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Efficacy of Balance and Flexibility Intervention in a Frail Female Centenarian

Purpose: The purpose of this case study was to demonstrate that a balance and flexibility intervention can be efficacious for a frail female centenarian following illness, near death, and prolonged inactivity. Methods: The participant was a 101‐year‐old female enrolled in a frail elderly exercise study. An examination was performed prior to the exercise intervention, at the conclusion of 3 months (36 sessions) of supervised balance and flexibility exercise, and at follow‐up 3 and 6 months later. Tests and measures included: a modified Physical Performance Test (PPT), Berg Balance Scale (BBS), 15‐meter preferred gait speed, isokinetic and hand‐held dynamometry strength testing, goniometric lower extremity range of motion, Semmes‐Weinstein monofilaments sensation testing, speed of reaction and coordination (toe tapping), 6‐minute walk test, and 4 subscales of the SF‐36. Results: Following the balance and flexibility intervention, the participant demonstrated marked gains in the modified PPT, BBS, 15 meter preferred gait speed, strength, and 6‐minute walk test. Measurements declined by the 6‐month examination but remained improved relative to baseline. Conclusion: This case demonstrates that frailty can be modified in a 101‐year‐old female participating in balance and flexibility exercises. Continued exercise at a reduced intensity may be useful for preserving a proportion of such gains. Grant Support: Dr. Brown received funding for this research from the National Institute on Aging (HD 42272), Bethesda, MD.