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High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

Author

Listed:
  • Marina Arkkukangas

    (Department of Medicine, Sport and Fitness Science, School of Education, Health and Social Studies, Dalarna University, 791 88 Falun, Sweden
    Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, 721 23 Vasteras, Sweden
    Research and Development in Sörmland, Region Sörmland, 632 17 Eskilstuna, Sweden)

  • Karin Strömqvist Bååthe

    (Department of Medicine, Sport and Fitness Science, School of Education, Health and Social Studies, Dalarna University, 791 88 Falun, Sweden)

  • Anna Ekholm

    (Research and Development in Sörmland, Region Sörmland, 632 17 Eskilstuna, Sweden)

  • Michail Tonkonogi

    (Department of Medicine, Sport and Fitness Science, School of Education, Health and Social Studies, Dalarna University, 791 88 Falun, Sweden)

Abstract

There is limited research on optimal exercise programs that effectively decrease falls and fall-related injuries in older populations. This randomized controlled trial (RCT) aimed to explore the effects of a 12-week Judo4Balance program on falling techniques, physical and psychological functions, health status, and physical activity levels among 200 community-dwelling older adults (79% women and 21% men) with a mean age of 72 years. The 200 participants were randomly allocated for the Judo4Balce program ( n = 100) or control group ( n = 100). The RCT intervention started in mid-January 2020 and was abruptly interrupted because of the COVID-19 pandemic. A restart of the RCT was initiated in September 2021, and the 12-week intervention was offered to two groups. This study reports the results from three points of assessment: baseline, 20-month follow-up, and 12-week postintervention. At 20 months follow-up, the control group had significantly decreased physical activity levels (summer p = 0.002 and winter p = 0.003); similar changes were not seen in the exercise group. In the exercise group, learning falling techniques in 6–9 weeks led to sustained fall competence at 20 months follow-up. Further, significant improvements in physical function (exercise group p = 0.009 and control group p < 0.001) and learning falling techniques ( p < 0.001 for both groups) were noted in both groups after the 12-week intervention. This effective, supervised, group-based, high-challenge multicomponent exercise program needs to be further evaluated for possible impact on falls and fall-related injuries.

Suggested Citation

  • Marina Arkkukangas & Karin Strömqvist Bååthe & Anna Ekholm & Michail Tonkonogi, 2022. "High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial," IJERPH, MDPI, vol. 19(12), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7370-:d:839937
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    References listed on IDEAS

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    1. María Antonia Parra-Rizo & Gema Sanchis-Soler, 2020. "Satisfaction with Life, Subjective Well-Being and Functional Skills in Active Older Adults Based on Their Level of Physical Activity Practice," IJERPH, MDPI, vol. 17(4), pages 1-10, February.
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    1. Marina Arkkukangas & Karin Strömqvist Bååthe & Anna Ekholm & Michail Tonkonogi, 2022. "Short Multicomponent Group Exercise Intervention Promotes Long-Term Physical Activity Habits among Community-Dwelling Older Adults during COVID-19 Restrictions: A Cohort Study," IJERPH, MDPI, vol. 19(22), pages 1-10, November.

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