IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i19p7023-d419764.html
   My bibliography  Save this article

Canan Outdoor Multisurface Terrain Enhance the Effects of Fall Prevention Exercise in Older Adults? A Randomized Controlled Trial

Author

Listed:
  • Tong-Yue Zhou

    (School of Architecture, State Key Laboratory of Subtropical Building Science, South China University of Technology, Guangzhou 501640, China)

  • Xiao-Mei Yuan

    (School of Architecture, State Key Laboratory of Subtropical Building Science, South China University of Technology, Guangzhou 501640, China)

  • Xiao-Jun Ma

    (School of Physical Education, South China University of Technology, Guangzhou 501640, China)

Abstract

Walking on complex surface conditions in outdoor environments is important for active aging. This study aimed at examining whether fall prevention exercise integrated with an outdoor multisurface terrain compared with indoor solid ground was more beneficial for older adults. Twenty-two older nursing home residents were randomly assigned to outdoor multisurface terrain ( n = 11, 79.5 ± 2.1 years) or indoor solid ground ( n = 11, 78.8 ± 5.2 years) groups. Training occurred five times per week (30 min) for 3 weeks. The following performance test outcomes were measured: 10 m walk test (10 mWT), multisurface terrain walk test (MTWT), 2 min walk test (2 MWT), timed up and go test (TUGT), single-leg standing test with eyes open (SLSTEO), single-leg standing test with eyes closed (SLSTEC), and closed cycles test (CCT). Compared with baseline, the outdoor multisurface terrain training significantly improved performance in all tests ( p < 0.01). The improvements of the outdoor multisurface terrain group after intervention were significantly higher than those of the indoor solid group in the 10 mWT ( p = 0.049), MTWT ( p = 0.02), and 2 MWT ( p = 0.000). Exercise combined with outdoor multisurface terrain training may be an efficacious approach and a feasible environmental intervention for fall prevention in older adults.

Suggested Citation

  • Tong-Yue Zhou & Xiao-Mei Yuan & Xiao-Jun Ma, 2020. "Canan Outdoor Multisurface Terrain Enhance the Effects of Fall Prevention Exercise in Older Adults? A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(19), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7023-:d:419764
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/19/7023/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/19/7023/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Li, W. & Keegan, T.H.M. & Sternfeld, B. & Sidney, S. & Quesenberry Jr., C.P. & Kelsey, J.L., 2006. "Outdoor falls among middle-aged and older adults: A neglected public health problem," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1192-1200.
    2. Emily Joy Nicklett & Matthew C. Lohman & Matthew Lee Smith, 2017. "Neighborhood Environment and Falls among Community-Dwelling Older Adults," IJERPH, MDPI, vol. 14(2), pages 1-15, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Matt Noseworthy & Luke Peddie & E. Jean Buckler & Faith Park & Margaret Pham & Spencer Pratt & Arpreet Singh & Eli Puterman & Teresa Liu-Ambrose, 2023. "The Effects of Outdoor versus Indoor Exercise on Psychological Health, Physical Health, and Physical Activity Behaviour: A Systematic Review of Longitudinal Trials," IJERPH, MDPI, vol. 20(3), pages 1-18, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sungmin Lee & Chanam Lee & Marcia G. Ory, 2019. "Association between Recent Falls and Changes in Outdoor Environments near Community-Dwelling Older Adults’ Homes over Time: Findings from the NHATS Study," IJERPH, MDPI, vol. 16(18), pages 1-12, September.
    2. Giulia Ogliari & Jesper Ryg & Karen Andersen-Ranberg & Lasse Lybecker Scheel-Hincke & Tahir Masud, 2022. "Perceived neighbourhood environment and falls among community-dwelling adults: cross-sectional and prospective findings from the Survey of Health, Ageing and Retirement in Europe (SHARE)," European Journal of Ageing, Springer, vol. 19(4), pages 1121-1134, December.
    3. Kun Wang & Meijun Chen & Xiaoyue Zhang & Lanchao Zhang & Chun Chang & Yu Tian & Xiaofeng Wang & Zhijing Li & Ying Ji, 2022. "The Incidence of Falls and Related Factors among Chinese Elderly Community Residents in Six Provinces," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    4. Ana Moradell & Irene Rodríguez-Gómez & Ángel Iván Fernández-García & David Navarrete-Villanueva & Jorge Marín-Puyalto & Jorge Pérez-Gómez & José Gerardo Villa-Vicente & Marcela González-Gross & Ignaci, 2021. "Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study," IJERPH, MDPI, vol. 18(7), pages 1-15, April.
    5. Clarke, Philippa J. & Ailshire, Jennifer A. & Nieuwenhuijsen, Els R. & de Kleijn - de Vrankrijker, Marijke W., 2011. "Participation among adults with disability: The role of the urban environment," Social Science & Medicine, Elsevier, vol. 72(10), pages 1674-1684, May.
    6. Seonhye Lee & Eunmi Oh & Gwi-Ryung Son Hong, 2018. "Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History," IJERPH, MDPI, vol. 15(5), pages 1-12, May.
    7. Toby C. T. Mak & Catherine M. Capio & Thomson W. L. Wong, 2022. "Effects of Single-Task, Dual-Task and Analogy Training during Gait Rehabilitation of Older Adults at Risk of Falling: A Randomized Controlled Trial," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    8. Margherita Silan & Pietro Belloni & Giovanna Boccuzzo, 2023. "Identification of neighborhood clusters on data balanced by a poset-based approach," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 32(4), pages 1295-1316, October.
    9. Abdulrahman Al Bochi & Ghazaleh Delfi & Tilak Dutta, 2021. "A Scoping Review on Minimum Foot Clearance: An Exploration of Level-Ground Clearance in Individuals with Abnormal Gait," IJERPH, MDPI, vol. 18(19), pages 1-23, September.
    10. Lava R Timsina & Joanna L Willetts & Melanye J Brennan & Helen Marucci-Wellman & David A Lombardi & Theodore K Courtney & Santosh K Verma, 2017. "Circumstances of fall-related injuries by age and gender among community-dwelling adults in the United States," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-21, May.
    11. Marcia G. Ory & Matthew Lee Smith, 2017. "What If Healthy Aging Is the ‘New Normal’?," IJERPH, MDPI, vol. 14(11), pages 1-5, November.
    12. Ghazaleh Delfi & Abdulrahman Al Bochi & Tilak Dutta, 2021. "A Scoping Review on Minimum Foot Clearance Measurement: Sensing Modalities," IJERPH, MDPI, vol. 18(20), pages 1-12, October.
    13. Barbara Resnick & Elizabeth Galik & Ann L. Gruber-Baldini & Sheryl Zimmerman, 2012. "Falls and Fall-Related Injuries Associated With Function-Focused Care," Clinical Nursing Research, , vol. 21(1), pages 43-63, February.
    14. Fan Zhang & Dezhi Li, 2019. "Multiple Linear Regression-Structural Equation Modeling Based Development of the Integrated Model of Perceived Neighborhood Environment and Quality of Life of Community-Dwelling Older Adults: A Cross-," IJERPH, MDPI, vol. 16(24), pages 1-15, December.
    15. Emily Joy Nicklett & Matthew C. Lohman & Matthew Lee Smith, 2017. "Neighborhood Environment and Falls among Community-Dwelling Older Adults," IJERPH, MDPI, vol. 14(2), pages 1-15, February.
    16. Angela Curl & Helen Fitt & Melanie Tomintz, 2020. "Experiences of the Built Environment, Falls and Fear of Falling Outdoors among Older Adults: An Exploratory Study and Future Directions," IJERPH, MDPI, vol. 17(4), pages 1-15, February.
    17. Meredith Perry & Lucy Cotes & Benjamin Horton & Rebecca Kunac & Isaac Snell & Blake Taylor & Abbey Wright & Hemakumar Devan, 2021. "“Enticing” but Not Necessarily a “Space Designed for Me”: Experiences of Urban Park Use by Older Adults with Disability," IJERPH, MDPI, vol. 18(2), pages 1-19, January.
    18. Sungmin Lee & Chanam Lee & Susan Rodiek, 2017. "Neighborhood Factors and Fall-Related Injuries among Older Adults Seen by Emergency Medical Service Providers," IJERPH, MDPI, vol. 14(2), pages 1-13, February.
    19. Watkins, A. & Curl, A. & Mavoa, S. & Tomintz, M. & Todd, V. & Dicker, B., 2021. "A socio-spatial analysis of pedestrian falls in Aotearoa New Zealand," Social Science & Medicine, Elsevier, vol. 288(C).
    20. Yi-Ju Tsai & Yi-Ching Yang & Feng-Hwa Lu & Pei-Yun Lee & I-Ting Lee & Sang-I Lin, 2016. "Functional Balance and Its Determinants in Older People with Diabetes," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-11, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7023-:d:419764. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.