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72 APPENDICES Physiotherapy KCE reports vol. 40 A review of existing evidence a current recommendations for the general population (51) Vibrating insoles and balance control in elderly people (52) Have we oversold the benefit of latelife exercise (53) Effect of a physical therapeutic intervention for balance problems in the elderly : a single-blind, randomized, controlled multi-center trial (54) Medio-lateral motion of the center of mass during obstacle crossing distinguishes elderly individuals with imbalance (55) Effects of balance training in elderly people with non-peripheral vertigo and unsteadiness (56) Training of balance under single-and dual-task conditions in older adults with balance impairment (57) for elderly people. Walking seems to be the safest, cheapest, easiest, and most widely accessible exercise for the average senior. Review With age, the somato-sensory function declines and such changes have been associated with diminished motor performance. Input noise can enhance sensory and motor function. The authors try to demonstrate that exercises on vibrating gel-based insoles (with noise) could ameliorate age-related impairments in balance control Review This review supports a strong argument for exercises as an effective means of reducing disability (strength, aerobic capacity, flexibility, walking and standing balance). RCT The influence of a short individualized exercise programme to improve functional balance in people aged 75 years and older. (Effect at short or long term ) RCT This study investigate whether elderly patients with imbalance can be distinguished from elderly subjects by comparing their whole body center of mass motions in the medio-lateral direction during obstacle crossing. RCT The effect of balance training on improving of objective and perceived balance in elderly people with non-peripheral vertigo and unsteadiness RCT The usual rehabilitation programs emphasize training balance under single-task conditions to improve balance and reduce risk for falls. This study showed that older adults may improve their balance under dual-task conditions. implemented with caution. Negative or no answer possible for 7 of the 8 first questions of the Va form. Critical appraisal not pursued. Negative answers to 7 questions of the first questions of the Va form. Critical appraisal not pursued. Negative answers or no possible answer to questions 4, 5, 6, 7, 8 of the Va form. Hence, results of this review must be implemented with caution. Recommendations seem applicable to Belgian situation Pedro 8/10 Negative or no answer possible for 6 of the 9 first questions of the II form. Critical appraisal not pursued. Negative or no answer possible for 6 of the 9 first question of the II form. Recommendations seem applicable to Belgian situation The major methodologic problem in the present study is its sample size limited to 3 patients. No conclusions should be drawn that would lead to therapeutic recommendations on the basis of such a study.
KCE reports vol. 40 APPENDICES Physiotherapy 73 New intervention program for preventing falls among frail elderly people: the effects of perturbed walking exercise using a bilateral separated treadmill (58) Gait analysis and tailored exercise prescription in older adults (59) Effects of a fall prevention program including exercise on mobility and falls in frail older people living in residential care facilities (60) RCT The authors try to determine the effects of a perturbed walking exercise using a bilateral separated treadmill in physically disabled elderly. RCT The effect of regular walking exercise, and particularly Tai-Chi with its emphasis on sequenced, slow, and highly-controlled movements, to be helpful in maintaining the automated level of motor control. CT The influence of exercises to preserve the ability to walk, maintain gait speed, ambulate independently and improve step height. 4/10 Pedro Article in German Negative or no answer possible for 5 of the 9 first questions of the II form. The results must be implemented with caution. Recommendations seem applicable to Belgian situation
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