umu.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
Group exercise as a fall prevention intervention for people with intellectual disability: A feasibility case study
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
2016 (English)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Introduction: People with intellectual disability (ID) have an increased risk of falling and of falls related injuries. During a 12 month period approximately 30 percent of people with ID experience at least one fall. In the older population fall prevention programmes and exercise interventions have been established and used successfully, but for people with ID evidence is currently lacking.

Purpose: The aim of this case-study was to evaluate the feasibility of a group exercise program based on the Otago Exercise Programme (OEP) in people with ID.

Method: Four individuals with mild-moderate ID participated in this study. A mixed method approach was used: before-after evaluation and a qualitative interview evaluation of the group class. Balance, gait and participation were assessed at baseline and 8 weeks later, with 7 standardized measures. The qualitative interview was analysed using content analysis method.

Result: A consistent, positive change was found across all participants on measure Video Based Balance Scale for ID (BSID). The qualitative interview resulted in one theme; The group exercise class was enjoyable, suitable and stimulating. One fall was recorded during the intervention period.

Conclusion: The exercise programme resulted in some improvements in gait and balance, however beneficial psychosocial effects were found in this group. The OEP could be feasible for people with ID, thus further studies are needed. 

Abstract [sv]

Introduktion: Personer med utvecklingsstörning(eng: Intellectual Disability-ID) löper stor risk för fall och fallrelaterade skador. Ca 30 % av de som har ID kommer falla minst en gång under en 12-månaders period. Hos den äldre befolkningen har fall prevention och tränings interventioner utvecklats och använts framgångsrikt. För personer med utvecklingsstörning saknas fortfarande forskning inom området.

Syfte: Syftet med fallstudien var att utvärdera lämplighet av ett gruppträningsprogram baserat på Otago Exercise Program (OEP) för personer med utvecklingsstörning.

Metod: Fyra individer med mild-moderat utvecklingsstörning deltog i studien. Både kvalitativ och kvantitativ metod användes: före och efter intervention samt en intervju av upplevelsen av gruppklassen. Gång och balans samt deltagande bedömdes vid baseline och 8 veckor senare med hjälp av standardiserade mätinstrument.

Resultat: Samtliga deltagare fick förbättrat testresultat på Video-based Balance Scale for ID (BSID). Den kvalitativa intervjun resulterade i ett tema; Gruppklassen var glädjande, passande och stimulerande. Ett fall förekom under testperioden.

Slutsats: Ett gruppträningsprogram för personer med ID visade en liten förbättring av gång och balans. Däremot gav gruppträningsprogrammet flertalet psykosociala fördelar. OEP kan vara lämpligt för denna grupp men mer forskning behövs inom området.

Place, publisher, year, edition, pages
2016. , 40 p.
Keyword [en]
Fall prevention, Intellectual disability, group exercise program, gait and balance, feasibility
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-126813OAI: oai:DiVA.org:umu-126813DiVA: diva2:1037204
External cooperation
University of Otago, School of Physiotherapy, NZ
Educational program
Master's Programme in Physiotherapy
Supervisors
Examiners
Available from: 2016-10-21 Created: 2016-10-14 Last updated: 2016-10-21Bibliographically approved

Open Access in DiVA

No full text

By organisation
Physiotherapy
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar

Total: 8 hits
ReferencesLink to record
Permanent link

Direct link