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IJHSR. 2014; 4(3): 71-77


Comparative Effect of Pilates and Feldenkrais Intervention on Functional Balance and Quality of Life in Ambulatory Geriatric Population: A Randomized Controlled Study.

Gopal Nambi S, Parth S. Trivedi, Shirin M. Momin, Shreya Patel, Divyesh P. Pancholi.

Abstract
Background: Approximately 35%-40% of adults who are above 65 fall at least once in a year. The reasons for it may be declines in sensory and motor function and integration leading to poor balance and falls. Therefore, preventive measures for falls and falls-related injuries in elderly individuals are of critical importance. Therefore the purpose of the study is to compare the effectiveness of two approaches such as Pilates intervention (PI) and Feldenkrais Intervention (FI) in improving functional balance and quality of life (QOL) in ambulatory geriatrics.
Material & Methodology: Total 60 Ambulatory geriatrics subjects were selected and randomly allocated into three groups (Pilates intervention-PI; Feldenkrais intervention-FI and Control).Each group had 20 subjects in it. All the groups completed 6 weeks of intervention. Functional reach test (FRT), Timed up and go test (TUG), Dynamic gait index (DGI) for functional balance and RAND-36 for Quality of life is measured at baseline and After 6 weeks of training.
Results: The 6 weeks of PI & FI protocol resulted in significant improvement of functional balance (FRT, TUG & DGI: p=0.000) and QOL (RAND-36: p=0.000) in elderly individuals which was not evident in the control group. However PI was found to be more clinically effective compared to FI in all outcome scores.
Conclusions: Both Pilates and Feldenkrais are effective in improving functional balance and decreasing propensity to fall in ambulatory geriatrics thereby improving QOL. However, Pilates Intervention was found to be superior to Feldenkrais Intervention to improve functional QOL among ambulatory geriatrics.

Key words: Pilates training; Feldenkrais; Geriatric; Physical activity; Rehabilitation.



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