Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 53272

Original article / research
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : YC01 - YC04

Effect of Visual Cue Training on Balance and Walking in Elderly: A Single Blind Randomized Controlled Trial

Sumam Sunny, Suchetha PS Bhat

1. Assistant Professor, Nitte Institute of Physiotherapy, Nitte University, Mangaluru, Karnataka, India. 2. Assistant Professor, Nitte Institute of Physiotherapy, Nitte University, Mangaluru, Karnataka, India.

Correspondence Address :
Dr. Sumam Sunny,
Nitte Girls Hostel, Opposite Shagil Precision, Deralakatte, Mangaluru-575018, Karnataka, India.


Introduction: Balance disorders emblematize as a sprouting area of public health concern, due to its conjunction with falls amidst the elderly dwellers in the community. As age increases there is a marked reduction in functioning of visual system and gaze behaviour which adversely affects balance and gait in elderly. Balance and gait training methods aided by visual cues are technology based so the study was initiated to find about a visual cue training method which is feasible and can be used in rural settings easily amongst the elderly veterans of the community.

Aim: To determine the effect of visual cue training on balance and walking in elderly population.

Materials and Methods: The study was a single blind randomized controlled trial carried out in Abhaya Ashraya old age home, Assaigoli, Mangalore. A total of 55 patients were screened out of which 40 patients who met the inclusion criteria were enrolled in the study. All participants receive balance training for 30 minutes. In addition, the experimental group received visual cues along with balance training. Berg Balance Scale (BBS) and Dynamic Gait Index (DGI) scores were taken pre and post-treatment in both the groups. Paired and independent t-test was used for comparing within and between group difference respectively of the experimental and control group of BBS and DGI scores.

Results: There was a significant improvement in the Berg balance and Dynamic gait index scores before and after the intervention within the groups and between the groups with a p-value<0.001 in both experimental and control group but more marked improvement was found in experimental group with mean difference of 4.9 and 2.2 for BBS and DGI respectively.

Conclusion: The present study concludes that visual cue training can be utilized as a simple and effective tool for training in clinical settings to address sprouting public health issue of balance and gait disorders which is cohesively coupled with catastrophe of falls admist elderly residents in the community.


Accidental falls, Feedback, Gait, Geriatrics, Neuronal plasticity, Vision

How to cite this article :

Sumam Sunny, Suchetha PS Bhat. EFFECT OF VISUAL CUE TRAINING ON BALANCE AND WALKING IN ELDERLY: A SINGLE BLIND RANDOMIZED CONTROLLED TRIAL. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 21 ]; 11:YC01-YC04. Available from

DOI and Others

DOI: 10.7860/JCDR/2017/28138.10859

Date of Submission: Mar 09, 2017
Date of Peer Review: Apr 25, 2017
Date of Acceptance: Aug 19, 2017
Date of Publishing: Nov 01, 2017


JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)