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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].

Interventions for addressing low balance confidence in older adults: a systematic review and meta-analysis

Review published: 2011.

Bibliographic details: Rand D, Miller WC, Yiu J, Eng JJ.  Interventions for addressing low balance confidence in older adults: a systematic review and meta-analysis. Age and Ageing 2011; 40(3): 297-306. [PMC free article: PMC3283571] [PubMed: 21508204]

Abstract

BACKGROUND: low balance confidence is a major health problem among older adults restricting their participation in daily life.

OBJECTIVES: to determine what interventions are most effective in increasing balance confidence in older adults.

DESIGN: systematic review with meta-analysis of randomised controlled trials including at least one continuous end point of balance confidence. Studies, including adults 60 years or older without a neurological condition, were included in our study.

METHODS: the standardised mean difference (SMD) of continuous end points of balance confidence was calculated to estimate the pooled effect size with random-effect models. Methodological quality of trials was assessed using the Physical Therapy Evidence Database (PEDro) Scale.

RESULTS: thirty studies were included in this review and a meta-analysis was conducted for 24 studies. Interventions were pooled into exercise (n = 9 trials, 453 subjects), Tai Chi (n = 5 trials, 468 subjects), multifactorial intervention (n = 10 trials, 1,233 subjects). Low significant effects were found for exercise and multifactorial interventions (SMD 0.22-0.31) and medium (SMD 0.48) significant effects were found for Tai Chi.

CONCLUSION: Tai chi interventions are the most beneficial in increasing the balance confidence of older adults.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2014 University of York.

PMID: 21508204

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