Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults

Chizoba Igwe; Omolara Ogunlewe; Adebayo Omileye; Adekola Ademoyegun; Tadesse Gebrye; Joel Faronbi; Francis Fatoye; Chidozie Mbada

doi:10.5114/areh.2025.147353

ISSN: 1734-4948

Advances in Rehabilitation

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abstract:

Original article

Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults

Chizoba F Igwe

¹

,

Omolara Oluwafunmilayo Ogunlewe

¹

,

Adebayo Omileye

¹

,

Adekola Ademoyegun

²

,

Tadesse Gebrye

³

,

Joel Faronbi

⁴

,

Francis Fatoye

³

,

Chidozie Mbada

³

Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
Department of Physiotherapy, Osun State University Teaching Hospital, Osogbo, Nigeria
Department of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, United Kingdom
Academy of Nursing, University of Exeter Medical School, United Kingdom

Adv Rehab. 2025. 39(1): 17-32

DOI: https://doi.org/10.5114/areh.2025.147353

Online publish date: 2025/01/31

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AMA

Igwe CF, Ogunlewe OO, Omileye A, et al. Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults. Advances in Rehabilitation. 2025;39(1):17-32. doi:10.5114/areh.2025.147353.

APA

Igwe, C. F., Ogunlewe, O. O., Omileye, A., Ademoyegun, A., Gebrye, T.,  & Faronbi, J. et al. (2025). Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults. Advances in Rehabilitation, 39(1), 17-32. https://doi.org/10.5114/areh.2025.147353

Chicago

Igwe, Chizoba F, Omolara O Ogunlewe, Adebayo Omileye, Adekola Ademoyegun, Tadesse Gebrye, Joel Faronbi,  and Francis Fatoye et al. 2025. "Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults". Advances in Rehabilitation 39 (1): 17-32. doi:10.5114/areh.2025.147353.

Harvard

Igwe, C., Ogunlewe, O., Omileye, A., Ademoyegun, A., Gebrye, T., Faronbi, J., Fatoye, F.,  and Mbada, C. (2025). Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults. Advances in Rehabilitation, 39(1), pp.17-32. https://doi.org/10.5114/areh.2025.147353

MLA

Igwe, Chizoba et al. "Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults." Advances in Rehabilitation, vol. 39, no. 1, 2025, pp. 17-32. doi:10.5114/areh.2025.147353.

Vancouver

Igwe C, Ogunlewe O, Omileye A, Ademoyegun A, Gebrye T, Faronbi J et al. Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults. Advances in Rehabilitation. 2025;39(1):17-32. doi:10.5114/areh.2025.147353.

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Introduction
Fall prevention (FP) in older adults is an important area of research requiring innovative approaches. One potential strategy for providing FP among older adults is telerehabilitation. This study describes the design of a video-based exercise for FP (VbEFP), and determines its feasibility and short-term effects in community-dwelling older adults.

Material and methods
The Otago Exercise Programme was adapted for VbEFP by an iterative process. After three weeks, its feasibility was determinedusing a Usability Satisfaction and Enjoyment Questionnaire among 10 community-dwelling older adults (mean age: 67.6± 4.86 years; 70% female). The short-term effects were assessed in terms of balance (Berg Balance Scale and 4-stage Balance Test), risk of falling (Timed Up and Go Test, 30-sec Chair Stand Test, and Fall Efficacy Scale), physical activity (Physical Activity scale for the Elderly), and health-related quality of life (SF-36 Health Survey).

Results
Positive responses were obtained regarding usefulness (3.8± 0.59), ease of use (4.60± 0.90), ease of learning (4.80± 0.36), satisfaction (4.42± 0.50), and pleasantness (4.49± 0.37). There was a significant difference in physical activities aimed at improving endurance following VbEFP use (p= 0.001).

Conclusions
The VbEFP achieved satisfactory responses regarding ease of use, usefulness, and satisfaction among Nigerian community-dwelling older adults. Though VbEFP significantly increases physical activity to improve endurance in the short-term, longer implementation may be necessary to obtain significant benefits in other clinical outcomes.

keywords:

balance, exercise, fall, geriatrics, telerehabilitation

Speed

3 days to initial verification (Median)

25 days from submission to first decision (Median)

Development, feasibility, and preliminary testing of a video-based exercise programme for fall prevention in older community-dwelling adults

Chizoba F Igwe 1 , Omolara Oluwafunmilayo Ogunlewe 1 , Adebayo Omileye 1 , Adekola Ademoyegun 2 , Tadesse Gebrye 3 , Joel Faronbi 4 , Francis Fatoye 3 , Chidozie Mbada 3

balance, exercise, fall, geriatrics, telerehabilitation

Chizoba F Igwe

¹

,

Omolara Oluwafunmilayo Ogunlewe

¹

,

Adebayo Omileye

¹

,

Adekola Ademoyegun

²

,

Tadesse Gebrye

³

,

Joel Faronbi

⁴

,

Francis Fatoye

³

,

Chidozie Mbada

³