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Exercise therapy improves balance and functional mobility in older adults with chronic conditionsExercise May Improve Balance in Older Adults With Chronic Conditions

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Key Takeaway
Note that exercise therapy improves balance and mobility measures, but evidence for fall reduction is not established.

This meta-analysis synthesized data from 857 community-dwelling older adults with chronic conditions to evaluate the impact of exercise therapy on balance and functional performance. The analysis focused on specific mobility metrics and fall-related outcomes.

Key findings indicated significant improvements in balance and mobility measures. Specifically, exercise therapy resulted in a significant improvement in One-Leg Stance (WMD = 5.45; 95% CI: 1.45 to 9.44) and a significant reduction in Timed Up and Go time (WMD = -0.76; 95% CI: -1.50 to -0.02).

The authors noted that the certainty and clinical importance of these specific improvements remain uncertain. Furthermore, the meta-analysis did not establish any significant effects regarding falls or fear of falling.

Clinically, exercise therapy may improve selected measures of balance and functional mobility in this population. However, practitioners should note the lack of established evidence regarding fall prevention and fear of falling. The practical significance of the observed improvements in mobility metrics requires cautious interpretation.

A new meta-analysis looked at whether exercise therapy helps community-dwelling older adults with chronic conditions improve their balance and mobility. The analysis included 857 people.

The researchers found that exercise led to significant improvements in two tests: the One-Leg Stance test, which measures how long someone can stand on one leg, and the Timed Up and Go test, which measures how quickly someone can get up from a chair and walk a short distance. The improvements were statistically significant, but the researchers note that the certainty and clinical importance of these effects remain uncertain.

The analysis did not establish that exercise reduces falls or fear of falling. Safety information, such as adverse events, was not reported. The study also did not report funding or conflicts of interest.

What this means for readers: exercise may help some older adults with chronic conditions improve certain balance and mobility measures, but it is not clear whether this translates into fewer falls. People should talk to their doctor before starting a new exercise program, especially if they have chronic conditions or are at risk of falling.

What this means for you:
Exercise may improve balance and mobility in older adults with chronic conditions, but falls prevention is not proven.

Common questions

Does exercise reduce falls in older adults with chronic conditions?

The analysis did not establish that exercise reduces falls or fear of falling. While exercise improved balance and mobility measures, the effects on falls were not confirmed. More research is needed to know if these improvements lead to fewer falls.

What balance improvements were seen with exercise?

The analysis found significant improvements in the One-Leg Stance test (WMD = 5.45, 95% CI: 1.45 to 9.44) and the Timed Up and Go test (WMD = -0.76, 95% CI: -1.50 to -0.02). These suggest better balance and faster mobility, but the clinical importance remains uncertain.

Is exercise safe for older adults with chronic conditions?

The analysis did not report safety information such as adverse events or discontinuations. Before starting any exercise program, older adults with chronic conditions should talk to their doctor to make sure it is safe for them.

Who was included in this analysis?

The analysis included 857 community-dwelling older adults with chronic conditions. The study did not report the specific chronic conditions or the setting beyond community-dwelling.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
BackgroundCommunity residents with chronic diseases face a higher risk of falls, functional decline, and loss of independence, constituting a significant public health burden. Exercise therapy is widely recommended; however, its efficacy in improving balance, functional performance, and fall-related outcomes remains controversial.ObjectiveTo systematically evaluate and quantify the effects of exercise therapy on balance, functional performance, and fall-related outcomes in community-dwelling older adults with chronic conditions.MethodsThis study conducted a systematic review and meta-analysis of randomized controlled trials. PubMed, Cochrane Library, Embase, CINAHL, and Web of Science databases were searched, and studies published up to 8 March 2026 were included. Participants were community-dwelling adults with chronic diseases who received exercise therapy. A random-effects model was used to calculate the pooled effect size. Outcome measures included balance, functional performance, and fall-related indicators. Subgroup analyses were conducted according to chronic condition categories and exercise modalities to explore potential sources of heterogeneity.ResultsA total of 14 randomized controlled trials involving 857 participants were included in the meta-analysis. Exercise therapy significantly improved multiple objective indicators of balance and functional performance in community-dwelling older adults with chronic conditions. Significant improvements were observed in the One-Leg Stance (OLS) (WMD = 5.45, 95% CI: 1.45 to 9.44), In addition, exercise therapy significantly reduced Timed Up and Go (TUG) (WMD = −0.76, 95% CI: -1.50 to -0.02), indicating improved functional mobility and dynamic balance. Subgroup analyses suggested that improvements in TUG performance varied according to chronic condition categories and exercise modalities, with greater benefits observed among participants with musculoskeletal-related chronic conditions and those receiving balance training.ConclusionsExercise therapy may improve selected measures of balance and functional mobility in community-dwelling older adults with chronic conditions, although the certainty and clinical importance of these effects remain uncertain. Effects on falls and fear of falling were not established in this review. Further high-quality studies are needed to determine the optimal exercise characteristics for specific chronic condition populations.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, CRD420261390054.
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