• Ir J Med Sci · Feb 2024

    Randomized Controlled Trial

    Effects of balance training on cognitive function and activities of daily living in older adult patients with heart failure: a randomized controlled trial.

    • Mohammad Gholami, Faezeh Zohrabi Salari, Reza Yarahmadi, Yaser Mokhayeri, Atefeh Veiskaramian, and Arash Amin.
    • Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. mohammad13565@yahoo.com.
    • Ir J Med Sci. 2024 Feb 1; 193 (1): 111121111-121.

    BackgroundThe potential of the effect of balance training on improving cognitive functions and functional activities in vulnerable groups, including the older adults with heart failure (HF), is unknown.AimThe aim of the present study was to determine the effect of a simple balance training supervised by nurses on cognitive functions and activities of daily living (ADLs) of the older adults with HF.MethodsIn this clinical trial study, 75 older adults with HF were allocated to two groups of balance training (BT) and usual care (UC) using stratified block randomization. The intervention consisted of a set of dynamic and static BT, 4 times/session per week, each session lasting 30 min, for 8 weeks, which was performed at the participant's home under the supervision of a nurse. For the control group, UC was provided. The outcomes of the study, including cognitive function, basic ADLs, and instrumental ADLs (IADLs), were measured by the Montreal cognitive assessment-basic (MoCA-B), Barthel index-ADL, and Lawton scale-IADL before and after the intervention.ResultsThe between-group analysis showed, in two groups, a statistically significant difference between the changes in the mean scores: all subscales of cognitive function and MoCA-B total score (P < 0.001), as well as basic ADLs and IADLs (P < 0.001), before and after the intervention. Compared with the control group/UC, the cognitive function, basic ADL, and IADL of the intervention group/BT were improved significantly at 8 weeks.ConclusionThe results suggested that home-based balance training led by nurse can improve global cognitive function and basic ADL and IADL in the older adults with HF.Trial RegistrationClinical trials registration number IRCT20150919024080N18.© 2023. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

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