Multimodal Exercise Benefits Mobility in Older Adults With Visual Impairment: A Preliminary Study.

Evidence-based recommendations for interventions to reduce fall risk in older adults with visual impairment are lacking. Adapted tango dance (Tango) and a balance and mobility program (FallProof) have improved mobility, balance, and quality of life (QOL) in individuals with movement impairment. This study compared the efficacy of Tango and FallProof for 32 individuals with visual impairment (age: M = 79.3, SD =11 [51-95 years]). Participants were assigned to Tango or FallProof to complete twenty, 90-min lessons within 12 weeks. Participants underwent assessment of balance, dual-tasking, endurance, gait, and vision-related QOL. The balance reactions of participants in both groups improved (p < .001). Endurance, cognitive dual-tasking, and vision-related QOL may have improved more for Tango than FallProof. Group differences and gains were maintained across time. Both programs could be effective options for motor rehabilitation for older adults with visual impairment because they may improve mobility and QOL while reducing fall risk.

[1]  M. Rocchi,et al.  Does dance-based training improve balance in adult and young old subjects? A pilot randomized controlled trial , 2005, Aging clinical and experimental research.

[2]  S. Studenski,et al.  Meaningful Change and Responsiveness in Common Physical Performance Measures in Older Adults , 2006, Journal of the American Geriatrics Society.

[3]  E. Stokes,et al.  How much change is true change? The minimum detectable change of the Berg Balance Scale in elderly people. , 2009, Journal of rehabilitation medicine.

[4]  Mark W Rogers,et al.  Lateral Stability and Falls in Older People , 2003, Exercise and sport sciences reviews.

[5]  R. Klein,et al.  The economic burden of major adult visual disorders in the United States. , 2006, Archives of ophthalmology.

[6]  A. Campbell,et al.  Randomised controlled trial of prevention of falls in people aged ≥75 with severe visual impairment: the VIP trial , 2005, BMJ : British Medical Journal.

[7]  Markku Kauppinen,et al.  Poor vision accompanied with other sensory impairments as a predictor of falls in older women. , 2008, Age and ageing.

[8]  G. Guyatt,et al.  The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. , 1985, Canadian Medical Association journal.

[9]  R J Dennis,et al.  A comparison of stereopsis with ANVIS and F4949 night vision goggles. , 1998, Aviation, space, and environmental medicine.

[10]  D. Rose Reducing the Risk of Falls Among Older Adults: The Fallproof Balance and Mobility Program , 2011, Current sports medicine reports.

[11]  S. Studenski,et al.  Gait speed and survival in older adults. , 2011, JAMA.

[12]  Arlene I Greenspan,et al.  Intense Tai Chi Exercise Training and Fall Occurrences in Older, Transitionally Frail Adults: A Randomized, Controlled Trial , 2003, Journal of the American Geriatrics Society.

[13]  Gammon M Earhart,et al.  Effects of dance on movement control in Parkinson's disease: a comparison of Argentine tango and American ballroom. , 2009, Journal of rehabilitation medicine.

[14]  R. Belardinelli,et al.  Waltz Dancing in Patients With Chronic Heart Failure: New Form of Exercise Training , 2008, Circulation. Heart failure.