Effect of task-oriented circuit training on balance, gait speed and functional ability in community dwelling elderly
Corresponding Author(s) : Pandita Sandeep
drsandeep.045@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 2 (2020): 2020 Volume 8- Issue -2
Abstract
Conclusion and Discussion
This study concluded that both Task-Oriented Circuit Training and General Balance and Mobility Training were effective in improving balance, gait speed and functional ability of community dwelling elderly but it becomes more effective when task-oriented circuit training is incorporated as a training program.
Keywords
Balance
Gait speed
Functional ability
Task-oriented circuit training
Community dwelling elderly
Fall
1.
Pandita Sandeep. Effect of task-oriented circuit training on balance, gait speed and functional ability in community dwelling elderly. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2020 Aug. 15 [cited 2026 Jan. 13];8(2):175-84. Available from: https://ijamscr.com/ijamscr/article/view/847
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References
-
1]. Andrew A. Guiccone. Geriatric Physical Therapy, 2(18), 280.
[2]. Yves J Gschwind, Reto W Kressig, Andre Lacroix, and Thomas Muehlbauer, Barbara Pfenninger and
UrsGranacher.A best practice fall prevention exercise program to improve balance, strength / power, and
sychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatrics, 13,
2013, 105.
[3]. Max R. Paquette, Yuhua Li, Joseph Hoekstra, Joshua Bravo. An 8-week reactive balance training program
in older healthy adults: A preliminary investigation. Journal of Sport and Health Science 20, 2014, 1-7.
[4]. Mirjam Pijnappels · (Petra) J. C. E. van der Burg · Neil D. Reeves · Jaap H. Van Dieën. Identification of
elderly fallers by muscle strength measures.Eur J ApplPhysiol, 102, 2008, 585–592.
[5]. A.M. Tromp, J.H. Smit, D.J.H. Deeg, L.M. Bouter, and P. Lips. Predictors for falls and Fractures in the
Longitudinal Aging Study Amsterdam. Journal of bone and mineral research 13(12), 1998.
[6]. Majumi M. Noohu, Aparajit B. Dey, Mohammed E. Hussain. Relevance of balance measurement tools and
balance training for fall prevention in older adults. Journal of clinical gerontology & geriatrics, 5, 2014,
31-35.
[7]. Anne Shumway-Cook, Sandy Brauer, Marjorie Woollacott. Predicting the Probability for Falls in
Community-Dwelling Older Adults Using the Timed Up & Go Test. Physical Therapy, 80(9), 2000.
Pandita S et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [xxx-xxx]
183
[8]. Emmanuel Frimpong, M.Phil, Olajide Ayinla Olawale, PhD, Daniel AnsongAntwi, PhD, Charles Antwi-
Boasiako, M.Phil, Bartholomew Dzudzor. Task-oriented circuit training improves ambulatory Functions in
acute stroke: a randomized controlled trial. Journal of Medicine and Medical Sciences l, 5(8), 2014, 169-
175.
[9]. Sofia Straudi, Carlotta Martinuzzi, Claudia Pavarelli, Amira SabbaghCharabati, Maria Grazia Benedetti,
CalogeroFoti, MichelaBonato, Eleonora Zancatoand Nino Basaglia. A task- oriented circuit training in
multiple sclerosis: a feasibility study. BMC Neurology, 14, 2014, 124.
[10]. Ingrid G L van de Port assistant professor1, Lotte E G WeversPhD student1, Eline Lindeman professor1,
Gert Kwakkel professor. Effects of circuit training as alternative to usual physiotherapy after stroke:
randomised controlled trial. BMJ 2012, 1-10.
[11]. Hyung-Seok Seo, Jung-Ho Lee, Young-Han Park. Effects of a task specific exercise program on balance,
mobility and muscle strength in the elderly. J. Phys. Ther. Sci. 26, 2014, 1693-1695.
[12]. Roaldsen KS, Halvarsson A, Sahlström T, Ståhle A Task-specific balance training improves self- assessed
function in community-dwelling older adults with balance deficits and fear of falling: a randomized
controlled trial. Clin Rehabil. 28(12), 2014, 1189-97.
[13]. Gopal Nambi S, Parth S. Trivedi, Shirin M. Momin. Comparative Effect of Pilates and Feldenkrais
Intervention on Functional Balance and Quality of Life in Ambulatory Geriatric Population: A
Randomized Controlled Study. IJHSR, 4(3), 2014, 72.
[14]. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway,
reaction time, the Berg Balance scale and ABC scale for comparing fallers and non-fallers. Arch Gerontol
Geriatr. 38, 2004, 11-26.
[15]. Douris, PT, EdD, Veronica Southard, PT, MS, GCS, Celia Varga, PT, MS, William Schauss, PT, MS,
Charles Gennaro, PT, MS, Arthur Reiss, PT, MS The Effect of Land and Aquatic Exercise on Balance
Scores in Older Adults. Journal of Geriatric Physical Therapy, 26(1), 03.
[16]. Valerie Simmons and Paul D. Hansen Effectiveness of Water Exercise on Postural Mobility in the Well
Elderly: An Experimental Study on Balance Enhancement. J Gerontol A Biol Sci Med Sci. 51A (5), 1996,
M233-M238.
[17]. Zheng J, Pan Y, Hua Y, Shen H, Wang X, Zhang Y, Fan Y, Yu Z. Strategic targeted exercise for
preventing falls in elderly people. J Int Med Res. 41(2), 2013, 418-26.
[18]. Michelle M. Lusardi, PT, PD, Geraldine L. Pellecchia, PT, PhD, Marjorie Schulman, PT. Functional
Performance in Community Living Older Adults. Journal of Geriatric Physical Therapy, 26(3), 03.
[19]. Sherry A. Greenberg, PhD(c), MSN, GNP-BC. The Geriatric Depression Scale (GDS).
[20]. Hartford Institute for Geriatric Nursing, NYU College of Nursing, 4, 2012.
[21]. Paul L. Enright, MD, Mary Ann McBurnie, PhD. The 6-minute walk test: quick measure of functional
status in elderly adults. Elsevier, 123(2), 2003, 387-398.
[22]. Devereux K, Robertson D, Briffa NK .Effects of a water-based program on women 65 years and over: a
randomised controlled trial. Aust J Physiother. 51(2), 2005, 102-8.
[23]. Lord, Stephen R , Matters, Beth, St George, Rebecca, Thomas, Margaret, Bindon, Jeni, Chan, Daniel Kam
Yin ,Collings, Anne, Haren, Loraine. The effects of water Means KM, Rodell DE, O’Sullivan PS. Balance,
mobility, and falls among community-dwelling elderly persons: Effects of a rehabilitation exercise
program. Am J Phys Med Rehabil, 84, 2005, 238-250
[24]. Carr J., Shephard Nurological Rehabilitation: Optimising motor performance. Balance, 7, 172-173.
Walking, 5, 114.
[25]. Jennifer C. Nitz, Nancy Low Choy. The efficacy of a specific balance-strategy training programme for
preventing falls among older people: a pilot randomised controlled trial. Age and Ageing, 33, 2004, 52-58.
[26]. Lotte Wevers, MSc; Ingrid van de Port, PhD; Mathijs Vermue, MSc; Gillian Mead, MD, PhD; Gert
Kwakkel, PhD .Effects of task-oriented circuit class training on walking competency after stroke: A
Systematic Review. Stroke, 40, 2009, 2450-2459.
[27]. Means KM, Rodell DE, O’Sullivan PS. Balance, mobility, and falls among community-dwelling elderly
persons: Effects of a rehabilitation exercise program. Am J Phys Med Rehabil, 84, 2005, 238- 250
Pandita S et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [xxx-xxx]
184
[28]. Wolfson, L., Whipple, R., Derby, C.A., Amerman, P. And Nashner, L. Gender differemces in the balance
of healthy elderly as demonstrated by dynamic posturography, J of Gerontology, 49, 1994, 4, M160-M167.
[29]. Jiejiao Zheng, Yujian Pan, Yinghui Hua, Haimin Shen, Xueqiang Wang, Ying Zhang, Yujing Fan and
Zhuowei Yu. Strategic targeted exercise for preventing falls in elderly people. Journal of International
Medical Research, 0(0), 1–9
References
1]. Andrew A. Guiccone. Geriatric Physical Therapy, 2(18), 280.
[2]. Yves J Gschwind, Reto W Kressig, Andre Lacroix, and Thomas Muehlbauer, Barbara Pfenninger and
UrsGranacher.A best practice fall prevention exercise program to improve balance, strength / power, and
sychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatrics, 13,
2013, 105.
[3]. Max R. Paquette, Yuhua Li, Joseph Hoekstra, Joshua Bravo. An 8-week reactive balance training program
in older healthy adults: A preliminary investigation. Journal of Sport and Health Science 20, 2014, 1-7.
[4]. Mirjam Pijnappels · (Petra) J. C. E. van der Burg · Neil D. Reeves · Jaap H. Van Dieën. Identification of
elderly fallers by muscle strength measures.Eur J ApplPhysiol, 102, 2008, 585–592.
[5]. A.M. Tromp, J.H. Smit, D.J.H. Deeg, L.M. Bouter, and P. Lips. Predictors for falls and Fractures in the
Longitudinal Aging Study Amsterdam. Journal of bone and mineral research 13(12), 1998.
[6]. Majumi M. Noohu, Aparajit B. Dey, Mohammed E. Hussain. Relevance of balance measurement tools and
balance training for fall prevention in older adults. Journal of clinical gerontology & geriatrics, 5, 2014,
31-35.
[7]. Anne Shumway-Cook, Sandy Brauer, Marjorie Woollacott. Predicting the Probability for Falls in
Community-Dwelling Older Adults Using the Timed Up & Go Test. Physical Therapy, 80(9), 2000.
Pandita S et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [xxx-xxx]
183
[8]. Emmanuel Frimpong, M.Phil, Olajide Ayinla Olawale, PhD, Daniel AnsongAntwi, PhD, Charles Antwi-
Boasiako, M.Phil, Bartholomew Dzudzor. Task-oriented circuit training improves ambulatory Functions in
acute stroke: a randomized controlled trial. Journal of Medicine and Medical Sciences l, 5(8), 2014, 169-
175.
[9]. Sofia Straudi, Carlotta Martinuzzi, Claudia Pavarelli, Amira SabbaghCharabati, Maria Grazia Benedetti,
CalogeroFoti, MichelaBonato, Eleonora Zancatoand Nino Basaglia. A task- oriented circuit training in
multiple sclerosis: a feasibility study. BMC Neurology, 14, 2014, 124.
[10]. Ingrid G L van de Port assistant professor1, Lotte E G WeversPhD student1, Eline Lindeman professor1,
Gert Kwakkel professor. Effects of circuit training as alternative to usual physiotherapy after stroke:
randomised controlled trial. BMJ 2012, 1-10.
[11]. Hyung-Seok Seo, Jung-Ho Lee, Young-Han Park. Effects of a task specific exercise program on balance,
mobility and muscle strength in the elderly. J. Phys. Ther. Sci. 26, 2014, 1693-1695.
[12]. Roaldsen KS, Halvarsson A, Sahlström T, Ståhle A Task-specific balance training improves self- assessed
function in community-dwelling older adults with balance deficits and fear of falling: a randomized
controlled trial. Clin Rehabil. 28(12), 2014, 1189-97.
[13]. Gopal Nambi S, Parth S. Trivedi, Shirin M. Momin. Comparative Effect of Pilates and Feldenkrais
Intervention on Functional Balance and Quality of Life in Ambulatory Geriatric Population: A
Randomized Controlled Study. IJHSR, 4(3), 2014, 72.
[14]. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway,
reaction time, the Berg Balance scale and ABC scale for comparing fallers and non-fallers. Arch Gerontol
Geriatr. 38, 2004, 11-26.
[15]. Douris, PT, EdD, Veronica Southard, PT, MS, GCS, Celia Varga, PT, MS, William Schauss, PT, MS,
Charles Gennaro, PT, MS, Arthur Reiss, PT, MS The Effect of Land and Aquatic Exercise on Balance
Scores in Older Adults. Journal of Geriatric Physical Therapy, 26(1), 03.
[16]. Valerie Simmons and Paul D. Hansen Effectiveness of Water Exercise on Postural Mobility in the Well
Elderly: An Experimental Study on Balance Enhancement. J Gerontol A Biol Sci Med Sci. 51A (5), 1996,
M233-M238.
[17]. Zheng J, Pan Y, Hua Y, Shen H, Wang X, Zhang Y, Fan Y, Yu Z. Strategic targeted exercise for
preventing falls in elderly people. J Int Med Res. 41(2), 2013, 418-26.
[18]. Michelle M. Lusardi, PT, PD, Geraldine L. Pellecchia, PT, PhD, Marjorie Schulman, PT. Functional
Performance in Community Living Older Adults. Journal of Geriatric Physical Therapy, 26(3), 03.
[19]. Sherry A. Greenberg, PhD(c), MSN, GNP-BC. The Geriatric Depression Scale (GDS).
[20]. Hartford Institute for Geriatric Nursing, NYU College of Nursing, 4, 2012.
[21]. Paul L. Enright, MD, Mary Ann McBurnie, PhD. The 6-minute walk test: quick measure of functional
status in elderly adults. Elsevier, 123(2), 2003, 387-398.
[22]. Devereux K, Robertson D, Briffa NK .Effects of a water-based program on women 65 years and over: a
randomised controlled trial. Aust J Physiother. 51(2), 2005, 102-8.
[23]. Lord, Stephen R , Matters, Beth, St George, Rebecca, Thomas, Margaret, Bindon, Jeni, Chan, Daniel Kam
Yin ,Collings, Anne, Haren, Loraine. The effects of water Means KM, Rodell DE, O’Sullivan PS. Balance,
mobility, and falls among community-dwelling elderly persons: Effects of a rehabilitation exercise
program. Am J Phys Med Rehabil, 84, 2005, 238-250
[24]. Carr J., Shephard Nurological Rehabilitation: Optimising motor performance. Balance, 7, 172-173.
Walking, 5, 114.
[25]. Jennifer C. Nitz, Nancy Low Choy. The efficacy of a specific balance-strategy training programme for
preventing falls among older people: a pilot randomised controlled trial. Age and Ageing, 33, 2004, 52-58.
[26]. Lotte Wevers, MSc; Ingrid van de Port, PhD; Mathijs Vermue, MSc; Gillian Mead, MD, PhD; Gert
Kwakkel, PhD .Effects of task-oriented circuit class training on walking competency after stroke: A
Systematic Review. Stroke, 40, 2009, 2450-2459.
[27]. Means KM, Rodell DE, O’Sullivan PS. Balance, mobility, and falls among community-dwelling elderly
persons: Effects of a rehabilitation exercise program. Am J Phys Med Rehabil, 84, 2005, 238- 250
Pandita S et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [xxx-xxx]
184
[28]. Wolfson, L., Whipple, R., Derby, C.A., Amerman, P. And Nashner, L. Gender differemces in the balance
of healthy elderly as demonstrated by dynamic posturography, J of Gerontology, 49, 1994, 4, M160-M167.
[29]. Jiejiao Zheng, Yujian Pan, Yinghui Hua, Haimin Shen, Xueqiang Wang, Ying Zhang, Yujing Fan and
Zhuowei Yu. Strategic targeted exercise for preventing falls in elderly people. Journal of International
Medical Research, 0(0), 1–9
[2]. Yves J Gschwind, Reto W Kressig, Andre Lacroix, and Thomas Muehlbauer, Barbara Pfenninger and
UrsGranacher.A best practice fall prevention exercise program to improve balance, strength / power, and
sychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatrics, 13,
2013, 105.
[3]. Max R. Paquette, Yuhua Li, Joseph Hoekstra, Joshua Bravo. An 8-week reactive balance training program
in older healthy adults: A preliminary investigation. Journal of Sport and Health Science 20, 2014, 1-7.
[4]. Mirjam Pijnappels · (Petra) J. C. E. van der Burg · Neil D. Reeves · Jaap H. Van Dieën. Identification of
elderly fallers by muscle strength measures.Eur J ApplPhysiol, 102, 2008, 585–592.
[5]. A.M. Tromp, J.H. Smit, D.J.H. Deeg, L.M. Bouter, and P. Lips. Predictors for falls and Fractures in the
Longitudinal Aging Study Amsterdam. Journal of bone and mineral research 13(12), 1998.
[6]. Majumi M. Noohu, Aparajit B. Dey, Mohammed E. Hussain. Relevance of balance measurement tools and
balance training for fall prevention in older adults. Journal of clinical gerontology & geriatrics, 5, 2014,
31-35.
[7]. Anne Shumway-Cook, Sandy Brauer, Marjorie Woollacott. Predicting the Probability for Falls in
Community-Dwelling Older Adults Using the Timed Up & Go Test. Physical Therapy, 80(9), 2000.
Pandita S et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [xxx-xxx]
183
[8]. Emmanuel Frimpong, M.Phil, Olajide Ayinla Olawale, PhD, Daniel AnsongAntwi, PhD, Charles Antwi-
Boasiako, M.Phil, Bartholomew Dzudzor. Task-oriented circuit training improves ambulatory Functions in
acute stroke: a randomized controlled trial. Journal of Medicine and Medical Sciences l, 5(8), 2014, 169-
175.
[9]. Sofia Straudi, Carlotta Martinuzzi, Claudia Pavarelli, Amira SabbaghCharabati, Maria Grazia Benedetti,
CalogeroFoti, MichelaBonato, Eleonora Zancatoand Nino Basaglia. A task- oriented circuit training in
multiple sclerosis: a feasibility study. BMC Neurology, 14, 2014, 124.
[10]. Ingrid G L van de Port assistant professor1, Lotte E G WeversPhD student1, Eline Lindeman professor1,
Gert Kwakkel professor. Effects of circuit training as alternative to usual physiotherapy after stroke:
randomised controlled trial. BMJ 2012, 1-10.
[11]. Hyung-Seok Seo, Jung-Ho Lee, Young-Han Park. Effects of a task specific exercise program on balance,
mobility and muscle strength in the elderly. J. Phys. Ther. Sci. 26, 2014, 1693-1695.
[12]. Roaldsen KS, Halvarsson A, Sahlström T, Ståhle A Task-specific balance training improves self- assessed
function in community-dwelling older adults with balance deficits and fear of falling: a randomized
controlled trial. Clin Rehabil. 28(12), 2014, 1189-97.
[13]. Gopal Nambi S, Parth S. Trivedi, Shirin M. Momin. Comparative Effect of Pilates and Feldenkrais
Intervention on Functional Balance and Quality of Life in Ambulatory Geriatric Population: A
Randomized Controlled Study. IJHSR, 4(3), 2014, 72.
[14]. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway,
reaction time, the Berg Balance scale and ABC scale for comparing fallers and non-fallers. Arch Gerontol
Geriatr. 38, 2004, 11-26.
[15]. Douris, PT, EdD, Veronica Southard, PT, MS, GCS, Celia Varga, PT, MS, William Schauss, PT, MS,
Charles Gennaro, PT, MS, Arthur Reiss, PT, MS The Effect of Land and Aquatic Exercise on Balance
Scores in Older Adults. Journal of Geriatric Physical Therapy, 26(1), 03.
[16]. Valerie Simmons and Paul D. Hansen Effectiveness of Water Exercise on Postural Mobility in the Well
Elderly: An Experimental Study on Balance Enhancement. J Gerontol A Biol Sci Med Sci. 51A (5), 1996,
M233-M238.
[17]. Zheng J, Pan Y, Hua Y, Shen H, Wang X, Zhang Y, Fan Y, Yu Z. Strategic targeted exercise for
preventing falls in elderly people. J Int Med Res. 41(2), 2013, 418-26.
[18]. Michelle M. Lusardi, PT, PD, Geraldine L. Pellecchia, PT, PhD, Marjorie Schulman, PT. Functional
Performance in Community Living Older Adults. Journal of Geriatric Physical Therapy, 26(3), 03.
[19]. Sherry A. Greenberg, PhD(c), MSN, GNP-BC. The Geriatric Depression Scale (GDS).
[20]. Hartford Institute for Geriatric Nursing, NYU College of Nursing, 4, 2012.
[21]. Paul L. Enright, MD, Mary Ann McBurnie, PhD. The 6-minute walk test: quick measure of functional
status in elderly adults. Elsevier, 123(2), 2003, 387-398.
[22]. Devereux K, Robertson D, Briffa NK .Effects of a water-based program on women 65 years and over: a
randomised controlled trial. Aust J Physiother. 51(2), 2005, 102-8.
[23]. Lord, Stephen R , Matters, Beth, St George, Rebecca, Thomas, Margaret, Bindon, Jeni, Chan, Daniel Kam
Yin ,Collings, Anne, Haren, Loraine. The effects of water Means KM, Rodell DE, O’Sullivan PS. Balance,
mobility, and falls among community-dwelling elderly persons: Effects of a rehabilitation exercise
program. Am J Phys Med Rehabil, 84, 2005, 238-250
[24]. Carr J., Shephard Nurological Rehabilitation: Optimising motor performance. Balance, 7, 172-173.
Walking, 5, 114.
[25]. Jennifer C. Nitz, Nancy Low Choy. The efficacy of a specific balance-strategy training programme for
preventing falls among older people: a pilot randomised controlled trial. Age and Ageing, 33, 2004, 52-58.
[26]. Lotte Wevers, MSc; Ingrid van de Port, PhD; Mathijs Vermue, MSc; Gillian Mead, MD, PhD; Gert
Kwakkel, PhD .Effects of task-oriented circuit class training on walking competency after stroke: A
Systematic Review. Stroke, 40, 2009, 2450-2459.
[27]. Means KM, Rodell DE, O’Sullivan PS. Balance, mobility, and falls among community-dwelling elderly
persons: Effects of a rehabilitation exercise program. Am J Phys Med Rehabil, 84, 2005, 238- 250
Pandita S et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [xxx-xxx]
184
[28]. Wolfson, L., Whipple, R., Derby, C.A., Amerman, P. And Nashner, L. Gender differemces in the balance
of healthy elderly as demonstrated by dynamic posturography, J of Gerontology, 49, 1994, 4, M160-M167.
[29]. Jiejiao Zheng, Yujian Pan, Yinghui Hua, Haimin Shen, Xueqiang Wang, Ying Zhang, Yujing Fan and
Zhuowei Yu. Strategic targeted exercise for preventing falls in elderly people. Journal of International
Medical Research, 0(0), 1–9