Can the Alexander Technique improve balance and mobility in older adults with visual impairments? A randomized controlled trial

block-system-main
Collection/Volume: 
Vol./ Issue: 
Vol. 29, No. 3, March 2015
Pages: 
244-260
Material Type: 
Research - other
Year: 
2015
Month: 
Mar
Day: 
13
Notes: 

First published online July 2014 - DOI - The article was amended prior to publication on the Journal.

BRIEF SUMMARY [from the STAT website here]

In this trial involving people aged over 50 years with impaired vision, 120 participants were randomised to receive either 12 weekly individual Alexander Technique lessons in their home or usual care (i.e. no Alexander Technique).

Outcome measures for the study were The Short Physical Performance Battery (SPPB), which consists of a sit-to-stand test, a four-metre walk and a standing balance test. In addition to physical performance, participants were assessed on falls rate and concerns about falling.

Participants were assessed pre-intervention, and 3 months and 12 months post-intervention. The results are interesting as although there was no significant difference between the groups on the SPPB tests at 3 months or 12 months, there were some indications of a significant change in the Alexander Technique group. Analysis of the tests for quality of performance on the SPPB* showed a significant difference in number of steps walked and amount of postural sway in standing at 3 months suggesting that changes in confidence in standing and walking had taken place. Indications were that there was a greater effect for those with a higher falls rate and a trend towards a greater reduction in falls for the Alexander Technique group. There was no difference between groups on the concern about falling measure.

The findings provide support for the fact that 12 lessons of Alexander Technique have an effect on physical functioning and falls risk in older adults with visual impairments. Further research exploring number of lessons and types of changes is indicated.

Another paper is planned which will report data on social and emotional wellbeing in the study participants.

DOI/ISSN: 
10.1177/0269215515575361

Tags

Knowledge domain: 
AT-specific: 
Intervention/discipline: 
Physiology: