Comparing the impact of active floor-rise training with video demonstration on fear of falling and independent floor-rise ability in older adults living in the community: a pilot cluster randomised controlled trial.
Background Many older adults cannot rise from the floor independently after a fall, increasing risks of long-lies and reliance on emergency services. Objective Investigate whether floor-rise training (FRT) reduces fear of falling (FoF) and improves floor-rise ability in older adults. Design Multi-ce...
| Publicado en: | Age & Ageing Vol. 55; no. 3; pp. 1 - 11 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Mar2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192797132&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192797132 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2026 vid: 55 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192797132 10.1093/ageing/afag064 ppf: 1 ppct: 10 formats: tig: atl: Comparing the impact of active floor-rise training with video demonstration on fear of falling and independent floor-rise ability in older adults living in the community: a pilot cluster randomised controlled trial. aug: au: Seeley, Shane C Skelton, Dawn A Tan, Chee-Wee Stansfield, Ben Dall, Philippa M affil: School of Health & Life Sciences, Research Centre for Health (ReaCH), Glasgow Caledonian University, Glasgow, UK Singapore Institute of Technology, Singapore, Singapore su: Phobias Therapeutics Focus groups Interviewing Randomized controlled trials Analysis of variance Safety Independent living T-test (Statistics) Statistical sampling Probability theory Treatment effectiveness Functional status Descriptive statistics Mann Whitney U Test Analysis of covariance Research Research methodology Body movement Confidence intervals Data analysis software Postural balance Video recording Accidental falls Evaluation sug: subj: Phobias Therapeutics Focus groups Interviewing Randomized controlled trials Analysis of variance Marketing Research and Public Opinion Polling Safety Independent living T-test (Statistics) Statistical sampling Probability theory Treatment effectiveness Functional status Descriptive statistics Mann Whitney U Test Analysis of covariance Research Research methodology Body movement Confidence intervals Data analysis software Postural balance Video recording Accidental falls Evaluation keyword: avoidance behavior community copyrightHolder:British Geriatrics Society copyrightYear:2026 exercise exercise therapy fall prevention fear of falling floor-rise training https://dx.doi.org/10.1093/ageing/afag064 inLanguage:en older adult older adults primary outcome measure publisher:Oxford University Press randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/41894198/ sitting position supine position avoidance behavior community copyrightHolder:British Geriatrics Society copyrightYear:2026 exercise exercise therapy fall prevention fear of falling floor-rise training https://dx.doi.org/10.1093/ageing/afag064 inLanguage:en older adult older adults primary outcome measure publisher:Oxford University Press randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/41894198/ sitting position supine position ab: Background Many older adults cannot rise from the floor independently after a fall, increasing risks of long-lies and reliance on emergency services. Objective Investigate whether floor-rise training (FRT) reduces fear of falling (FoF) and improves floor-rise ability in older adults. Design Multi-centre, cluster-randomised controlled before-after pilot trial. Setting Five community-based Otago exercise classes run by a third-sector organisation. Participants Sixty-one community-dwelling older adults (aged ≥65 years) attending weekly Otago classes were randomised (FRT n = 27, control n = 34). Forty-nine completed to follow-up and were analysed (FRT n = 22, control n = 27). No adverse events occurred. Methods Classes were cluster-randomised (3:2 allocation). Intervention: 5 weekly 20-minute FRT sessions utilising backward-chaining. Controls viewed a FRT demonstration video followed by discussion (20-minutes total), without physical practise. Primary outcome: Falls Efficacy Scale-International (FES-I). Secondary outcomes: timed floor-rise and independent floor-rise ability (from supine, side-sitting, half-kneeling), Perceived Ability to Manage Risk of a Falls or Actual Falls (PAMF), FoF and activity avoidance, measured via visual analogue scales (1-item-question). Results Primary outcome (FES-I), FoF and activity avoidance showed no significant differences. However, FRT participants significantly reduced floor-rise times compared to controls: supine (13.1 s to 7.1 s, P = .001), side-sitting (8.0 s to 4.6 s, P = .046), and half-kneeling (3.9 s to 1.5 s, P < .001). Post-intervention, 100% of FRT participants could rise from supine versus 63% of controls (P = .007). PAMF scores increased significantly in the FRT group (13.6 to 16.3, P = .033). Conclusion Although FoF did not change, a brief FRT intervention significantly improved floor-rise ability and PAMF. Integrating FRT into fall prevention programmes may reduce long-lie consequences. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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