Physical Therapy and Rehabilitation

Physical Therapy and Rehabilitation

ISSN 2055-2386
Original Research

The effect of physiotherapeutic intervention on the static balance of elderly for secondary prevention of falls

Iakovidis T. Paris1*, Markopoulos Nikolaos2, Kottaras Stavros3, Mavromoustakos Savvas4, Apostolou Thomas5, Kallistratos Ilias6 and Takidis Ioannis7

*Correspondence: Iakovidis T. Paris paris_physio@yahoo.com

1. Paris Iakovidis Lecturer A.T.E.I. Thessaloniki, Greece.

Author Affiliations

2. Apostolou Thomas MD ,Orthopedic Surgeon, Assosiate Professor ATEI of Thessaloniki, Greece.

3. Markopoulos Nikolaos, Orthopedic surgeon G.H.Kilkis, Greece.

4. Mavromoustakos Savvas, Assistant professor A.T.E.I. Thessaloniki, Greece.

5. Kottaras Stavros, Assistant professor A.T.E.I. Thessaloniki, Greece.

6. Kallistratos Ilias, Professor A.T.E.I. Thessaloniki, Greece.

7. Takidis Ioannis, Physical Therapist, Greece.

Abstract

Background: The exponential rise in the population’s median age has led to a higher risk of falls among the elderly worldwide. The most frequent complication resulting from falls among older population is bone fracture, especially in the hip, and it increases the likelihood of death in elderly persons. Prevention through improvement of static balance is a necessity for the elderly population. This study examines the effect of a specially designed movement therapy protocol for improving static balance of elderly who have undergone gamma nail surgery to treat a pertrochanteric hip fracture caused by a fall.

Methods: The sample consisted of 60 elderly aged 65-74 years, who were randomly divided into two groups: the experimental group (n=35), which followed an exercise therapy programme covering a total duration of 12 weeks, and the control group (n=25), which did not follow any programme. Static balance was assessed with the use of a foot analysis platform before and after the intervention so as to determine its effectiveness. A follow-up assessment was performed in six and twelve months after the therapeutic intervention for the purpose of assessing the carry over effect of the results.

Results: The results showed that the experimental group presented a statistically substantial decrease in the fluctuation of the centre of pressure at the end of the therapy programme (p<.001), as well as 6 months later, on the x axis (p<.001) and on the y axis (p<.01), and 12 months later (p<.001), compared to the control group.

Conclusions: The specially designed movement therapy protocol covering a duration of 12 weeks improved the static balance of elderly who have undergone gamma nail surgery to treat a pertrochanteric hip fracture.

Keywords: Aged, Accidental Falls, Exercise Therapy, Postural Balance

ISSN 2055-2386
Volume 4
Abstract Download