@article{ref1,
title="Effects of Buffalo home-based functional exercise in community-dwelling older adults with medium to high fall risks - a proof of concept",
journal="International journal of health sciences and research",
year="2016",
author="Tomita, Machiko R. and Langan, Jeanne and Persons, Kimberley and Wilber, Margaret and Naughton, Bruce J.",
volume="6",
number="5",
pages="146-156",
abstract="BACKGROUND: Exercise plays an important role in maintaining functional mobility as we age. Therefore, finding approaches that boost participation and effectiveness of home-based exercise is essential, particularly for older adults with lower function. A geriatric rehabilitation team developed XXXXXX Functional Exercise (BFE), which encourages exercise by relating and pairing it to daily activities.   Objective: This study was to determine the effectiveness of BFE on increasing exercise adherence and reducing falls and fall risks in community dwelling older-adults with medium to high fall risk.   Methods: This randomized controlled study with a 12-week home-based exercise intervention recruited 21 enrollees of the Program of All-inclusive Care for the Elderly at one site. Therapists prescribed BFE for 11 participants and conventional home-exercise for 10 participants. Fall risk outcome measures included ankle strength, objective and subjective balance, physical performance, function and health.   Results: Both groups improved in levels of the Short Physical Performance Battery, but only the BFE group improved in balance confidence (p=.028) and Instrumental Activities of Daily Living (p=.019). Beyond 6 weeks of BFE, no falls were reported in the BFE group. Exercise minutes per week for home-based exercise were similar. BFE participants reported that BFE was fun and easy to do, and expressed a willingness to continue the BFE.   Conclusion: Despite similar adherence with both exercise programs, BFE has advantages over conventional home exercise. Associating exercise with daily activities can offer a more effective approach to home exercise programs. Meaningfulness of exercise may be the reason. Further larger studies are encouraged.   Key words: physical function, home-based exercise, falls, fall risks, frail older adults.<p /> <p>Language: en</p>",
language="en",
issn="2249-9571",
doi="",
url="http://dx.doi.org/"
}