Cited by 107Balance, Gait, and Falls PreventionDementia and Cognitive Impairment ResearchPhysical Activity and Health

Home-Based Exercise Program Improves Balance and Fear of Falling in Community-Dwelling Older Adults with Mild Alzheimer’s Disease: A Pilot Study

Padala, Kalpana P., Padala, Prasad R., Lensing, Shelly Y., Dennis, Richard A., Bopp, Melinda M., Roberson, Paula K., Sullivan, Dennis H.·2017·Journal of Alzheimer s Disease

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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Crossref · 10.3233/jad-170120

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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].”

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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.
Venue
Journal of Alzheimer s Disease
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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