Effects of community-based balance training compared to general exercise under structured safety protocols in young old age

Abstract

Falls are the leading cause of injury and disability in older adults, accounting for significant morbidity, mortality, and healthcare costs. The “young old” (65–74 years) often remain functionally independent, but age-related decline in balance and mobility begins during this period. This study examined the effects of community-based balance training compared to general exercise on balance, functional mobility, and falls efficacy among young-old adults aged 65–74. Thirty participants were divided equally into an experimental group (balance training) and a control group (general exercises) over four weeks. The experimental group received structured balance training emphasizing proprioception, postural control, and coordination, while the control group participated in general exercises such as flexibility and aerobic activities. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Falls Efficacy Scale (FES) for both before and after the intervention. Findings revealed significant improvements in balance, mobility, and falls efficacy in the experimental group compared to the control group. These results suggest that targeted balance training is an effective, scalable intervention for fall prevention and healthy aging in young-old adults.