Efficacy of ankle control balance training on postural balance and gait ability in community-dwelling older adults: a single-blinded, randomized clinical trial.
Kyeongjin Lee, Yong Woo Lee
PMID 28931994WHAT IT FOUND
Older adults who did ankle control balance training plus fall-prevention education improved one-leg standing and walking tests more than the control group.
The trial did not measure falls, so it shows better balance and gait, not proven fall prevention.
Key findings
01The ankle training group, which also received fall-prevention education, improved one-leg standing time by 10.5 seconds and functional reach by 1.1 cm, while the control group showed no significant change.
02The ankle training group, which also received fall-prevention education, reduced Timed Up and Go time by 1.1 seconds and 10-meter walking time by 1.1 seconds, while the control group showed no significant change.
STILL TO COME
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What it does not show
The paper does not state which outcome was primary. It did not measure falls, only balance and walking tests. No follow-up period is described, so it is unclear whether improvements lasted. The Berg Balance Scale did not change in either group, and the authors suggest high baseline scores may have limited improvement. All participants were community-dwelling and excluded if they had neurological, musculoskeletal, vision, vestibular, or cognitive impairment, so results may not apply to more impaired older adults. The training group also received fall-prevention education, and the programme included several different balance tasks, so the contribution of any single component cannot be separated. The study was single-blinded, and the paper does not report how many participants were excluded for attendance below 80%.
The easy way to misread this
Do not conclude that ankle control balance training prevents falls. The training was given with fall-prevention education, and the study measured balance and walking tests, not actual falls.