BASIC Training: A Pilot Study of Balance/Strengthening Exercises in Heart Failure

Abstract

Purpose: The aim of this pilot study was to evaluate the effect of a multicomponent balance and resistance training intervention on physical function, balance, and falls in older (≥65 years) community-dwelling heart failure (HF) patients.

Design: Randomized, two-group repeated-measures experimental design.

Methods: The intervention involved once weekly supervised group sessions with home sessions encouraged twice weekly. Focus groups held pre/post intervention. Outcome variables included measures of physical function, balance confidence, and falling risk.

Findings: In a sample size of 33, the Dynamic Gait Index change from baseline to 12 weeks was significantly different in the groups (p = .029). The number of reported falls declined from 0.92 to 0.54 per participant.

Conclusions: A supervised group session intervention can increase mobility and gait and reduce fall rate for HF patients.

Clinical relevance: This study was designed to improve lower extremity strength, balance, and falls in elderly HF patients, thus reducing costs and improving quality of life for this population.