{"title":"Effect of a Multi-Faceted Training Program on Falls in Senior Pickleball Players.","authors":"Betsy Myers, June Hanks","doi":"10.3390/healthcare13182298","DOIUrl":null,"url":null,"abstract":"<p><strong>Background/objectives: </strong>Over half of older adults who play pickleball report falling during play, yet little is known regarding the ability of training programs to reduce the incidence of falls or fear of falling (FOF). The purpose of this study was to determine the effect of a multi-faceted training program for senior pickleball players who reported falling while playing pickleball or self-limiting play due to FOF.</p><p><strong>Methods: </strong>This cohort study included 12 participants in the training group (TG) and 17 in the control group (CG) who were at least 55 years of age, regularly played pickleball, and reported falling while playing or limiting play due to FOF. Hip abduction strength, change in direction (COD), and agility were assessed. Participants completed a survey regarding fall history and FOF. The TG participated in a 10-week program focused on strength, balance, COD, and agility.</p><p><strong>Results: </strong>At baseline, there were no between-group differences except that the CG participated in walking for exercise more often than the TG. The strength analysis showed no significant main effects of time or group, but there was a significant Group × Time interaction, F(1, 25) = 14.86, <i>p</i> < 0.001, η<sup>2</sup> = 0.240. Simple effects analysis showed that the TG demonstrated a strong trend toward improvement (9.9 Nm increase, +5%, <i>p</i> = 0.091) while the CG significantly declined (18.4 Nm decrease, -12%, <i>p</i> < 0.001). The COD analysis revealed no significant main effects of time or group, but there was a significant Group × Time interaction, F(1, 26) = 8.21, <i>p</i> < 0.001, η<sup>2</sup> = 0.373. Simple effects analysis showed that the TG significantly improved their COD time (0.7 s faster, <i>p</i> = 0.045) while the CG showed no significant change (0.25 s slower, <i>p</i> = 0.168). The TG had a significant decrease in FOF, z = -2.427, <i>p</i> = 0.015, r = 0.701. The agility analysis revealed no significant effects for time, group, or Group × Time interaction, F(1, 26) = 0.89, <i>p</i> = 0.354, with both groups showing minimal non-significant changes. At the end of training, the TG was playing 50% more pickleball than the CG, z = -2.192, <i>p</i> = 0.028. At the 5-month follow-up, 25% of the TG reported falling during play compared to 44% of the CG.</p><p><strong>Conclusions: </strong>A multi-faceted training program can effectively reduce FOF and improve physical performance in senior pickleball players.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469448/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3390/healthcare13182298","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background/objectives: Over half of older adults who play pickleball report falling during play, yet little is known regarding the ability of training programs to reduce the incidence of falls or fear of falling (FOF). The purpose of this study was to determine the effect of a multi-faceted training program for senior pickleball players who reported falling while playing pickleball or self-limiting play due to FOF.
Methods: This cohort study included 12 participants in the training group (TG) and 17 in the control group (CG) who were at least 55 years of age, regularly played pickleball, and reported falling while playing or limiting play due to FOF. Hip abduction strength, change in direction (COD), and agility were assessed. Participants completed a survey regarding fall history and FOF. The TG participated in a 10-week program focused on strength, balance, COD, and agility.
Results: At baseline, there were no between-group differences except that the CG participated in walking for exercise more often than the TG. The strength analysis showed no significant main effects of time or group, but there was a significant Group × Time interaction, F(1, 25) = 14.86, p < 0.001, η2 = 0.240. Simple effects analysis showed that the TG demonstrated a strong trend toward improvement (9.9 Nm increase, +5%, p = 0.091) while the CG significantly declined (18.4 Nm decrease, -12%, p < 0.001). The COD analysis revealed no significant main effects of time or group, but there was a significant Group × Time interaction, F(1, 26) = 8.21, p < 0.001, η2 = 0.373. Simple effects analysis showed that the TG significantly improved their COD time (0.7 s faster, p = 0.045) while the CG showed no significant change (0.25 s slower, p = 0.168). The TG had a significant decrease in FOF, z = -2.427, p = 0.015, r = 0.701. The agility analysis revealed no significant effects for time, group, or Group × Time interaction, F(1, 26) = 0.89, p = 0.354, with both groups showing minimal non-significant changes. At the end of training, the TG was playing 50% more pickleball than the CG, z = -2.192, p = 0.028. At the 5-month follow-up, 25% of the TG reported falling during play compared to 44% of the CG.
Conclusions: A multi-faceted training program can effectively reduce FOF and improve physical performance in senior pickleball players.
背景/目的：超过一半的老年人玩匹克球报告在玩过程中摔倒，但关于训练计划减少跌倒发生率或摔倒恐惧（FOF）的能力知之甚少。本研究的目的是确定一个多方面的训练计划的效果，高级匹克球运动员报告摔倒时打匹克球或自限性比赛由于FOF。方法：本队列研究包括12名训练组（TG）和17名对照组（CG）参与者，他们至少55岁，经常玩匹克球，并报告因FOF而在玩时摔倒或限制玩。评估髋关节外展力量、方向改变（COD）和敏捷性。参与者完成了一份关于跌倒史和FOF的调查。TG参加了一个为期10周的项目，重点是力量、平衡、COD和敏捷性。结果：在基线时，除了CG比TG更频繁地参加步行运动外，组间没有差异。强度分析显示时间和组间无显著主效应，但组与时间间存在显著交互作用，F(1,25) = 14.86, p < 0.001, η2 = 0.240。简单效应分析表明，TG有明显的改善趋势（增加9.9 Nm, +5%, p = 0.091），而CG有明显的下降趋势（减少18.4 Nm, -12%, p < 0.001）。COD分析显示时间和组间的主效应不显著，但组与时间间存在显著交互作用，F(1,26) = 8.21, p < 0.001, η2 = 0.373。简单效应分析显示，TG显著提高了它们的COD时间（快0.7 s, p = 0.045），而CG无显著变化（慢0.25 s, p = 0.168）。TG显著降低FOF， z = -2.427, p = 0.015, r = 0.701。敏捷性分析显示，时间、组或组×时间交互作用无显著影响，F(1,26) = 0.89, p = 0.354，两组均显示最小的非显著变化。在训练结束时，TG比CG多玩50%的匹克球，z = -2.192, p = 0.028。在5个月的随访中，25%的TG报告在游戏过程中跌倒，而44%的CG报告在游戏过程中跌倒。结论：采用多方面的训练方案可以有效地减少老年匹克球运动员的FOF，提高运动成绩。
期刊介绍：
Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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