1Assistant Professor of Gerontology, Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad
2MS in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3PhD candidate in Nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
4Assistant Professor of Physical Medicine and Rehabilitation. School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Background: The elderly have less physical activity due to laziness, having no partners, lack of interest and motivation in life. Exhilarating physical activities can increase number of meetings between elderly, their amusement, and increase tendency to do exercise, which eventually results in the improvement in their balance and fear of falling. Aim: To compare the effect of exhilarating and normal physical activity on the balance and fear of falling in the elderly residing in nursing homes. Methods: In this two-group clinical trial, 63 elderly residents in nursing homes of Mashhad were studied. The intervention group did exhilarating physical activities for 20 minutes 3 times a week for 2 months while the control group did routine exercises of the nursing home. The research tools were Berg and fear of falling tests. Data were analyzed by independent-t and Mann-Whitney tests using SPSS 11.5 Software. Results: The mean age of the elderly was 72.5 ± 7.0 years. The mean balance scores for post-intervention were 38.3 ± 12.0 in the intervention and 29.4 ± 6.1 in control groups (P<0.001). Analysis of covariance showed that the elimination of the variable of fear of falling in elderly before the intervention, the average correction for fear of falling was significantly different between the two groups: control (51.7 ± 31.2) and intervention (41.5 ± 22.4) (P<0.001). Conclusion: Fun physical activities are deterrent of balance and fall disorders. Therefore, with informing the authorities of nursing homes of the exhilarating physical activities protocol and performing it, the onset of several motor deficits and balance can be prevented.
1. Mehranfar M, Fooladian A, Asgharpour A. Affect the Quality of Life for Residents, Landowners and Their Willingness to Contribute to Tissue Renewal and Modernization of Old Frames in Mashhad. J Social Sciences. 2011; 9:157-82(Persian)
2. Maghsoodnia S. Primary Elder health Care in Iran. Tehran: University of Social Welfare and Rehabilitation Sciences Publication; 2006. (Persian)
3. Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States' Version of the World Health Organization Quality of Life Instrument. J Clin Epidemiol. 2000;53(1):1-12.
4. Chiang KJ, Chu H, Chang HJ, Chung MH, Chen CH, Chiou HY, et al. The Effects of Reminiscence Therapy on Psychological Well-Being, Depression, and Loneliness Among the Institutionalized Aged. Int J Geriatr Psychiatry. 2010;25(4):380-8.
5. Lee TW, Ko IS, Lee KJ. Health Promotion Behaviors and Quality of Life Among Community-Dwelling Elderly in Korea. Int J Nurs Stud. 2006;43(3):293-300.
6. Maghfouri B, Hassani Mehraban A, Taghizade G, Aminian G, Jafari H. Validity and Reliability of Persian Version of Home Falls and Accident Screening Tool in Iraniaian Elderly. Rehabilitation. 2012;5(4):9-14.(Persian)
7. Abolhassani F, Moayyeri A, Naghavi M, Soltani A, Larijani B, Shalmani HT. Incidence and Characteristics of Falls Leading to Hip Fracture in Iranian Population. Bone. 2006 ;39(2):408-13.(Persian)
8. Wilber ST, Blanda M, Gerson LW, Allen KR. Short Term Functional Decline and Service Use in Older Emergency Department Patients With Blunt Injuries. Acad Emerg Med.. 2010;17(7):679-86.
9. Ghodsi SM, Roudsari BS, Abdollahi M, Shadman M. Fall-Related Iinjuries in the Elderly in Tehran. Injury. 2003;34(11):809-14. (Persian)
10. Amrani A, Foroghan M,Seiadat S, Ladi A. Characteristics of Falls in Nursing Home Residents. Elderly. 2006 (2):101-5.(Persian)