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This study will evaluate the effectiveness of a 16 week tailored home based exercise program in older adults aged (50 years and above) who were identified as having unsteadiness during turning.
Therefore, the primary aim of the present study is to conduct a randomised controlled trial to evaluate the effectiveness of an individualized home based exercise program in improving turning and common balance impairments among community dwelling Malaysians aged 50 years identified as having impaired turning ability.
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To compare the effects of long-term psychosocial functioning and mental health of a "day hospital"–based exercise program (DAYEX) versus a community-based exercise program (COMBEX).
While adherence was a challenge in one inpatient rehabilitation program [ 9], patients' adherence to a structured home based exercise program was high [ 10].
Both aquatic and land based exercise programs appear to result in comparable outcomes for function, mobility or pooled indices.
Other studies on community based exercise programs have demonstrated improvements in functional capacity, dyspnea, and disease specific quality of life [ 29- 32].
The individualized home based exercise is based on the Otago home based exercise programs that have been shown in a number of studies among at risk older people to be safely implemented [ 32, 33].
In summary, our data confirm that community based exercise programs are not only feasible, but also effective, in patients with moderate of COPD.
Implementation of the walking program in the Netherlands is relatively easy, since infrastructure for group based exercise programs for the elderly already exists.
No differences were observed in enjoyment of water compared to land based exercise programs.
Differences between land based programs are seen in descriptions of Tai Chi, gym or home based exercise programs.
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