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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 23, No. 6, 2016, pp. 83-93
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Bioline Code: mj16082
Full paper language: English
Document type: Research Article
Document available free of charge
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Malaysian Journal of Medical Sciences, Vol. 23, No. 6, 2016, pp. 83-93
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Supervised Versus Home Exercise Training Programs on Functional Balance in Older Subjects
Enas Fawzy, Youssef & Alsayed, elhameed Shanb
Abstract
Background: Aging is associated with a progressive decline in physical capabilities and
a disturbance of both postural control and daily living activities. The aim of this study was to
evaluate the effects of supervised versus home exercise programs on muscle strength, balance and
functional activities in older participants.
Methods: Forty older participants were equally assigned to a supervised exercise program
(group-I) or a home exercise program (group-II). Each participant performed the exercise
program for 35–45 minutes, two times per week for four months. Balance indices and isometric
muscle strength were measured with the Biodex Balance System and Hand-Held Dynamometer.
Functional activities were evaluated by the Berg Balance Scale (BBS) and the timed get-up-and-go
test (TUG).
Results: The mean values of the Biodex balance indices and the BBS improved
significantly after both the supervised and home exercise programs (P < 0.05). However, the mean
values of the TUG and muscle strength at the ankle, knee and hip improved significantly only after
the supervised program. A comparison between the supervised and home exercise programs
revealed there were only significant differences in the BBS, TUG and muscle strength.
Conclusions: Both the supervised and home exercise training programs significantly
increased balance performance. The supervised program was superior to the home program in
restoring functional activities and isometric muscle strength in older participants.
Keywords
exercise training; muscle weakness; elderly
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