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Objectives Falls in older adults occurs mainly because of balance defects and postural instability. Falls and falls-related injuries result in fear of fall in the elderly. This most common fear in older adults can cause self-imposed decline in activities and functions of the elderly. Falls, fear of falling, and their negative consequences can affect older adults' quality of life, daily living activities, and physical functions. In this regard, this study aimed to examine the effects of strength and balance training intervention program on the balance performance and quality of life of community-dwelling older adults with fear of falling. Methods & Materials The research method was quasi-experimental, with pretest and posttest design. Statistical population comprised older male adults living in Arak City, Iran. Out of them, 130 older male adults participated in the screening test. Then, 31 eligible subjects with fear of falling were randomly selected and assigned to experiment group (n=15) (mean age=66.07 y) and control group (n=16) (mean age=70.14 y). Subjects in the experiment group participated in a 10-week strength and balance intervention training program, 3 days per week, each session lasted 90 minutes. The intervention program included stretching training, upper and lower extremities strength training, balance training, and cool-down. It was performed in the presence of a physician. Data were collected by valid and reliable tools, including Mini-Mental Status Examination (MMSE), 36-item Short Form Survey (SF-36), Activities-specific Balance Confidence (ABC), and one-leg standing balance performance test. Independent Student t test with significant level of ≤ 0.05 was used for data analysis. The pretest and posttest scores were compared with the Student t test, and the data were analyzed with SPSS 16. Results There were no significant differences between mean scores of MMSE in the experiment and control groups (P=0.24). The findings indicated that mean scores of one-leg standing balance performance test with support foot (P=0.04) and leading foot (P≤0.001) of experiment group improved significantly. Moreover, the training intervention program improved mean scores of quality of life (SF-36) subscales, including physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality (energy/fa-tigue), and general mental health (P≤0.05). No significant differences were observed in the mean scores of social function and role limitation due to emotional problems subscales after the intervention program (P>0.05). Conclusion According the findings, 10-week strength and balance intervention training program improved balance performance and quality of life in older adults with fear of …

Effect of Strength and Balance Training Program on Balance and Quality of Life in Older Male Adults with Fear of Fall