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1- Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University, Pathum Thani, Thailand.
2- Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University, Pathum Thani, Thailand. , Thanawat.k@allied.tu.ac.th
Abstract:   (478 Views)
Background. Enhancing balance function is crucial for fall prevention and maintaining quality of life among the elderly.
Objectives.
This study aimed to evaluate the effectiveness of balance training using natural rubber pads compared to Airex® foam pads and firm surfaces in healthy older adults.
Methods. 
Ninety healthy older adults aged 55-65 were randomly assigned to one of three groups: training on natural rubber pads, Airex® foam pads, or firm surfaces. Participants completed a 4-week balance training program. Balance performance was assessed before and after the intervention using the Berg Balance Scale (BBS), Thai Falls Efficacy Scale-International (Thai FES-I), Timed Up and Go Test (TUGT), One-Leg Standing Test (OLST), Chair Stand Test (CST), and Tandem-Stance Test (TST). Data were analyzed using a two-way mixed-model ANOVA to evaluate differences in balance performance among the three groups.
Results. 
The natural rubber pad group exhibited significant improvements in balance performance across all assessment tools (BBS, Thai FES-I, TUGT, OLST, CST, and TST) after the 4-week intervention (p<0.05). Notably, this group performed better in the TUGT and CST than the Airex® foam pad group (p<0.05).
Conclusion. 
The findings suggest that natural rubber pads are an effective and cost-efficient alternative to Airex® foam pads for balance training in healthy older adults. The natural rubber pads provided an unstable yet supportive training environment, leading to significant improvements in balance performance compared to firm surfaces and offering benefits comparable to those of commercial foam pads, potentially at a lower cost.
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APPLICABLE REMARKS
  • The natural rubber pads are an effective and cost-efficient alternative to Airex® foam pads for balance training in healthy older adults.
  • The natural rubber pads provided an unstable yet supportive training environment, significantly improving balance performance compared to firm surfaces.

Type of Study: Original Article | Subject: Motor Control and its Related Branches
Received: 2024/09/25 | Accepted: 2024/12/9

References
1. 1. Rogers MW, Mille ML. Balance perturbations. Handbook of clinical neurology. 2018 Jan 1;159:85-105. [DOI:10.1016/B978-0-444-63916-5.00005-7] [PMID]
2. St-Pierre F. Analysis of static and/or dynamic posture on a force platform (Posturography). St-Denis la Plaine, France: Department of Medical and Surgical Procedures Assessment, Haute Authorite de Sante. 2007.
3. Shumway-Cook A, Woollacott MH, Rachwani J, Santamaria V. Motor Control: Translating Research into Clinical Practice, 6e: Lippincott Williams & Wilkins, a Wolters Kluwer business; 2023.
4. Gosselin G, Fagan M. Foam pads properties and their effects on posturography in participants of different weight. Chiropr Man Therap. 2015;23(1):2. [DOI:10.1186/s12998-014-0045-4] [PMID] []
5. Kannus P, Sievänen H, Palvanen M, Järvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. The Lancet. 2005;366(9500):1885-93. [DOI:10.1016/S0140-6736(05)67604-0] [PMID]
6. Hirase T, Inokuchi S, Matsusaka N, Okita M. Effects of a balance training program using a foam rubber pad in community-based older adults: a randomized controlled trial. J Geriatr Phys Ther. 2015;38(2):62-70. [DOI:10.1519/JPT.0000000000000023] [PMID]
7. Matsusaka N, Yokoyama S, Tsurusaki T, Inokuchi S, Okita M. Effect of ankle disk training combined with tactile stimulation to the leg and foot on functional instability of the ankle. Am J Sports Med. 2001;29(1):25-30. [DOI:10.1177/03635465010290010901] [PMID]
8. Lee D, Kim H, An H, Jang J, Hong S, Jung S, et al. Comparison of postural sway depending on balance pad type. Journal of Physical Therapy Science. 2018;30:252-7. [DOI:10.1589/jpts.30.252] [PMID] []
9. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.
10. Thiamwong. Psychometric Testing of the Falls Efficacy Scale-International (FES-I) in Thai Older Adults. Songkla Med J 2011; 29(6):277-287.
11. Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002;82(2):128-37. [DOI:10.1093/ptj/82.2.128] [PMID]
12. Perez-Cruzado D, González-Sánchez M, Cuesta-Vargas AI. Parameterization and reliability of single-leg balance test assessed with inertial sensors in stroke survivors: a cross-sectional study. Biomed Eng Online. 2014;13:127. [DOI:10.1186/1475-925X-13-127] [PMID] []
13. Özkeskin M, Özden F, Ar E, Yüceyar N. The reliability and validity of the 30-second chair stand test and modified four square step test in persons with multiple sclerosis. Physiother Theory Pract. 2023;39(10):2189-95. [DOI:10.1080/09593985.2022.2070811] [PMID]
14. Scott V, Votova K, Scanlan A, Close J. Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings. Age Ageing. 2007;36(2):130-9. [DOI:10.1093/ageing/afl165] [PMID]
15. Lord SR, Menz HB. Visual contributions to postural stability in older adults. Gerontology. 2000;46(6):306-10. [DOI:10.1159/000022182] [PMID]
16. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1-14. [DOI:10.1016/S0966-6362(01)00156-4] [PMID]
17. Boonkerd C, Archasawat Y, Sertkhamsorn W, Saensanoh P, Laddawong T, Kitsuksan T. Test-retest reliability of postural sway on foam and natural rubber pads in healthy adults. Physiotherapy Quarterly. 2024;32(2):32-8. [DOI:10.5114/pq/157145]
18. Lesinski M, Hortobágyi T, Muehlbauer T, Gollhofer A, Granacher U. Effects of Balance Training on Balance Performance in Healthy Older Adults: A Systematic Review and Meta-analysis. Sports Med. 2015;45(12):1721-38. [DOI:10.1007/s40279-015-0375-y] [PMID] []
19. Lacroix A, Hortobágyi T, Beurskens R, Granacher U. Effects of Supervised vs. Unsupervised Training Programs on Balance and Muscle Strength in Older Adults: A Systematic Review and Meta-Analysis. Sports Med. 2017;47(11):2341-61. [DOI:10.1007/s40279-017-0747-6] [PMID]
20. Jagdhane S, Kanekar N, Aruin AS. The Effect of a Four-Week Balance Training Program on Anticipatory Postural Adjustments in Older Adults: A Pilot Feasibility Study. Curr Aging Sci. 2016;9(4):295-300. [DOI:10.2174/1874609809666160413113443] [PMID]
21. Mansfield A, Peters AL, Liu BA, Maki BE. Effect of a perturbation-based balance training program on compensatory stepping and grasping reactions in older adults: a randomized controlled trial. Phys Ther. 2010;90(4):476-91. [DOI:10.2522/ptj.20090070] [PMID]
22. Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1(1):Cd012424. [DOI:10.1002/14651858.CD012424.pub2] [PMID]
23. Wright AA, Cook CE, Baxter GD, Dockerty JD, Abbott JH. A comparison of 3 methodological approaches to defining major clinically important improvement of 4 performance measures in patients with hip osteoarthritis. J Orthop Sports Phys Ther. 2011;41(5):319-27. [DOI:10.2519/jospt.2011.3515] [PMID]
24. Shumway-Cook A, Silver IF, LeMier M, York S, Cummings P, Koepsell TD. Effectiveness of a community-based multifactorial intervention on falls and fall risk factors in community-living older adults: a randomized, controlled trial. J Gerontol A Biol Sci Med Sci. 2007;62(12):1420-7. [DOI:10.1093/gerona/62.12.1420] [PMID]

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