Abstract
Background: Falls are associated with morbidity, loss of independence, and mortality. While land-based group exercise and Tai Chi programs reduce the risk of falls, aquatic therapy may allow patients to complete balance exercises with less pain and fear of falling; however, limited data exist. Objective: The objective of the study was to pilot the implementation of an aquatic group based on Ai Chi principles (Aquabalance) and to evaluate the safety, intervention acceptability, and intervention effect sizes. Design: Pilot observational cohort study. Methods: Forty-two outpatients underwent a single 45-minute weekly group aquatic Ai Chi-based session for eight weeks (Aquabalance). Safety was monitored using organizational reporting systems. Patient attendance, satisfaction, and self-reported falls were also recorded. Balance measures included the Timed Up and Go (TUG) test, the Four Square Step Test (FSST), and the unilateral Step Tests. Results: Forty-two patients completed the program. It was feasible to deliver Aquabalance, as evidenced by the median (IQR) attendance rate of 8.0 (7.8, 8.0) out of 8. No adverse events occurred and participants reported high satisfaction levels. Improvements were noted on the TUG, 10-meter walk test, the Functional Reach Test, the FSST, and the unilateral step tests (p < 0.05). The proportion of patients defined as high falls risk reduced from 38% to 21%. The study was limited by its small sample size, single-center nature, and the absence of a control group. Conclusions: Aquabalance was safe, well-attended, and acceptable to participants. A randomized controlled assessor-blinded trial is required.
| Original language | English |
|---|---|
| Pages (from-to) | 581-590 |
| Number of pages | 10 |
| Journal | Physiotherapy Theory and Practice |
| Volume | 32 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 16 Nov 2016 |
Keywords
- Ai Chi
- aquatic therapy
- balance training
- falls
- rehabilitation
Cite this
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An Ai Chi-based aquatic group improves balance and reduces falls in community-dwelling adults : A pilot observational cohort study. / Skinner, Elizabeth H.; Dinh, Tammy; Hewitt, Melissa; Piper, Ross; Thwaites, Claire.
In: Physiotherapy Theory and Practice, Vol. 32, No. 8, 16.11.2016, p. 581-590.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - An Ai Chi-based aquatic group improves balance and reduces falls in community-dwelling adults
T2 - A pilot observational cohort study
AU - Skinner, Elizabeth H.
AU - Dinh, Tammy
AU - Hewitt, Melissa
AU - Piper, Ross
AU - Thwaites, Claire
PY - 2016/11/16
Y1 - 2016/11/16
N2 - Background: Falls are associated with morbidity, loss of independence, and mortality. While land-based group exercise and Tai Chi programs reduce the risk of falls, aquatic therapy may allow patients to complete balance exercises with less pain and fear of falling; however, limited data exist. Objective: The objective of the study was to pilot the implementation of an aquatic group based on Ai Chi principles (Aquabalance) and to evaluate the safety, intervention acceptability, and intervention effect sizes. Design: Pilot observational cohort study. Methods: Forty-two outpatients underwent a single 45-minute weekly group aquatic Ai Chi-based session for eight weeks (Aquabalance). Safety was monitored using organizational reporting systems. Patient attendance, satisfaction, and self-reported falls were also recorded. Balance measures included the Timed Up and Go (TUG) test, the Four Square Step Test (FSST), and the unilateral Step Tests. Results: Forty-two patients completed the program. It was feasible to deliver Aquabalance, as evidenced by the median (IQR) attendance rate of 8.0 (7.8, 8.0) out of 8. No adverse events occurred and participants reported high satisfaction levels. Improvements were noted on the TUG, 10-meter walk test, the Functional Reach Test, the FSST, and the unilateral step tests (p < 0.05). The proportion of patients defined as high falls risk reduced from 38% to 21%. The study was limited by its small sample size, single-center nature, and the absence of a control group. Conclusions: Aquabalance was safe, well-attended, and acceptable to participants. A randomized controlled assessor-blinded trial is required.
AB - Background: Falls are associated with morbidity, loss of independence, and mortality. While land-based group exercise and Tai Chi programs reduce the risk of falls, aquatic therapy may allow patients to complete balance exercises with less pain and fear of falling; however, limited data exist. Objective: The objective of the study was to pilot the implementation of an aquatic group based on Ai Chi principles (Aquabalance) and to evaluate the safety, intervention acceptability, and intervention effect sizes. Design: Pilot observational cohort study. Methods: Forty-two outpatients underwent a single 45-minute weekly group aquatic Ai Chi-based session for eight weeks (Aquabalance). Safety was monitored using organizational reporting systems. Patient attendance, satisfaction, and self-reported falls were also recorded. Balance measures included the Timed Up and Go (TUG) test, the Four Square Step Test (FSST), and the unilateral Step Tests. Results: Forty-two patients completed the program. It was feasible to deliver Aquabalance, as evidenced by the median (IQR) attendance rate of 8.0 (7.8, 8.0) out of 8. No adverse events occurred and participants reported high satisfaction levels. Improvements were noted on the TUG, 10-meter walk test, the Functional Reach Test, the FSST, and the unilateral step tests (p < 0.05). The proportion of patients defined as high falls risk reduced from 38% to 21%. The study was limited by its small sample size, single-center nature, and the absence of a control group. Conclusions: Aquabalance was safe, well-attended, and acceptable to participants. A randomized controlled assessor-blinded trial is required.
KW - Ai Chi
KW - aquatic therapy
KW - balance training
KW - falls
KW - rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=84990205823&partnerID=8YFLogxK
U2 - 10.1080/09593985.2016.1227411
DO - 10.1080/09593985.2016.1227411
M3 - Article
VL - 32
SP - 581
EP - 590
JO - Physiotherapy Theory and Practice
JF - Physiotherapy Theory and Practice
SN - 0959-3985
IS - 8
ER -