Does Fall Arrest Strategy Training Added to a Fall Prevention Programme Improve Balance, Strength, and Agility in Older Women? A Pilot Study.

The purpose of this study was to determine the effect of a unique exercise programme (Fall Arrest Strategy Training, or FAST) on upper body strength, range of motion (ROM), and fall risk in older women. FAST was designed to improve upper body capacity to prevent injury when a fall cannot be avoided. A quasi-randomized site design included 71 older women (aged 67-95 y, mean age 83 years), who participated either in a standard fall prevention programme (Staying on Your Feet, or SOYF; =29) or in SOYF combined with FAST (=42). The women were measured three times-at baseline, after the 12-week intervention, and again 12 weeks later-for upper body strength, ROM, and fall risk factors (fall risk questionnaire, balance, mobility, and leg strength). No significant differences were found in age, physical activity, or cognitive or functional status between the SOYF-standard and the SOYF-FAST groups. Both groups improved their fall risk status after the intervention, with no significant differences between them; however, the SOYF-FAST group showed greater improvements in upper extremity strength and ROM (=0.007). FAST can feasibly be integrated into fall prevention programming, with additional gains in upper body strength and ROM in older women.