Progressive Exercise To Address Impaired Balance And Mobility In Older Adults Referred for Home Care Physiotherapy: Is It Beneficial To Target Vestibular Control And Lower Limb Muscle Strength
Bibliographic record
Abstract
Purpose: The primary purpose of this study was to evaluate the effect of a progressive exercise program on vestibular control of standing balance, in older adults referred for home care physiotherapy because of balance impairment. Methods: Ability to use vestibular inputs for postural control in standing was assessed using the Clinical Test of Sensory Interaction and Balance (CTSIB). Participants who had CTSIBTest 5 scores of < 15 seconds were accepted into the study. Participants were randomly assigned to an 8 week intervention of progressive balance exercise targeting ability to use vestibular control and high intensity progressive resistance exercise (PRE) or high intensity PRE only. Results: The difference in CTSIBTest 5 scores of the RBE Group (median 23.3 s) was greater than the difference in CTSIBTest 5 scores for the RE Group (median 0.60 s) (W = 18.0, p <0.05). Conclusions: The results of this study provide preliminary evidence that the ability to use vestibular control in older adults, referred for home care physiotherapy for balance impairment, can be modified by progressive balance training and resistance exercise but not by resistance exercise alone.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".