Effect of Eccentric Exercises Versus Core Stability Exercises on Falling Risk and Functional Capacity in The Elderly A Randomized Control Study

Background and aim: to compare the effects of eccentric and core stabilization exercises in elderly patients with risk of falls.Materials and Methods: The present randomized study included 60 patients with risk of falls. Patients were equally and randomly assigned to one of the two groups: Group 1 (n=30) received 3 eccentric exercises for the muscles of the lower limbs (according to the patient selection and his abilities) and Group 2 (n=30) received 3 core stability exercises for the trunk muscles using the Swiss ball (according to the patient selection and his abilities). Balance and aerobic capacity were reassessed for all patients after the last session of exercise. Balance was assessed using three tests (Berg Balance Scale (BBS), Functional Reach Test (FRT) and Balance Y-MED). The aerobic capacity of participants was assessed using 6-minute walk test (6MWT), timed up and go test (TUG) and Borg scale for perceived exertion (RPE). Results: No statistically significant differences between the studied groups regarding Berg Balance Scale, Functional Reach Test and Balance Y-MED measured at baseline or after end of exercises. However, in both groups all the three outcome parameters showed significant improvement after end of exercise. Likewise, no statistically significant differences between the studied groups regarding 6-minute walk test, timed up and go test and Borg scale for perceived exertion. However, in both groups all the three outcome parameters showed significant improvement after exercises. Conclusion: Both exercises have positive impact on balance and physical performance parameters in older adults with risk of falls.