@article{9a64a82fb5c34817baee1522612ccab2,
title = "Interventions for addressing low balance confidence in older adults: A systematic review and meta-analysis",
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.",
keywords = "Balance confidence, Elderly, Older adults, Randomised controlled trials, Systematic review",
author = "Debbie Rand and Miller, {William C.} and Jeanne Yiu and Eng, {Janice J.}",
note = "Funding Information: This work was supported by the Heart and Stroke Foundation of British Columbia and Yukon of Canada. Post-doctoral salary support (D.R.) was provided by the Heart and Stroke Foundation of Canada, Canadian Stroke Network, Canadian Institutes of Health Research (CIHR)/ Rx&D Collaborative Research Program with AstraZeneca Canada Inc). Career scientist awards were provided by CIHR ( J.J.E. and W.C.M.) and the Michael Smith Foundation for Health Research ( J.J.E.).",
year = "2011",
month = may,
doi = "10.1093/ageing/afr037",
language = "אנגלית",
volume = "40",
pages = "297--306",
journal = "Age and Ageing",
issn = "0002-0729",
publisher = "Oxford University Press",
number = "3",
}