Abstract
Background: Fall is a worldwide health problem, leading cause of disability, resulted from declining physical functionamong elderly people. Otago exercise is a strength and balance program designed to prevent falls and enhance health status among the elderly. Aim: to appraise the effect Otago Exercise Program (OEP) on health status and risk of fall among older adults with chronic disease. Design: A quasi-experimental research design was utilized. Setting: The study was conducted at outpatient clinics at Aswan University Hospital. Sampling: A purposive sample of 48 elderly patients was recruited in this study. Tools of data collection: Three tools were used. Tool I: A structured interview questionnaire sheet includes two parts; part 1.sociodemographiccharacteristics e.g. age, sex, education level, part (2): clinical data includehistory of medical diseases, mobility, activities of daily living and falling. Tool II: The short from 12 health survey (SF-12) to measure health status. Tool III: Timed Up and Go Test (TUGT) to measure risk of fall. Results: There was a statistically significant difference in both health status and risk of fall total scores among studied subjects pre and post OEP.Concerning predictors of health status, it was found that, OEP, arthritis and medication number were statistically significant predictors of health status (s= 0.624, p= 0.028), (s= -2.935, p= 0.014) & (s= -4.453, p=. 0.005) respectively. Meanwhile, fall predictors were OEP (s=-1.067, p= 0.011), age(s=0.246, p= 0.042),medication number (s= 6.763, p= 0.005)and frequencies of fall in the past year (s= 2.585, p= 0.010). Conclusion: The study concluded that application of OEP is appropriate way of improving health status and decreasing of risk of falls among older adults with chronic disease. Recommendation: This study recommended implementing OEP as part of routine primary care service provided for older adults.
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