Home-Based Exercise Program Improves Balance and Fear of Falling in Community-Dwelling Older Adults with Mild Alzheimer’s Disease: A Pilot Study
Abstract
BACKGROUND/OBJECTIVE: Balance problems are common in older adults with Alzheimer's disease (AD). The objective was to study the effects of a Wii-Fit interactive video-game-led physical exercise program to a walking program on measures of balance in older adults with mild AD. METHODS: A prospective randomized controlled parallel-group trial (Wii-Fit versus walking) was conducted in thirty community-dwelling older adults (73±6.2 years) with mild AD. Home-based exercises were performed under caregiver supervision for 8 weeks. Primary (Berg Balance Scale, BBS) and secondary outcomes (fear of falls and quality of life) were measured at baseline, 8 weeks (end of intervention), and 16 weeks (8-weeks post-intervention). RESULTS: At 8 weeks, there was a significantly greater improvement (average inter-group difference [95% CI]) in the Wii-Fit group compared to the walking group in BBS (4.8 [3.3-6.2], p < 0.001), after adjusting for baseline. This improvement was sustained at 16 weeks (3.5 [2.0-5.0], p < 0.001). Analyses of the secondary outcome measures indicated that there was a significantly greater improvement in the Wii-Fit group compared to walking group in Activity-specific Balance Confidence scale (6.5 [3.6-9.4], p < 0.001) and Falls Efficacy Scale (-4.8 [-7.6 to -2.0], p = 0.002) at 8 weeks. However, this effect was not sustained at 16 weeks. Quality of life improved in both groups at 8 weeks; however, there were no inter-group differences (p = 0.445). CONCLUSION: Home-based, caregiver-supervised Wii-Fit exercises improve balance and may reduce fear of falling in community-dwelling older adults with mild AD.
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Physical exercises improve cognition and quality of life, and home-based exercises improve balance and fear of falling and executive functions.
“Physical exercises are reported to improve cognition and quality of life, and home-based exercises seemed to improve balance and fear of falling and executive functions [190,191,192].”
From Treatment of Alzheimer’s Disease: Beyond Symptomatic Therapies (2023) · cites this paper as [191]
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- Authors
- Padala, K. P., Padala, P. R., Lensing, S. Y., Dennis, R. A., Bopp, M. M., Roberson, P. K., & Sullivan, D. H.
- Affiliations
- Central Arkansas Veterans Healthcare System (US)
- Corresponding author
- Padala, Kalpana P.
- ORCID
- Venue
- Journal of Alzheimer s Disease
- Publisher
- SAGE Publications
- Published
- 2017-07-17
- Volume
- 59
- Issue
- 2
- Pages
- 565-574
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- OpenAlex
- W2697086384
- Cited by
- 107
- References
- 43
- Citations by year
- 2026: 4 · 2025: 16 · 2024: 16 · 2023: 16 · 2022: 11 · 2021: 19 · 2020: 13 · 2019: 10 · 2018: 2
- FWCI
- 16.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs (I01 RX001203)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- Alzheimer's disease, home-based exercise
- MeSH terms
- Accidental Falls, Activities of Daily Living, Aged, Aged, 80 and over, Alzheimer Disease, Postural Balance, Exercise Therapy, Fear, Female, Follow-Up Studies, Humans, Male, Mental Status Schedule, Pilot Projects, Sensation Disorders, Time Factors, Video Recording, Walking, Independent Living
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