EFFICACY OF OTAGO EXERCISE VERSUS BOSU BALL EXERCISE IN BALANCE-IMPAIRED ELDERLY PEOPLE
Objective: The objective of this study was to compare the effect of OTAGO exercise and BOSU ball exercise on balance training among geriatric population. Geriatric indicates the elderly people with age group more than 60. Balance is the state of equilibrium; three sensors drive a sense of balance (vision, proprioception, and vestibular). As the age increases, there will be some degenerative changes, the loss of any one of these systems affects balance which may result in falls and increased morbidity. The study focuses on the effectiveness of OTAGO exercise and BOSU ball exercise in elderly people.
Methodology: Thirty subjects were selected and divided into two groups based on selection criteria with age group between 60-70, both male and female, people who scored 35–45 in Berg balance scale (BBS) grading test and four in fall risk assessment questionnaire was included and people with recent fracture and surgery, stroke, parkinson’s disease, psychiatric illness, severe pain, and muscle weakness were excluded from the study. Pre-test was done using BBS as an outcome measure, proceeding with treatment protocol; Group A: received BOSU ball exercise (unilateral heel raise, one leg stand, knee bend, split stance with torso rotation, and marching) for 30 min – each set of exercise was given for 5–8 repetition with rest period of 2 min. Group B received OTAGO exercise (Backward walking, sideways walking, toe walking, sit to stand, and one leg stand) for 30 min – each set of exercise was given for 5–8 repetition with rest period of 2 min. After the cessation of the treatment protocol, post-test was done using the same outcome measure.
Results: Result of the study proves that each group shows p value (p≤0.001); however, Group A (BOSU ball exercise) shows more significant improvement than Group B (OTAGO exercise).
Conclusion: Conclusion of the study shows that both BOSU ball exercise and OTAGO exercise were effective in improving balance among elderly people. However, BOSU ball exercise was better than OTAGO exercise in improving balance among elderly people.
2. Briggs RC, Gossman MR, Robert B, Shaddeau SA, Drews JE. Balance performance among non-institutionalized elderly women. Phys Ther 1989;69:748-56.
3. Yaggie JA, Campbell BM. Effect of balance training on selected skills. J Strength Cond Res 2006;20:422-8.
4. Chang NT, Chi LY, Yang NP. The impact of falls and fear of falling on health-related quality of life in Taiwanese elderly. J Community Health Nurs 2010;27:84-95.
5. Thomas S, Mackintosh S, Halbert J. Does the Otago exercise programme reduce mortality and falls in older adult: A systematic review. Age Aging 2010;39:681-7.
6. Martinez-Lopez EJ, Jimenez-Lara PM, Hita-Contreras F. The association of flexibility, balance and lumbar strength with balance ability: Risk of falls in older adults. J Sports Sci Med 2014;13:349-57.
7. Nnodim JO, Yung RL. Balance and its clinical assessment in older adults. J Geriatr Med Gerontol 2015;1:003.
8. Gardner MM, Robertson MC, Campbell AJ. Exercise in preventing falls and fall related injuries in older people: A review of randomised controlled trials. Br J Sports Med 2000;34:7-17.
9. Patel NN, Pachpute S. The effect of Otago exercise programme for fall prevention in elderly people. Int J Physiother 2015;2:633-9.
10. Kevin LG, Koschnitzky MM. Ankle muscle activation when using the both sides utilized (BOSU) balance trainer. J Strength Cond Res 2010;24:218-22.
11. Strom M, Thorborg K, Bandholm T, Tang L, Bencke J. Ankle joint control during single-legged balance using common balance training devices-implications for rehabilitation strategies, balancing on bosu ball resulted in increased ankle kinematic and muscle activity. Int J Sports Phys Ther 2016;11:388-99.
12. Atle HS, Andersen V, June J, Kvellestad AC, Fimland MS. Effects of BOSU ball during sit-ups with body weight and added resistance on core muscle activation. J Strength Cond Res 2014;28:3515-22.
13. Winter C, Reynolds KL, Margaret TJ, Vincent P. Effects of physioball and conventional floor exercises in back and abdominal core stability and balance in women. J Strength Cond Res 2003;17:721-5.
14. Downs S, Chiarelli P, Marquez J. The berg balance scale has high intra and inter-rater reliability but absolute reliability varies across the scale: A systematic review. J Physiother 2013;59:93-9.
15. Fitzpatrick R, McCloskey DI. Proprioceptive, visual and vestibular thresholds for the perception of sway during standing in humans. J Physiother 1994;478:173-86.
16. Whitney SL, Poole JL, Cass SP. A review of balance instruments for older adults. Am J Occup Ther 1998;52:666-71.
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