Original Research Article
Year: 2022 | Month: June | Volume: 12 | Issue: 6 | Pages: 168-173
DOI: https://doi.org/10.52403/ijhsr.20220623
The Effect of Otago Exercise Program for Fall Prevention in Alcoholic Neuropathy Patients
Shraddha B. Limaye1, Harshada R. Patil2
1Intern, College of Physiotherapy, MMC, WH, Miraj, Maharashtra, India.
2Associate Professor, College of Physiotherapy, MMC, WH, Miraj, Maharashtra, India.
Corresponding Author: Shraddha B. Limaye
ABSTRACT
Introduction: Otago Exercise Program (OEP) consists of lower limb strengthening, balance and endurance exercises designed to prevent risk of fall. Alcoholic Neuropathy [AN] patients frequently complaints of muscle pain, difficult in gait, reduced muscle strength, falls and cramps thus they are at a high risk of fall. The aim of study is to find the effect of OEP for fall prevention in alcoholic neuropathy patients.
Method: Study consists of 34 male patients aged 45 to 64 years diagnosed with AN. Patients at moderate high and risk of fall on Tinetti Performance Oriented Mobility Assessment [TPOMA] was part of the study. The intervention comprises of 5 lower limb muscle strength training, 12 balance exercises and endurance training given for 1 hour for 5 days per week for 4 weeks along with warm-up and cool-down 5 mins each. Progression of exercises will be done by increasing the duration and then intensity. Pre-intervention and post intervention data was collected and compared.
Outcome measure: Tinetti Performance Oriented Mobility Assessment
Result: Data of total 34 patients was compared using paired t-test for TPOMA. The results of p-value for TPOMA is p=0.00 which is highly significant. Out of 34 patients 33 were at minimal and no risk of fall post-intervention.
Conclusion: Patients with alcoholic neuropathy have decreased muscle strength, lack of coordination of the feet or hands, and impaired balance on walking. OEP be taught for improving balance and gait which will help to reduce fall risk in alcoholic neuropathy patients. The Otago Exercise Program is effective in reducing risk of fall in patients with alcoholic neuropathy by strengthening leg muscles, balance exercise and gait training.
Key words: OTAGO Exercise Programme, Tinetti Performance Mobility Assessment, Alcoholic Neuropathy, Risk of fall.