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Effect of concurrent and multi-component training on balance, fear of falling, and muscle strength in older adults: a review

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Abstract

Background

There is impairment in maintaining balance while doing activities of daily living in aging individuals due to deterioration in the sensory, cognitive, and musculoskeletal systems. The positive effects of aerobic and resistance exercise in older people have already been established. Nowadays, researchers are stressing over the importance of multicomponent exercise programs where a combination of exercises like aerobic, resistance, and balance and coordination exercises, etc., was used.

Purpose

The present review summarizes the effects of concurrent exercise training (aerobic + resistance) and multicomponent exercise programs on balance, fear of falling, and muscle strength in older adults.

Methods

MEDLINE (accessed by PubMed) and Web of Science (Web of Science Core Collection) were searched using a combination of keywords.

Results

The result in a majority of the included studies showed positive improvement in balance, fear of fall, and strength of muscles. Improvement in muscle strength is more evident when subjected to resistance exercise training alone than concurrent training.

Conclusions

Multicomponent exercise training program when compared with concurrent training is more effective in improving balance, fear of fall, and muscle strength in older adults.

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Abbreviations

MCEP:

Multicomponent exercise program

FoF:

Fear of falling

BoS:

Base of support

ProFANE:

Prevention of falls netwrok Europe

RM:

Repetition maximum

References

  1. Varsha S, Hutoxi W (2017) Effect of aging on components of balance evaluation system test (BESTest). Int J Physiother. https://doi.org/10.15621/ijphy/2017/v4i3/149073

    Article  Google Scholar 

  2. Rogers ME, Rogers N, Takeshima N (2005) Balance training in older adults. Aging Health 1:475–486. https://doi.org/10.2217/1745509X.1.3.475

    Article  Google Scholar 

  3. Hartholt KA, Lee R, Burns ER, van Beeck EF (2019) Mortality from falls among US adults aged 75 years or older, 2000–2016. JAMA 321(21):2131–2133

    Article  PubMed  PubMed Central  Google Scholar 

  4. Camicioli R, Panzer VP, Kaye J (1997) Balance in the healthy elderly: posturography and clinical assessment. Arch Neurol 54(8):976–981. https://doi.org/10.1001/archneur.1997.00550200040008

    Article  CAS  PubMed  Google Scholar 

  5. Winter DA (1995) ABC (anatomy, biomechanics and control) of balance during standing and walking. Waterloo Biomech 3(4):193–214

    Google Scholar 

  6. Nevitt MC, Cummings SR, Kidd S, Black D (1989) Risk factors for recurrent nonsyncopal falls prospective study. JAMA 261(18):2663–2668

    Article  CAS  PubMed  Google Scholar 

  7. Daubney ME, Culham EG (1999) Lower-extremity muscle force and balance performance in adults aged 65 years and older. Phys Ther 79(12):1177–1185

    Article  CAS  PubMed  Google Scholar 

  8. Doherty TJ, Vandervoort AA, Brown WF (1993) Effects of ageing on the motor unit: a brief review. Can J Appl Physiol 18(4):331–358. https://doi.org/10.1139/h93-029

    Article  CAS  PubMed  Google Scholar 

  9. Skinner HB, Barrack RL, Cook SD (1984) Age-related decline in proprioception. Clin Orthop Relat Res 184:208–211

    Article  Google Scholar 

  10. Mills EM (1994) The effect of low-intensity aerobic exercise on muscle strength, flexibility, and balance among sedentary elderly persons. Nurs Res 43(4):207–211

    Article  CAS  PubMed  Google Scholar 

  11. Berg K (1989) Balance and its measure in the elderly: a review. Physiother Can 41(5):240–246. https://doi.org/10.3138/ptc.41.5.240

    Article  Google Scholar 

  12. Rossat A, Fantino B, Nitenberg C, Annweiler C, Poujol L, Herrmann FR et al (2010) Risk factors for falling in community-dwelling older adults: which of them are associated with the recurrence of falls? J Nutr Health Aging 14(9):787–791. https://doi.org/10.1007/s12603-010-0089-7

    Article  CAS  PubMed  Google Scholar 

  13. Baker SP, Harvey AH (1985) Fall injuries in the elderly. Clin Geriatr Med 1(3):501–512

    Article  CAS  PubMed  Google Scholar 

  14. Tinetti ME, Speechley M, Ginter SF (1988) Risk factors for falls among elderly persons living in the community. N Engl J Med 319(26):1701–1707. https://doi.org/10.1056/nejm198812293192604

    Article  CAS  PubMed  Google Scholar 

  15. Tiedemann AC, Murray SM, Munro B, Lord SR (2008) Hospital and non-hospital costs for fall-related injury in community-dwelling older people. N S W Public Health Bull 19(9–10):161–165. https://doi.org/10.1071/nb07022

    Article  PubMed  Google Scholar 

  16. Thomas S, Mackintosh S, Halbert J (2010) Does the “Otago exercise programme” reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing 39(6):681–687. https://doi.org/10.1093/ageing/afq102

    Article  PubMed  Google Scholar 

  17. Sherrington C, Pamphlett PI, Jacka JA, Olivetti LM, Nugent JA, Hall JM et al (2008) Group exercise can improve participants’ mobility in an outpatient rehabilitation setting: a randomized controlled trial. Clin Rehabil 22(6):493–502. https://doi.org/10.1177/0269215508087994

    Article  PubMed  Google Scholar 

  18. Buchner DM, Cress ME, de Lateur BJ, Esselman PC, Margherita AJ, Price R et al (1997) The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. J Gerontol A Biol Sci Med Sci 52(4):M218–M224. https://doi.org/10.1093/gerona/52a.4.m218

    Article  CAS  PubMed  Google Scholar 

  19. Mian OS, Baltzopoulos V, Minetti AE, Narici MV (2007) The impact of physical training on locomotor function in older people. Sports Med 37(8):683–701. https://doi.org/10.2165/00007256-200737080-00003

    Article  PubMed  Google Scholar 

  20. Baker MK, Atlantis E, Fiatarone Singh MA (2007) Multi-modal exercise programs for older adults. Age Ageing 36(4):375–381. https://doi.org/10.1093/ageing/afm054

    Article  PubMed  Google Scholar 

  21. Orr R, Raymond J, Fiatarone SM (2008) Efficacy of progressive resistance training on balance performance in older adults : a systematic review of randomized controlled trials. Sports Med 38(4):317–343. https://doi.org/10.2165/00007256-200838040-00004

    Article  PubMed  Google Scholar 

  22. Kendrick D, Kumar A, Carpenter H, Zijlstra GA, Skelton DA, Cook JR et al (2014) 2014 Exercise for reducing fear of falling in older people living in the community. Cochrane Database Syst Rev 11:CD009848. https://doi.org/10.1002/14651858.CD009848.pub2

    Article  Google Scholar 

  23. Bradley EH, Bogardus ST Jr, Tinetti ME, Inouye SK (1999) Goal-setting in clinical medicine. Soc Sci Med 49(2):267–278. https://doi.org/10.1016/s0277-9536(99)00107-0

    Article  CAS  PubMed  Google Scholar 

  24. Bird M, Hill KD, Ball M, Hetherington S, Williams AD (2011) The long-term benefits of a multi-component exercise intervention to balance and mobility in healthy older adults. Arch Gerontol Geriatr 52(2):211–216. https://doi.org/10.1016/j.archger.2010.03.021

    Article  CAS  PubMed  Google Scholar 

  25. Marques EA, Mota J, Machado L, Sousa F, Coelho M, Moreira P et al (2011) Multicomponent training program with weight-bearing exercises elicits favorable bone density, muscle strength, and balance adaptations in older women. Calcif Tissue Int 88(2):117–129. https://doi.org/10.1007/s00223-010-9437-1

    Article  CAS  PubMed  Google Scholar 

  26. Kovács E, Sztruhár Jónásné I, Karóczi CK, Korpos A, Gondos T (2013) Effects of a multimodal exercise program on balance, functional mobility and fall risk in older adults with cognitive impairment: a randomized controlled single-blind study. Eur J Phys Rehabil Med 49(5):639–648

    PubMed  Google Scholar 

  27. Barnett A, Smith B, Lord SR, Williams M, Baumand A (2003) Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. Age Ageing 32(4):407–414. https://doi.org/10.1093/ageing/32.4.407

    Article  PubMed  Google Scholar 

  28. Gitlin LN, Winter L, Dennis MP, Corcoran M, Schinfeld S, Hauck WW (2006) A randomized trial of a multicomponent home intervention to reduce functional difficulties in older adults. J Am Geriatr Soc 54(5):809–816. https://doi.org/10.1111/j.1532-5415.2006.00703.x

    Article  PubMed  Google Scholar 

  29. Chittrakul J, Siviroj P, Sungkarat S, Sapbamrer R (2020) Multi-system physical exercise intervention for fall prevention and quality of life in pre-frail older adults: a randomized controlled trial. Int J Environ Res Public Health 17(9):3102. https://doi.org/10.3390/ijerph17093102

    Article  PubMed  PubMed Central  Google Scholar 

  30. Bastami M, Azadi A (2020) Effects of a multicomponent program on fall incidence, fear of falling, and quality of life among older adult nursing home residents. Ann Geriatr Med Res 24(4):252–258. https://doi.org/10.4235/agmr.20.0044

    Article  PubMed  PubMed Central  Google Scholar 

  31. Zijlstra GA, van Haastregt JC, Ambergen T, van Rossum E, van Eijk JT, Tennstedt SL et al (2009) Effects of a multicomponent cognitive behavioral group intervention on fear of falling and activity avoidance in community-dwelling older adults: results of a randomized controlled trial. J Am Geriatr Soc 57(11):2020–2028. https://doi.org/10.1111/j.1532-5415.2009.02489.x

    Article  PubMed  Google Scholar 

  32. Brouwer BJ, Walker C, Rydahl SJ, Culham EG (2003) Reducing fear of falling in seniors through education and activity programs: a randomized trial. J Am Geriatr Soc 51(6):829–834. https://doi.org/10.1046/j.1365-2389.2003.51265.x

    Article  PubMed  Google Scholar 

  33. Holviala J, Kraemer WJ, Sillanpää E, Karppinen H, Avela J, Kauhanen A et al (2012) Effects of strength, endurance and combined training on muscle strength, walking speed and dynamic balance in aging men. Eur J Appl Physiol 112(4):1335–1347. https://doi.org/10.1007/s00421-011-2089-7

    Article  CAS  PubMed  Google Scholar 

  34. Shiotsu Y, Yanagita M (2018) Comparisons of low-intensity versus moderate-intensity combined aerobic and resistance training on body composition, muscle strength, and functional performance in older women. Menopause 25(6):668–675. https://doi.org/10.1097/gme.0000000000001060

    Article  PubMed  Google Scholar 

  35. García-Pinillos F, Laredo-Aguilera JA, Muñoz-Jiménez M, Latorre-Román PA (2019) Effects of 12 week concurrent high-intensity interval strength and endurance training program on physical performance in healthy older people. J Strength Cond Res 33(5):1445–1452. https://doi.org/10.1519/jsc.0000000000001895

    Article  PubMed  Google Scholar 

  36. Cadore EL, Pinto RS, Lhullier FL, Correa CS, Alberton CL, Pinto SS et al (2010) Physiological effects of concurrent training in elderly men. Int J Sports Med 31(10):689–697. https://doi.org/10.1055/s-0030-1261895

    Article  CAS  PubMed  Google Scholar 

  37. Ferketich AK, Kirby TE, Alway SE (1998) Cardiovascular and muscular adaptations to combined endurance and strength training in elderly women. Acta Physiol Scand 164(3):259–267. https://doi.org/10.1046/j.1365-201X.1998.00428.x

    Article  CAS  PubMed  Google Scholar 

  38. Agrawal Y, Merfeld D, Horak F, Redfern M, Manor B, Westlake K et al (2020) Aging, vestibular function, and balance: proceedings of a national institute on aging/national institute on deafness and other communication disorders workshop. J Gerontol Ser A 75(12):2471–2480. https://doi.org/10.1093/gerona/glaa097

    Article  Google Scholar 

  39. Osoba MY, Rao AK, Agrawal SK, Lalwani AK (2019) Balance and gait in the elderly: a contemporary review. Laryngoscope Investig Otolaryngol 4(1):143–153. https://doi.org/10.1002/lio2.252

    Article  PubMed  PubMed Central  Google Scholar 

  40. Lee WA (1989) A control systems framework for understanding normal and abnormal posture. Am J Occup Ther 43(5):291–301. https://doi.org/10.5014/ajot.43.5.291

    Article  CAS  PubMed  Google Scholar 

  41. Alexander NB (1994) Postural control in older adults. J Am Geriatr Soc 42(1):93–108. https://doi.org/10.1111/j.1532-5415.1994.tb06081.x

    Article  CAS  PubMed  Google Scholar 

  42. Mancini M, Salarian A, Carlson-Kuhta P, Zampieri C, King L, Chiari L et al (2012) ISway: a sensitive, valid and reliable measure of postural control. J Neuroeng Rehabil 9:59. https://doi.org/10.1186/1743-0003-9-59

    Article  PubMed  PubMed Central  Google Scholar 

  43. MacKinnon CD (2018) Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol 159:3–26. https://doi.org/10.1016/b978-0-444-63916-5.00001-x

    Article  PubMed  PubMed Central  Google Scholar 

  44. Bhatt T, Yang F, Pai YC (2012) Learning to resist gait-slip falls: long-term retention in community-dwelling older adults. Arch Phys Med Rehabil 93(4):557–564. https://doi.org/10.1016/j.apmr.2011.10.027

    Article  PubMed  PubMed Central  Google Scholar 

  45. Horak FB, Wrisley DM, Frank J (2009) The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther 89(5):484–498. https://doi.org/10.2522/ptj.20080071

    Article  PubMed  PubMed Central  Google Scholar 

  46. Mahoney JR, Cotton K, Verghese J (2019) Multisensory integration predicts balance and falls in older adults. J Gerontol A Biol Sci Med Sci 74(9):1429–1435. https://doi.org/10.1093/gerona/gly245

    Article  PubMed  Google Scholar 

  47. Mahoney JR, Verghese J (2020) Does cognitive impairment influence visual-somatosensory integration and mobility in older adults? J Gerontol A Biol Sci Med Sci 75(3):581–588. https://doi.org/10.1093/gerona/glz117

    Article  PubMed  Google Scholar 

  48. Patel P, Lamar M, Bhatt T (2014) Effect of type of cognitive task and walking speed on cognitive-motor interference during dual-task walking. Neuroscience 260:140–148. https://doi.org/10.1016/j.neuroscience.2013.12.016

    Article  CAS  PubMed  Google Scholar 

  49. Furman JM, Redfern MS, Jacob RG (2006) Vestibulo-ocular function in anxiety disorders. J Vestib Res 16(4–5):209–215

    PubMed  Google Scholar 

  50. Horak FB (2006) Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing 35(2):ii7–ii11. https://doi.org/10.1093/ageing/afl077

    Article  PubMed  Google Scholar 

  51. Dunsky A, Zeev A, Netz Y (2017) Balance performance is task specific in older adults. Biomed Res Int 2017:6987017. https://doi.org/10.1155/2017/6987017

    Article  PubMed  PubMed Central  Google Scholar 

  52. Arampatzis A, Peper A, Bierbaum S (2011) Exercise of mechanisms for dynamic stability control increases stability performance in the elderly. J Biomech 44(1):52–58. https://doi.org/10.1016/j.jbiomech.2010.08.023

    Article  PubMed  Google Scholar 

  53. Bardy BG, Warren WH Jr, Kay BA (1999) The role of central and peripheral vision in postural control during walking. Percept Psychophys 61(7):1356–1368. https://doi.org/10.3758/bf03206186

    Article  CAS  PubMed  Google Scholar 

  54. Amblard B, Crémieux J, Marchand AR, Carblanc A (1985) Lateral orientation and stabilization of human stance: static versus dynamic visual cues. Exp Brain Res 61(1):21–37. https://doi.org/10.1007/bf00235617

    Article  CAS  PubMed  Google Scholar 

  55. O'Sullivan SB, Schmitz TJ, Fulk G (2019) Physical rehabilitation, Edn 7. FA Davis company, Philadelphia

  56. Shumway-Cook A, Woollacott MH (2001) Motor control: theory and practical applications, Edn 2. Lippincott Williams & Wilkins, Philadelphia

  57. Andersson GB, Ortengren R, Herberts P (1977) Quantitative electromyographic studies of back muscle activity relatated to posture and loading. Orthop Clin North Am 8(1):85–96

    Article  CAS  PubMed  Google Scholar 

  58. Shumway-Cook A, Woollacott M (2006) Motor control: translating research into clinical practice, Edn 3. Lippincott Williams & Wilkins, Philadelphia

  59. Mergner T, Rosemeier T (1998) Interaction of vestibular, somatosensory and visual signals for postural control and motion perception under terrestrial and microgravity conditions–a conceptual model. Brain Res Brain Res Rev 28(1–2):118–135. https://doi.org/10.1016/s0165-0173(98)00032-0

    Article  CAS  PubMed  Google Scholar 

  60. Lord SR, Ward JA (1994) Age-associated differences in sensori-motor function and balance in community dwelling women. Age Ageing 23(6):452–460

    Article  CAS  PubMed  Google Scholar 

  61. Lord SR, Delbaere K, Sturnieks DL (2018) Aging. Handb Clin Neurol 159:157–171. https://doi.org/10.1016/b978-0-444-63916-5.00010-0

    Article  PubMed  Google Scholar 

  62. Choy NL, Brauer S, Nitz J (2003) Changes in postural stability in women aged 20 to 80 years. J Gerontol A Biol Sci Med Sci 58(6):525–530. https://doi.org/10.1093/gerona/58.6.m525

    Article  PubMed  Google Scholar 

  63. Manchester D, Woollacott M, Zederbauer-Hylton N, Marin O (1989) Visual, vestibular and somatosensory contributions to balance control in the older adult. J Gerontol 44(4):M118–M127. https://doi.org/10.1093/geronj/44.4.m118

    Article  CAS  PubMed  Google Scholar 

  64. Ganz DA, Latham NK (2020) Prevention of falls in community-dwelling older adults. N Engl J Med 382(8):734–743. https://doi.org/10.1056/NEJMcp1903252

    Article  PubMed  Google Scholar 

  65. Masud T, Morris RO (2001) Epidemiology of falls. Age Ageing 30(Suppl 4):3–7. https://doi.org/10.1093/ageing/30.suppl_4.3

    Article  PubMed  Google Scholar 

  66. Jørstad EC, Hauer K, Becker C, Lamb SE (2005) Measuring the psychological outcomes of falling: a systematic review. J Am Geriatr Soc 53(3):501–510. https://doi.org/10.1111/j.1532-5415.2005.53172.x

    Article  PubMed  Google Scholar 

  67. Legters K (2002) Fear of falling. Phys Ther 82(3):264–272

    Article  PubMed  Google Scholar 

  68. Wang MY, Rousseau J, Boisjoly H, Schmaltz H, Kergoat MJ, Moghadaszadeh S et al (2012) Activity limitation due to a fear of falling in older adults with eye disease. Invest Ophthalmol Vis Sci 53(13):7967–7972. https://doi.org/10.1167/iovs.12-10701

    Article  PubMed  Google Scholar 

  69. Tinetti ME, Richman D, Powell L (1990) Falls efficacy as a measure of fear of falling. J Gerontol 45(6):P239–P243. https://doi.org/10.1093/geronj/45.6.p239

    Article  CAS  PubMed  Google Scholar 

  70. Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ (1997) Fear of falling and restriction of mobility in elderly fallers. Age Ageing 26(3):189–193. https://doi.org/10.1093/ageing/26.3.189

    Article  CAS  PubMed  Google Scholar 

  71. Delbaere K, Close J, Brodaty H, Sachdev P, Lord S (2010) Determinants of disparities between perceived and physiological risk of falling among elderly people: Cohort study. BMJ (Clinical research ed) 341:c4165. https://doi.org/10.1136/bmj

    Article  PubMed  Google Scholar 

  72. Buckinx F, Aubertin-Leheudre M (2019) Relevance to assess and preserve muscle strength in aging field. Prog Neuropsychopharmacol Biol Psychiatr 94:109663. https://doi.org/10.1016/j.pnpbp.2019.109663

    Article  CAS  Google Scholar 

  73. Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB et al (2011) Sarcopenia: an undiagnosed condition in older adults current consensus definition: prevalence, etiology, and consequences International working group on sarcopenia. J Am Med Dir Assoc 12(4):249–256. https://doi.org/10.1016/j.jamda.2011.01.003

    Article  PubMed  Google Scholar 

  74. Zhang X, Zhang W, Wang C, Tao W, Dou Q, Yang Y (2018) Sarcopenia as a predictor of hospitalization among older people: a systematic review and meta-analysis. BMC Geriatr 18:188. https://doi.org/10.1186/s12877-018-0878-0

  75. Manini TM, Clark BC (2012) Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci 67(1):28–40. https://doi.org/10.1093/gerona/glr010

    Article  PubMed  Google Scholar 

  76. Moreland JD, Richardson JA, Goldsmith CH, Clase CM (2004) Muscle weakness and falls in older adults: a systematic review and meta-analysis. J Am Geriatr Soc 52(7):1121–1129. https://doi.org/10.1111/j.1532-5415.2004.52310.x

    Article  PubMed  Google Scholar 

  77. Rao SS (2005) Prevention of falls in older patients. Am Fam Physician 72(1):81–88

    PubMed  Google Scholar 

  78. Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35(2):ii37–ii41. https://doi.org/10.1093/ageing/afl084

    Article  PubMed  Google Scholar 

  79. Van Dieen J, Pijnappels M, Bobbert M (2005) Age-related intrinsic limitations in preventing a trip and regaining balance after a trip. Saf Sci 43:437–453. https://doi.org/10.1016/j.ssci.2005.08.008

    Article  Google Scholar 

  80. Pijnappels M, Reeves ND, Maganaris CN, van Dieën JH (2008) Tripping without falling; lower limb strength, a limitation for balance recovery and a target for training in the elderly. J Electromyogr Kinesiol 18(2):188–196. https://doi.org/10.1016/j.jelekin.2007.06.004

    Article  PubMed  Google Scholar 

  81. Pijnappels M, Bobbert MF, van Dieën JH (2005) Push-off reactions in recovery after tripping discriminate young subjects, older non-fallers and older fallers. Gait Posture 21(4):388–394. https://doi.org/10.1016/j.gaitpost.2004.04.009

    Article  PubMed  Google Scholar 

  82. Pijnappels M, van der Burg PJ, Reeves ND, van Dieën JH (2008) Identification of elderly fallers by muscle strength measures. Eur J Appl Physiol 102(5):585–592. https://doi.org/10.1007/s00421-007-0613-6

    Article  PubMed  Google Scholar 

  83. Miszko TA, Cress ME, Slade JM, Covey CJ, Agrawal SK, Doerr CE (2003) Effect of strength and power training on physical function in community-dwelling older adults. J Gerontol A Biol Sci Med Sci 58(2):171–175. https://doi.org/10.1093/gerona/58.2.m171

    Article  PubMed  Google Scholar 

  84. Herpin G, Gauchard GC, Lion A, Collet P, Keller D, Perrin pp. (2010) Sensorimotor specificities in balance control of expert fencers and pistol shooters. J Electromyogr Kinesiol 20(1):162–169. https://doi.org/10.1016/j.jelekin.2009.01.003

    Article  PubMed  Google Scholar 

  85. Brauer SG, Neros C, Woollacott M (2008) Balance control in the elderly: do Masters athletes show more efficient balance responses than healthy older adults? Aging Clin Exp Res 20(5):406–411. https://doi.org/10.1007/bf03325145

    Article  PubMed  Google Scholar 

  86. Gauchard GC, Gangloff P, Jeandel C, Perrin pp. (2003) Influence of regular proprioceptive and bioenergetic physical activities on balance control in elderly women. J Gerontol A Biol Sci Med Sci 58(9):M846–M850. https://doi.org/10.1093/gerona/58.9.m846

    Article  PubMed  Google Scholar 

  87. Perrin PP, Gauchard GC, Perrot C, Jeandel C (1999) Effects of physical and sporting activities on balance control in elderly people. Br J Sports Med 33(2):121–126. https://doi.org/10.1136/bjsm.33.2.121

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Melzer I, Benjuya N, Kaplanski J (2003) Effects of regular walking on postural stability in the elderly. Gerontology 49(4):240–245. https://doi.org/10.1159/000070404

    Article  CAS  PubMed  Google Scholar 

  89. Wong AM, Chou SW, Huang SC, Lan C, Chen HC, Hong WH et al (2011) Does different exercise have the same effect of health promotion for the elderly? comparison of training-specific effect of Tai Chi and swimming on motor control. Arch Gerontol Geriatr 53(2):e133–e137. https://doi.org/10.1016/j.archger.2010.07.009

    Article  PubMed  Google Scholar 

  90. Xu D, Hong Y, Li J, Chan K (2004) Effect of tai chi exercise on proprioception of ankle and knee joints in old people. Br J Sports Med 38(1):50–54. https://doi.org/10.1136/bjsm.2002.003335

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  91. Carette P, Kemoun G, Watelain E, Dugué B (2013) Concomitant changes in clinical and posturographic data in elderly fallers during the course of an in-home anti-falling multimodal program–a preliminary investigation. Neurophysiol Clin 43(4):229–236. https://doi.org/10.1016/j.neucli.2013.06.003

    Article  CAS  PubMed  Google Scholar 

  92. Kraemer WJ, Patton JF, Gordon SE, Harman EA, Deschenes MR, Reynolds K et al (1995) Compatibility of high-intensity strength and endurance training on hormonal and skeletal muscle adaptations. J Appl Physiol 78(3):976–989. https://doi.org/10.1152/jappl.1995.78.3.976

    Article  CAS  PubMed  Google Scholar 

  93. Sale DG, Jacobs I, MacDougall JD, Garner S (1990) Comparison of two regimens of concurrent strength and endurance training. Med Sci Sports Exerc 22(3):348–356

    Article  CAS  PubMed  Google Scholar 

  94. Bell GJ, Syrotuik D, Martin TP, Burnham R, Quinney HA (2000) Effect of concurrent strength and endurance training on skeletal muscle properties and hormone concentrations in humans. Eur J Appl Physiol 81(5):418–427. https://doi.org/10.1007/s004210050063

    Article  CAS  PubMed  Google Scholar 

  95. Häkkinen K, Alen M, Kraemer WJ, Gorostiaga E, Izquierdo M, Rusko H et al (2003) Neuromuscular adaptations during concurrent strength and endurance training versus strength training. Eur J Appl Physiol 89(1):42–52. https://doi.org/10.1007/s00421-002-0751-9

    Article  PubMed  Google Scholar 

  96. Doi T, Ono R, Ono K, Yamaguchi R, Makiura D, Hirata S (2012) The association between fear of falling and physical activity in older women. J Phys Ther Sci 24(9):859–862. https://doi.org/10.1589/jpts.24.859

    Article  Google Scholar 

  97. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JC (2008) Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc 56(12):2234–2243. https://doi.org/10.1111/j.1532-5415.2008.02014.x

    Article  PubMed  Google Scholar 

  98. Büla CJ, Monod S, Hoskovec C, Rochat S (2011) Interventions aiming at balance confidence improvement in older adults: an updated review. Gerontology 57(3):276–286. https://doi.org/10.1159/000322241

    Article  PubMed  Google Scholar 

  99. Jung D (2008) Fear of falling in older adults: comprehensive review. Asian Nurs Res (Korean Soc Nurs Sci) 2(4):214–222. https://doi.org/10.1016/s1976-1317(09)60003-7

    Article  PubMed  Google Scholar 

  100. Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C (2011) Exercise for improving balance in older people. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD004963.pub3

    Article  PubMed  PubMed Central  Google Scholar 

  101. Shiotsu Y, Yanagita M (2018) Comparisons of low-intensity versus moderate-intensity combined aerobic and resistance training on body composition, muscle strength, and functional performance in older women. Menopause J North Am Menopause Soc 25(6):668–675. https://doi.org/10.1097/GME.0000000000001060

    Article  Google Scholar 

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  1. Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, India

    Arfa Parveen, Sarah Parveen & Majumi M. Noohu

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  1. Arfa Parveen
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  2. Sarah Parveen
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  3. Majumi M. Noohu
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AP nd SP contributed to assembling relevant literature, critical review of the paper, and writing the original draft. SP and MMN reviewed and edited the final draft.

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Correspondence to Majumi M. Noohu.

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Parveen, A., Parveen, S. & Noohu, M.M. Effect of concurrent and multi-component training on balance, fear of falling, and muscle strength in older adults: a review. Sport Sci Health 19, 733–742 (2023). https://doi.org/10.1007/s11332-022-00990-5

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