Feasibility of Group Delivery of the Alexander Technique on Balance in the Community-Dwelling Elderly: Preliminary Findings

Abstract

ABSTRACT The Alexander Technique (AT) is a task-based approach to perceptuomotor learning that purports to improve coordination. This study examined the feasibility of a 2-week intensive program of AT for improving balance and balance confidence in a group of ambulatory elderly. Nineteen subjects with fall history (average age 78.8) participated. Balance outcomes included the Timed “Up and Go” (TUG) and the Fullerton Advanced Balance Scale (FAB), with the Modified Falls Efficacy Scale (MFES) for balance confidence. Compliance approached 100%. Analyses on 18 subjects were significant for the TUG (p = .006) and FAB for the group as a whole (Z = 1.946, p = .05); MFES scores were insignificant. A brief, intensive, group-delivered trial of exploratory perceptual learning appears feasible to incorporate into balance training and results in improved scores on balance outcomes. Further research of balance confidence is warranted to analyze discrepancies between self-reported and observed changes in confidence.