Aging Clinical and Experimental Research

, Volume 30, Issue 9, pp 1101–1110 | Cite as

The effects of a multicomponent intervention program on clinical outcomes associated with falls in healthy older adults

  • Young-Hee ChoEmail author
  • Olfat Mohamed
  • Barbara White
  • Savitri Singh-Carlson
  • Vennila Krishnan
Original Article



Multicomponent intervention programs have been shown to be effective in reducing risk factors associated with falls, but the primary target population of these interventions is often low-functioning older adults.


The purpose of this study was to investigate the effectiveness of a multicomponent intervention program focusing on balance and muscle strength for independently functioning community-dwelling older adults.


Fifty-three independently functioning older adults, aged 80.09 ± 6.62 years, participated in a group exercise class (conducted 2 times/week for 8 weeks) emphasizing balance. Outcome measures were balance performance using the Fullerton Advanced Balance (FAB) scale and muscle strength using the Senior Fitness Test (SFT).


The intervention improved balance (P < 0.001), and older adults who were classified as having high fall risks based on the FAB scores at pre-testing improved more than older adults who were classified as having low fall risks (P = 0.017). As a result, 22 participants transitioned from a high fall risk group at pre-testing to a low fall risk group at post-testing (P < 0.001). The intervention also enhanced both upper and lower muscle extremity strength based on SFT results (P < 0.001) regardless of participants’ classification of fall risk status.

Conclusions and discussion

The multicomponent intervention conducted two times per week for 8 weeks was effective in improving balance and enhancing muscle strength of independently functioning older adults. The results underscore the importance of providing fall prevention interventions to healthy older adults, a population often not a target of balance interventions.


Balance Strength Balance intervention Community-dwelling older adults 



This research was supported by a SCAN Health Plan grant. We are grateful to the Osher Lifelong Learning Institute at the California State University, Long Beach, and the Leisure World® Seal Beach, CA, for their assistance in the participants recruitment. We also thank many student assistants from the Department of Physical Therapy and the Department of Psychology at the California State University, Long Beach for their help in data collection and data analysis.


This study was partially funded by a Grant from SCAN Health Plan.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical standards

All procedures performed in this project involving human participants were in accordance with the ethical standards of our institutional review board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standard.

Informed consent

Informed consent was obtained from all individuals participants included in the study.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Psychology, College of Liberal ArtsCalifornia State University, Long BeachLong BeachUSA
  2. 2.Department of Physical Therapy, College of Health and Human ServicesCalifornia State UniversityLong BeachUSA
  3. 3.School of Nursing and Osher Lifelong Learning Institute, College of Health and Human ServicesCalifornia State UniversityLong BeachUSA
  4. 4.Department of Family and Community Health SystemsUniversity of Texas Health Science CenterSan AntonioUSA
  5. 5.Department of Physical Therapy, College of Health and Human ServicesCalifornia State UniversityLong BeachUSA

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