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Age and Ageing 2003; 32: 67-73
© 2003, British Geriatrics Society

Research paper

Effects of physical training on the physical capacity of frail, demented patients with a history of falling: a randomised controlled trial

Claire Toulotte1,, Claudine Fabre1, Bénédicte Dangremont2, Ghislaine Lensel1 and André Thévenon2

1 Laboratoire d'Études de la Motricité Humaine (L.E.M.H.), Faculté des Sciences du Sport et de l'Education Physique, Université de Lille 2, 9 rue de l'Université, 59790 Ronchin, France
2 Service de Médecine Physique et Réadaptation, C.H. et U., Lille, France

Abstract

Background: to develop a physical training programme to improve balance in dependent, demented, people with a history of falling, and so decrease falls and increase autonomy.

Methods: the study was undertaken on 20 demented elderly people with a history of falling with an average age of 81.4±4.7 years and an average mini mental state score of 16.3±6.5. They had all passed ‘get up and go’, ‘chair sit and reach’, walking speed and static balance tests. They were assigned to a control group or a training group; the latter were trained with two sessions a week for 16 weeks.

Results: walking, mobility, flexibility and static balance were significantly improved in the training group (P<0.05), but not in the controls. The trained subjects did not suffer a relapse, while the controls did during the training period.

Conclusion: the balance of frail, demented, elderly patients with a history of falling can be improved by training.

Keywords: balance, training, falls, dementia, older people


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