Author :  Furqan Ahmed Siddiqui1, Tahir Masood2

Abstract
Background: Balance is very important in maintaining an optimal amount of functional status. With ageing, balance deteriorates leading to higher fall risk and declined overall functional status. The aim of this study was to determine the impact of dynamic stability exercise in improving anticipated balance in healthy older adults.
Methodology: Eighteen healthy volunteers were selected via non probability convenient sampling technique, between 50 to 80 years of age for this randomized controlled trial. Both females and males with no major co-morbid conditions and cognitive impairments were recruited and divided into two equal groups (N=9): Dynamic stability training group (DST Group) and Control group (CT Group). DST group received balance training exercises on Biodex Balance System SD, 3 times a week for 8 weeks with each session lasting for 45-60 minutes. CT group was not provided any specific intervention. Data was gathered on demographics and Functional Reach Test (FRT) using a wall mounted meter scale at baseline and after every 2 weeks until end of 8-week training. Difference between groups was evaluated using independent sample t test whereas within-group analysis was done using repeated measure ANOVA.
Results: The mean age in DST group was reported as 62.89 ± 6.81 years with gender distribution of 44.4 % (n=4) males and 55.6% (n=5) females. Mean height, weight and BMI were computed as 159.5 ± 6.75 cm, 71.39 ± 5.39 kg and 28.67 ± 2.67 kg/m2 respectively. Similarly mean age in CT group was reported as 62.89 ± 9.31 years with gender distribution of 33.3% (n=3) males and 66.7% (n=6) females. Mean height, weight and BMI were computed as 158.8 ± 11.55 kg, 77.57 ± 13.84 cm and 30.80 ± 4.54 kg/m2 respectively. Significant difference (p<0.05) in FRT scores was observed after 8 weeks of intervention between DST group (17.22 ± 2.17) and CT group (14.30 ± 2.98). Within-group analysis showed improvement in DST group (P<0.01) compared to CT Group (P>0.05)as a result of dynamic stability training for 8 weeks.
Conclusion: The use of dynamic stability balance system for balance training can significantly improve balance in the elderly. Such training might play a vital role in ensuring functional independence of older individuals.
Key words: Anticipatory Balance, Balance training, Dynamic Stability Training, Functional reach, older adults