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• W4313364812 abstract "Abstract Background Side-stepping is a potential exercise program to reduce fall risk in community-dwelling adults in their seventies, but it has never been tested in nursing home residents. This was a pilot quasi-experimental study to examine the feasibility and potential mobility and balance benefits of an intervention based on voluntary non-targeted side-stepping exercises in nursing home residents who fall recurrently. Methods Twenty-two participants were recruited and non-randomly assigned to an intervention group ( $$n=$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>n</mml:mi> <mml:mo>=</mml:mo> </mml:mrow> </mml:math> 11, side-stepping exercises, STEP) participating in an 8-week protocol and to a control group ( $$n =$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>n</mml:mi> <mml:mo>=</mml:mo> </mml:mrow> </mml:math> 11, usual physiotherapy care, CTRL). They were clinically assessed at 4-time points: baseline, after 4 and 8 weeks, and after a 4-week follow-up period (usual physiotherapy care). Statistical differences between time points were assessed with a Friedman repeated measures ANOVA on ranks or a one-way repeated measures ANOVA. Results Compared to baseline, significant benefits were observed in the STEP group at 8 weeks for the Timed Up and Go ( $$p =$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>p</mml:mi> <mml:mo>=</mml:mo> </mml:mrow> </mml:math> 0.020) and 6-minute walking test ( $$p =$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>p</mml:mi> <mml:mo>=</mml:mo> </mml:mrow> </mml:math> 0.001) as well as for the Berg Balance Scale ( $$p =$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>p</mml:mi> <mml:mo>=</mml:mo> </mml:mrow> </mml:math> 0.041) and Mini motor test ( $$p =$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>p</mml:mi> <mml:mo>=</mml:mo> </mml:mrow> </mml:math> 0.026). At follow-up, the Tinetti Performance Oriented Mobility Assessment and Berg Balance Scale significantly worsened in the STEP group ( $$p =$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>p</mml:mi> <mml:mo>=</mml:mo> </mml:mrow> </mml:math> 0.009 and $$p<$$ <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML> <mml:mrow> <mml:mi>p</mml:mi> <mml:mo><</mml:mo> </mml:mrow> </mml:math> 0.001, respectively). No significant differences were found between the groups at the same time points. Conclusions Our intervention was feasible and improved mobility and balance after almost 8 weeks. Studies with larger samples and randomized control trials are needed to consolidate our preliminary observations and confirm the deterioration of some tests when side-stepping exercises are discontinued. Trial registration Identifier: ISRCTN13584053. Retrospectively registered 01/09/2022." @default.
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• W4313364812 date "2022-12-30" @default.
• W4313364812 modified "2023-09-26" @default.
• W4313364812 title "Quasi-experimental pilot study to improve mobility and balance in recurrently falling nursing home residents by voluntary non-targeted side-stepping exercise intervention" @default.
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• W4313364812 doi "https://doi.org/10.1186/s12877-022-03696-y" @default.
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