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Home Health Care Management & Practice
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Administration of an Exercise Regimen in Assisted-Living Facilities to Improve Balance and Activities of Daily Living

A Pilot Study

Harvey Wallmann, PT, DSc, SCS, LAT, ATC, CSCS

University of Nevada, Las Vegas

Sue Schuerman, PT, PhD, GCS

University of Nevada, Las Vegas

Laura Kruskall, PhD, RD

University of Nevada, Las Vegas

Patricia T. Alpert, DrPH, MSN, FNP, PNP, APRN, BC, FAANP

University of Nevada, Las Vegas

Purpose: This pilot study examined the effects of an exercise program on functional balance and activities of daily living (ADLs) of residents in assisted-living facilities. Materials and methods: Thirty-four subjects participated in the initial evaluation, but only 13 subjects participated in the study. All participants completed the ADL questionnaires (Functional Assessment Screening Questionnaire [FASQ] and the Katz Index of ADL), but only 10 completed the 8-week exercise program and balance assessment (Berg Balance Scale [BBS]). Results: Significant differences were observed between the pre- and postmeasurements for BBS ( p = .008) and FASQ (p = .023) but not for the Katz Index of ADL (p = .066). This suggests that strengthening exercises can be beneficial in improving functional balance and ADLs. Conclusion: Further research with a larger sample size is needed to evaluate the impact of lower extremity strengthening exercises on balance and ADL preservation for elders in long-term care facilities.

Key Words: balance • assisted living • exercise program • fall risk

This version was published on October 1, 2009

Home Health Care Management & Practice, Vol. 21, No. 6, 419-426 (2009)
DOI: 10.1177/1084822309334675


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