortical density in the mid-tibia : Intra-individual variation in adolescent girls and boys
Cooper, David, Ahamed, Yasmin, Macdonald, Heather and McKay, Heather. (2008) Characterising cortical density in the mid-tibia : Intra-individual variation in adolescent girls and boys. British Journal of Sports Medicine. 42(8), pp. 690 - 695. https://doi.org/10.1136/bjsm.2008.049528
Older fallers with poor working memory overestimate their postural limits
Liu-Ambrose, Teresa, Ahamed, Yasmin, Graf, Peter, Feldman, Fabio and Robinovitch, Stephen. (2008) Older fallers with poor working memory overestimate their postural limits. Archives of Physical Medicine and Rehabilitation. 89(7), pp. 1335 - 1340. https://doi.org/10.1016/j.apmr.2007.11.052
School-based physical activity does not compromise children's academic performance
Ahamed, Yasmin, MacDonald, Heather, Reed, Katherine, Naylor, Patti-Jean, Liu-Ambrose, Teresa and McKay, Heather. (2007) School-based physical activity does not compromise children's academic performance. Medicine & Science in Sports & Exercise. 39(2), pp. 371 - 376. https://doi.org/10.1249/01.mss.0000241654.45500.8e
School-based physical activity does not compromise children's academic performance
Ahamed, Yasmin, MacDonald, Heather, Reed, Katherine, Naylor, Patti-Jean, Liu-Ambrose, Teresa and McKay, Heather. (2007) School-based physical activity does not compromise children's academic performance. Medicine and Science in Sports and Exercise. 39(2), pp. 371 - 376. https://doi.org/10.1249/01.mss.0000241654.45500.8e