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Table 1 Outline of the home based balance exercises given (based on Otago exercise programme balance exercises for fall prevention) [13], including levels of progression from (A) – simplest to (D) – most challenging

From: Home-based preoperative rehabilitation (prehab) to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery

Balance Exercise

 

Level A

Level B

Level C

Level D

Knee Bends

10 repetitions Hold support

10 repetitions No support

10 repetitions repeat 2 times No support

10 repetitions, repeat 3 times No support

Backwards Walking

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10 steps, 4 times Hold support

10 steps, 4 times No support

Walking And Turning Around

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Walk and turn around (do a figure  8) twice Use walking aid

Walk and turn around (do a figure 8) twice No support

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Sideways Walking

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10 steps, 4 times Use walking aid

10 steps, 4 times No support

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Tandem Stance (Heel Toe Stand)

10 s Hold support

10 s No support

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Tandem Walk (Heel Toe Walk)

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Walk 10 steps Hold support, repeat

Walk 10 steps No support, repeat

One Leg Stand

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10 s, Hold support

10 s, No hold

30 s, No hold

Heel Walking

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10 steps, 4 times Hold support

10 steps, 4 times No support

Toe Walk

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----------

10 steps, 4 times Hold support

10 steps, 4 times No support

Heel Toe Walking Backwards

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----------

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Walk 10 steps No support, repeat

Sit To Stand

5 stands, 2 hands for support

5 stands, 1 hand or 10 stands, 2 hands for support

10 stands, no support or 10 stands, 1 hand for support, repeat

10 stands No support, repeat

Stair Walking

As instructed

As instructed

As instructed

As instructed