Relationship between Postural Balance Training and Fall Risks for Elderly: a Systematic Review of Randomized Controlled Trials

Objective: Falling is one of main accident to facilitate the physical injuries in order adults. The purpose of the systematic review was to determine the effects of postural balance training whether the recovery of falls in elderly with normal physical function or not throughout summing the selected studies quantitatively. Design: A systematic reviewMethods: MEDLINE and other four databases were searched up to April 20, 2021 and randomized controlled trials (RCTs)evaluating postural balance approaches on fall risks in elderly. The researched studies excluded the double studies, titles andabstract, and finally full-reported study. The selected RCTs studies were extracted characteristics of the studies and summary ofresults based on PICOS-SD (population, intervention, comparison, outcomes, and setting- study design) model to synthesize thepapers qualitatively. Results: The review involved 22 RCT reports with 4,847 community older adults aged 65 years or over. Nineteen of the selectedRCT studies reported dual or multimodal exercises show the beneficial effect for older adults compared to one-type treatment or no intervention. All of selected showed low risk in the selection, attrition, and reporting bias. However, detection bias showed lowrisk at 75% records of the involved RCTs and performance bias was low risk at only three records. Conclusions: The results of the systematic review propose that a standardized therapeutic approach and the intensity are neededfor improving risk of falls in older adults.