Effectiveness of a Modified Lifestyle-Integrated Functional Exercise Program in Residential Retirement Communities—A Pilot Study

Kitsum Li, Department of Occupational Therapy, Dominican University of California
Kayla Comer, Dominican University of California
Tiffany Huang, Dominican University of California
Kelly Schmidt, Dominican University of California
Matthew W. Tong, Dominican University of California


Aims: This study explored the effectiveness of a modified Lifestyle-integrated Functional Exercise program for increasing community-dwelling older adults’ lower body strength and balance to decrease fall risk.

Methods: Purposive sampling of men and women aged 65 years and older, with or without a history of falls, living at retirement communities yielded 19 older adult participants, and 16 of the participants completed the 26-week integrated exercise program. The program consisted of five-group training sessions focused on how to integrate individualized exercises into everyday activities, followed by 20 weeks of independent practice with a booster session at Week 10 and two phone calls at Week 15 and Week 20. A battery of assessments was used 3 times to measure the participants.

Results: Results demonstrated a significant improvement in lower body strength and balance, but fall risk reduction cannot be confirmed from this study.

Conclusion: Despite reduction in fall risk was inconclusive from this study, a modified Lifestyle-integrated Functional Exercise program delivered to community-dwelling older adults in a group format may be an effective intervention program to improve lower body strength and balance, while integration of exercises into daily activities may also appear to be more sustainable than traditional exercise program.