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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2015, Volume : 9, Issue : 3
First page : ( 55) Last page : ( 60)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.
Article DOI : 10.5958/0973-5674.2015.00095.7

Effect of Cawthorne and Cooksey Exercise Program on Balance and Likelihood of Fall in Older Women

Zambare Prajakta D1,*, Soni Neela2, Sharma Pawan3

1Assistant Professor, Padmashree Dr. D.Y Patil Physiotherapy College, Pune

2Senior Lecturer, Govt. Physiotherapy College, Ahmedabad

3Assistant Professor, Shri U.S.B Physiotherapy College, Abu-Road

*Corresponding author: Prajakta Zambare, Assistant Professor, Padmashree Dr. D.Y Patil Collge of Physiotherapy, Sant Tukaram Nagar, Pimpri, Pune, E-mail: prajakta.zambare8189@gmail.com

Online published on 19 June, 2015.

Abstract

Background

Falls are common and a complex geriatric syndrome that cause considerable mortality, morbidity & reduced functioning. There are several causes of falls in elderly such as muscle weakness, dizziness, postural hypotension etc. & about 17% of falls are due to loss of balance. Cawthorne & Cooksey exercise (CCE) is part of Vestibular Rehabilitation program which helps in improving balance by enhancing gaze stability, postural stability, daily living activities and by restoring self confidence in elderly.

Objectives

To study the effectiveness of Cawthorne-Cooksey exercise (CCE) on balance, likelihood of fall and fear of fall in older women.

Method

60 older women who fulfilled the inclusion criteria were taken up for the study. Control group received conventional physiotherapy to improve balance and experimental group received conventional physiotherapy and CCE. All subjects were evaluated with BBS (Berg Balance Scale), DGI (Dynamic Gait Index), PQ (Likelihood of Fall) and VAS-FOF (Visual analogue scale for fear of fall) score before & after 9 weeks of intervention.

Results

The result of within group analysis yielded significant improvement in BBS, DGI, VAS-FOF and Likelihood of Fall (p=0.0001) for both the groups. Between group analysis showed significant improvements in DGI (p=0.013), VAS-FOF (p=0.030) in Group-B but no significant difference in BBS score (p=0.390) and Likelihood of Fall (p=0.459) between two Groups.

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Keywords

Cawthorne and Cooksey ExerciseBalanceLikelihood of FallElderlyFear of Fall.

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