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RESEARCH - Feasibility and outcomes of home-based exercise for improving balance and gait stability in OA and RA

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Arch Phys Med Rehabil. 2010 Jan;91(1):106-14.

Feasibility and outcomes of a home-based exercise program on improving

balance and gait stability in women with lower-limb osteoarthritis or

rheumatoid arthritis: a pilot study.

SB, Brand CA, Hill KD, Hunt SB, Moran H.

National Ageing Research Institute, Royal Melbourne Hospital,

Melbourne, Australia.

Abstract

SB, Brand CA, Hill KD, Hunt SB, Moran H. Feasibility and

outcomes of a home-based exercise program on improving balance and

gait stability in women with lower-limb osteoarthritis or rheumatoid

arthritis: a pilot study.

OBJECTIVE: To evaluate the feasibility and gait stability and balance

outcomes of a 4-month individualized home exercise program for women

with arthritis.

DESIGN: Pre-post interventional study.

SETTING: General community.

PARTICIPANTS: Women (N=49) (volunteers) with lower-limb osteoarthritis

or lower-limb rheumatoid arthritis were enrolled. Only 39 subjects

were eligible and completed the study.

INTERVENTION: After completion of the initial assessment, all

participants received home balance exercises from an experienced

physiotherapist based on assessment findings and exercises available

from commercially available kits. All measures were repeated 4 months

later.

MAIN OUTCOME MEASURES: Falls risk (Falls Risk of Older

People-Community Setting) and balance measures.

RESULTS: Thirty-nine women (mean age, 69.3y; 95% confidence interval,

65.7-72.9) completed the 4-month program. At baseline, 64% of

participants reported falling in the preceding 12 months, and the

average falls risk (Falls Risk of Older People-Community Setting)

score was 14.5, with 42% rated as moderate risk (16-23). Participants

achieved improved performance on most balance and related measures

after the exercise program, including falls risk (P=.01), activity

levels (P=.015), fear of falling (P=.022), functional reach test

(P=.001), rising index for sit to stand (P=.001), step width in

walking (P=.001), and body mass index (P=.006).

CONCLUSIONS: An individualized balance training home exercise program

is feasible for older women with osteoarthritis or rheumatoid

arthritis and may improve stability during walking and other

functional activities.

PMID: 20103404

http://www.ncbi.nlm.nih.gov/pubmed/20103404

Not an MD

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thanks , for all the good info. thank you for taking time to do

these studies for us.

God bless you,

Betty, in Alabama

On 2/16/11, <Rheumatoid.Arthritis.Support@...> wrote:

> Arch Phys Med Rehabil. 2010 Jan;91(1):106-14.

>

>

> Feasibility and outcomes of a home-based exercise program on improving

> balance and gait stability in women with lower-limb osteoarthritis or

> rheumatoid arthritis: a pilot study.

>

>

> SB, Brand CA, Hill KD, Hunt SB, Moran H.

> National Ageing Research Institute, Royal Melbourne Hospital,

> Melbourne, Australia.

>

>

> Abstract

>

> SB, Brand CA, Hill KD, Hunt SB, Moran H. Feasibility and

> outcomes of a home-based exercise program on improving balance and

> gait stability in women with lower-limb osteoarthritis or rheumatoid

> arthritis: a pilot study.

>

> OBJECTIVE: To evaluate the feasibility and gait stability and balance

> outcomes of a 4-month individualized home exercise program for women

> with arthritis.

>

> DESIGN: Pre-post interventional study.

>

> SETTING: General community.

>

> PARTICIPANTS: Women (N=49) (volunteers) with lower-limb osteoarthritis

> or lower-limb rheumatoid arthritis were enrolled. Only 39 subjects

> were eligible and completed the study.

>

> INTERVENTION: After completion of the initial assessment, all

> participants received home balance exercises from an experienced

> physiotherapist based on assessment findings and exercises available

> from commercially available kits. All measures were repeated 4 months

> later.

>

> MAIN OUTCOME MEASURES: Falls risk (Falls Risk of Older

> People-Community Setting) and balance measures.

>

> RESULTS: Thirty-nine women (mean age, 69.3y; 95% confidence interval,

> 65.7-72.9) completed the 4-month program. At baseline, 64% of

> participants reported falling in the preceding 12 months, and the

> average falls risk (Falls Risk of Older People-Community Setting)

> score was 14.5, with 42% rated as moderate risk (16-23). Participants

> achieved improved performance on most balance and related measures

> after the exercise program, including falls risk (P=.01), activity

> levels (P=.015), fear of falling (P=.022), functional reach test

> (P=.001), rising index for sit to stand (P=.001), step width in

> walking (P=.001), and body mass index (P=.006).

>

> CONCLUSIONS: An individualized balance training home exercise program

> is feasible for older women with osteoarthritis or rheumatoid

> arthritis and may improve stability during walking and other

> functional activities.

>

>

> PMID: 20103404

>

> http://www.ncbi.nlm.nih.gov/pubmed/20103404

>

>

>

>

> Not an MD

>

--

NUMBERS 6: 24-26

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You are very welcome, Betty! I hope today is a good day for you.

Not an MD

On Wed, Feb 16, 2011 at 12:04 PM, bettygates tds.net <bettygates@...> wrote:

> thanks , for all the good info.  thank you for taking time to do

> these studies for us.

> God bless you,

>

> Betty,  in Alabama

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