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Evaluating the Impact of Recreational Therapy on Gait Parameters, Fall Risk, and Falls Efficacy in Older Adults with Chronic Illness at Adult Daycare Center: An 8- and 16-Week Intervention Study /

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Evaluating the Impact of Recreational Therapy on Gait Parameters, Fall Risk, and Falls Efficacy in Older Adults with Chronic Illness at Adult Daycare Center: An 8- and 16-Week Intervention Study /Jungyu Lee.
作者:	Lee, Jungyu,
面頁冊數:	1 electronic resource (103 pages)
附註:	Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
附註:	Advisors: Passmore, Tim Committee members: Lindenmeier, Donna; Dao, Brittany; Han, Ho.
Contained By:	Dissertations Abstracts International87-03B.
標題:	Therapy.
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=32171127
ISBN:	9798293856435

Evaluating the Impact of Recreational Therapy on Gait Parameters, Fall Risk, and Falls Efficacy in Older Adults with Chronic Illness at Adult Daycare Center: An 8- and 16-Week Intervention Study /
Lee, Jungyu,

Evaluating the Impact of Recreational Therapy on Gait Parameters, Fall Risk, and Falls Efficacy in Older Adults with Chronic Illness at Adult Daycare Center: An 8- and 16-Week Intervention Study /Jungyu Lee. - 1 electronic resource (103 pages)

Source: Dissertations Abstracts International, Volume: 87-03, Section: B.

This study examined the effects of recreational therapy-based balance training of different durations (8-week vs. 16-week) on gait parameters, postural stability, and falls confidence among older adults with chronic illness in an adult day care setting. Using a pre-post-follow-up design, participants were assigned to either an 8-week or 16-week intervention group and underwent structured balance training sessions. Primary outcomes included walking velocity, cadence, step length, single and double support percentages, postural stability (BioSway), and falls confidence (Short FES-I). Assessments were conducted at baseline, immediately after intervention, and at a 3-month follow-up.Non-parametric Friedman tests were used to evaluate within-group changes across three time points, while descriptive statistics characterized between-group differences. The 16-week intervention group demonstrated statistically significant improvements in walking velocity (χ² = 6.00, p = .050), single support percentage (χ² = 6.53, p = .038), double support percentage (χ² = 6.00, p = .050), postural stability (χ² = 6.50, p = .039), and falls confidence (χ² = 6.53, p = .038). The 8-week group showed positive trends in several outcomes but did not reach statistical significance. Descriptive analysis at post-intervention revealed greater mean improvements in the 16-week group for walking velocity (+33.7% vs. +21.9%) and single support percentage (+11.1% vs. +3.9%) compared to the 8-week group. Both groups experienced partial attenuation of gains at 3-month follow-up, with no clear or sustained advantage for either group.Clinical implications highlight the benefit of extended-duration balance training for optimizing functional gains, but also underscore the need for ongoing or repeated interventions to sustain improvements over time. Methodological limitations-including small sample size, lack of randomization, and limited follow-up-necessitate caution in interpretation and restrict generalizability.This research contributes to the evidence base supporting long-term, recreation-based balance interventions for older adults in community settings. Recommendations for future research include larger, randomized trials and exploration of adjunctive therapies to enhance and sustain intervention effects. Findings inform clinical decision-making regarding program duration, implementation, and the ongoing management of fall risk and mobility in aging populations.

English

ISBN: 9798293856435Subjects--Topical Terms:

826950
Therapy.
Subjects--Index Terms:

Balance

Evaluating the Impact of Recreational Therapy on Gait Parameters, Fall Risk, and Falls Efficacy in Older Adults with Chronic Illness at Adult Daycare Center: An 8- and 16-Week Intervention Study /
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