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Article

High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

1
Department of Medicine, Sport and Fitness Science, School of Education, Health and Social Studies, Dalarna University, 791 88 Falun, Sweden
2
Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, 721 23 Vasteras, Sweden
3
Research and Development in Sörmland, Region Sörmland, 632 17 Eskilstuna, Sweden
*
Author to whom correspondence should be addressed.
Academic Editors: Yijian Yang and Kim van Schooten
Int. J. Environ. Res. Public Health 2022, 19(12), 7370; https://doi.org/10.3390/ijerph19127370
Received: 9 May 2022 / Revised: 13 June 2022 / Accepted: 14 June 2022 / Published: 16 June 2022
(This article belongs to the Special Issue Aging, Physical Activity, and Health)
There is limited research on optimal exercise programs that effectively decrease falls and fall-related injuries in older populations. This randomized controlled trial (RCT) aimed to explore the effects of a 12-week Judo4Balance program on falling techniques, physical and psychological functions, health status, and physical activity levels among 200 community-dwelling older adults (79% women and 21% men) with a mean age of 72 years. The 200 participants were randomly allocated for the Judo4Balce program (n = 100) or control group (n = 100). The RCT intervention started in mid-January 2020 and was abruptly interrupted because of the COVID-19 pandemic. A restart of the RCT was initiated in September 2021, and the 12-week intervention was offered to two groups. This study reports the results from three points of assessment: baseline, 20-month follow-up, and 12-week postintervention. At 20 months follow-up, the control group had significantly decreased physical activity levels (summer p = 0.002 and winter p = 0.003); similar changes were not seen in the exercise group. In the exercise group, learning falling techniques in 6–9 weeks led to sustained fall competence at 20 months follow-up. Further, significant improvements in physical function (exercise group p = 0.009 and control group p < 0.001) and learning falling techniques (p < 0.001 for both groups) were noted in both groups after the 12-week intervention. This effective, supervised, group-based, high-challenge multicomponent exercise program needs to be further evaluated for possible impact on falls and fall-related injuries. View Full-Text
Keywords: exercise; judo; martial arts; motor skill; physical activity; older adults exercise; judo; martial arts; motor skill; physical activity; older adults
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MDPI and ACS Style

Arkkukangas, M.; Strömqvist Bååthe, K.; Ekholm, A.; Tonkonogi, M. High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2022, 19, 7370. https://doi.org/10.3390/ijerph19127370

AMA Style

Arkkukangas M, Strömqvist Bååthe K, Ekholm A, Tonkonogi M. High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2022; 19(12):7370. https://doi.org/10.3390/ijerph19127370

Chicago/Turabian Style

Arkkukangas, Marina, Karin Strömqvist Bååthe, Anna Ekholm, and Michail Tonkonogi. 2022. "High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial" International Journal of Environmental Research and Public Health 19, no. 12: 7370. https://doi.org/10.3390/ijerph19127370

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