1
|
Moon SH, Doshi KB, Lockhart T. Assessing fall risk in osteoporosis patients: a comparative study of age-matched fallers and nonfallers. Front Digit Health 2024; 6:1387193. [PMID: 39049820 PMCID: PMC11266042 DOI: 10.3389/fdgth.2024.1387193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 05/20/2024] [Indexed: 07/27/2024] Open
Abstract
This study aimed to investigate sway parameters and physical activity level of the age/gender-matched older adults with osteoporosis faller and nonfaller patients. By examining these factors, our objective was to understand how these faller and nonfaller groups with osteoporosis differed particularly in terms of balance capabilities and their impact on physical activity levels. We recruited 24 patients with osteoporosis: 12 who reported a fall within a year before recruitment (fallers) and 12 without falls (nonfallers). Given the close association between biochemical markers of musculoskeletal health such as serum calcium, parathyroid hormone (PTH), Vitamin D, and renal function, we compared these markers in both groups. As a result, elderly individuals with osteoporosis and with a history of falls within the preceding year indicated significantly higher sway velocity (P = 0.012*), sway area (P < 0.001*), and sway path length (P = 0.012*). Furthermore, fallers had significantly lower calcium (P = 0.02*) and Parathyroid hormone (PTH) (P = 0.02*), as well as higher Alkaline Phosphatase (ALP) (P = 0.02*) as compared to nonfallers despite similar vitamin D and creatinine levels. In conclusion, diminished biochemical factors in the osteoporosis faller group could possibly cause postural instability resulting in lower physical activity levels in the osteoporosis fall group and increasing the risk of falls.
Collapse
Affiliation(s)
- Seong Hyun Moon
- Locomotion Research Laboratory, School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, United States
| | - Krupa B. Doshi
- Division of Endocrinology, Mayo Clinic, Scottsdale, AZ, United States
| | - Thurmon Lockhart
- Locomotion Research Laboratory, School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, United States
| |
Collapse
|
2
|
de Campos CM, de Viveiro LAP, Busse AL, Ferdinando DC, Jacob Filho W, Lange B, Pompeu JE. Effectiveness of Multimodal Training Compared to a Uni-Modal Walking Intervention on Postural Control, Strength, Gait Speed and Flexibility in Community-Dwelling Older Adults. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2024; 95:263-271. [PMID: 37327490 DOI: 10.1080/02701367.2023.2193251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 03/09/2023] [Indexed: 06/18/2023]
Abstract
Background: Multimodal training may induce positive effects in different physical domains. Compared to unimodal training, multimodal training allows similar effect sizes at lower overall training volumes. Studies are needed to investigate the potential value of multimodal training with systematic training, especially compared to other exercise-based interventions. This study aimed to compare the effects of a multimodal training with an outdoor walking program, on postural control, muscle strength, and flexibility in community-dwelling older adults. Methods: This study is a pragmatic controlled clinical trial. We compared two real community exercise groups: a multimodal group (n = 53) and an outdoor, overground walking group (n = 45). Both groups participated in 32 sessions of training, twice a week, over 16 weeks. Participants were evaluated using the Mini-Balance Evaluation Systems Test (Mini-BESTest), Handgrip, 5-Times Sit-to-Stand Test, 3-meter Gait Speed Test, and Sit and Reach Test. Results: There was an interaction effect between evaluation and group in the Mini- BESTest with difference between pre and post-intervention only in multimodal group. Regarding gait speed, there was an interaction effect between evaluation and group with difference between pre and post-intervention only in the walking group. In the Sit and Reach Test: there was interaction effect between evaluation and group with difference between pre and post-intervention only in the walking group. Conclusion: The multimodal training improved postural control, while an outdoor walking program improved gait speed and flexibility. Both interventions improved muscle strength without between-group differences.
Collapse
|
3
|
Campelo AM, Weisberg A, Sheehan DP, Schneider K, Cossich VRA, Katz L. Physical and Affective Physical Literacy Domains Improved After a Six-Week Exergame Exercise Program in Older Adults: A Randomized Controlled Clinical Trial. Games Health J 2023; 12:366-376. [PMID: 37311178 DOI: 10.1089/g4h.2022.0212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023] Open
Abstract
Introduction: We investigated the effects of an exergames-based exercise program for older adults, and its benefits on their physical literacy (PL) domains, such as physical (mobility skills), affective (motivation and confidence), cognitive (knowledge about physical activity [PA]), and behavioral (daily exertion) when compared with a conventional exercise program and no training (NT) (control). Material and Methods: Forty older adults (mean age 72 years) volunteered and were randomized within three groups-exergame training (ET; n = 15), conventional training (CT; n = 14), and NT (n = 11). ET group performed training sessions based on a commercially available exergame console, while the CT group enrolled in a convention exercise program (aerobic, strength, balance, and flexibility exercises). The training program was conducted three times a week for 6 weeks. The Timed Up and Go Test (TUG), Exercise Confidence Survey (ECS), Motives for Physical Activity Measure-Revised (MPAM-R), Knowledge and Understanding Questionnaire (K&UQ), and total PA tracking (using wearable technology) were used as the study's outcomes. Outcome variables were measured at preintervention (week 0), postintervention (week 6), and at the time of final follow-up (week 9). Results: We observed a reduction in the ET TUG time at postintervention and follow-up. Also, a significant main effect for group and moment of measurement was observed for the Fitness-Health subscore, derived from MPAM-R. The values demonstrated by ET and CT were statistically different (P = 0.01) and a within-group comparison revealed significant differences in the ET from preintervention to both postintervention and follow-up (both, P = 0.01). We did not observe any other significant difference. Conclusion: Our results suggest that a 6-week exergame-based training program may have the potential in improving the physical and affective domains of PL in community-dwelling older adults. The topics related to fitness and health seem to be of interest in this population and programs can make use of them to improve the PL domains.
Collapse
Affiliation(s)
- Alexandre Monte Campelo
- Sport Technology Research Lab, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Alanna Weisberg
- Sport Technology Research Lab, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Dwayne P Sheehan
- Faculty of Health, Community and Education, Mount Royal University, Calgary, Canada
| | - Kathryn Schneider
- Sport Injury Prevention Research Center, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Victor R A Cossich
- Sport Technology Research Lab, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Larry Katz
- Sport Technology Research Lab, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| |
Collapse
|
4
|
Saraiva M, Fuentes-García JP, Vilas-Boas JP, Castro MA. Relationship between physical activity level and sleep quality with postural control and hemodynamic response in the prefrontal cortex during dual-task performance. Physiol Behav 2022; 255:113935. [PMID: 35931196 DOI: 10.1016/j.physbeh.2022.113935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 07/29/2022] [Accepted: 08/01/2022] [Indexed: 11/28/2022]
Abstract
Understanding the cortical activation and postural control behavior during dual-task (DT) has been an object of study. However, despite the multiple benefits of exercise and good sleep quality, less is known about the correlation between physical activity (PA) and sleep quality (SQ) on postural control and brain activation under dual-task performance. This study aimed to analyze the correlation between PA level and SQ with postural control performance and hemodynamic response in the prefrontal cortex during the DT performance in young adults. Thirty-four healthy young adults (mean age ± SD = 22.91 ± 3.90 years) participated in this study, and they performed a single-task and cognitive and motor DT using their smartphones. Postural control was assessed using a force plate to record the center of pressure (CoP) data (total excursion of CoP (TOTEX CoP), displacements of the CoP in anterior-posterior (CoP-AP) and medial-lateral (CoP-ML) directions, mean total velocity displacement of CoP (MVELO CoP), mean displacement velocity of CoP in anterior-posterior (MVELO CoP-AP) and medial-lateral (MVELO CoP-ML) directions, amplitude of CoP in anterior-posterior (A-AP) and medial-lateral (A-ML) directions, and 95% confidence ellipse sway area (CEA)). The hemodynamic response was measured by the oxyhemoglobin and deoxyhemoglobin concentrations using the functional near-infrared spectroscopy. The Pittsburg Sleep Quality Index and International Physical Activity Questionnaire-Short Form questionnaires assessed SQ and level of PA, respectively. Results indicated a positive correlation between SQ and cognitive DT cost for CoP-ML (rs = 0.422, p = 0.013), MVELO CoP-ML (rs = 0.422, p = 0.013) and A-ML (rs = 0.579, p < 0.001). There were no significant relations between the other outcomes (p > 0.05). In conclusion, poor sleep quality was associated with a worse postural control performance in CoP-ML, MVELO CoP-ML and A-ML parameters under cognitive dual-task conditions. The differences found in the postural control and hemodynamic response during dual-task performance do not correlate with physical activity level.
Collapse
Affiliation(s)
- Marina Saraiva
- RoboCorp Laboratory, i2A, Polytechnic Institute of Coimbra, Coimbra 3046-854, Portugal; Faculty of Sports and CIAFEL, University of Porto, Porto 4200-450, Portugal.
| | | | - João Paulo Vilas-Boas
- Faculty of Sports and CIAFEL, University of Porto, Porto 4200-450, Portugal; LABIOMEP-UP, Faculty of Sports and CIFI2D, the University of Porto, Porto 4200-450, Portugal
| | - Maria António Castro
- RoboCorp Laboratory, i2A, Polytechnic Institute of Coimbra, Coimbra 3046-854, Portugal; Centre for Mechanical Engineering, Materials and Processes, CEMMPRE, University of Coimbra, Coimbra 3030-788, Portugal; Physiotherapy, School of Health Sciences, Polytechnic Institute of Leiria, Leiria 2411-901, Portugal
| |
Collapse
|
5
|
Sarto F, Pizzichemi M, Chiossi F, Bisiacchi PS, Franchi MV, Narici MV, Monti E, Paoli A, Marcolin G. Physical active lifestyle promotes static and dynamic balance performance in young and older adults. Front Physiol 2022; 13:986881. [PMID: 36060698 PMCID: PMC9428313 DOI: 10.3389/fphys.2022.986881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 07/29/2022] [Indexed: 11/13/2022] Open
Abstract
Although regular physical activity exposure leads to positive postural balance control (PBC) adaptations, few studies investigated its effects, or the one of inactivity, on PBC in populations of different age groups. Thus, this study investigated the impact of a physically active lifestyle on static and dynamic PBC in young and older adults. Thirty-five young physically active subjects (YA), 20 young sedentary subjects (YS), 16 physically active older adults (OA), and 15 sedentary older adults (OS) underwent a static and a dynamic PBC assessment. A force platform and an instrumented proprioceptive board were employed to measure the center of pressure (COP) trajectory and the anteroposterior oscillations, respectively. In static conditions, no significant differences were detected among groups considering the overall postural balance performance represented by the area of confidence ellipse values. Conversely, the YA highlighted a higher efficiency (i.e., lower sway path mean velocity) in PBC maintenance compared to the other groups (YA vs OA: p = 0.0057, Cohen's d = 0.94; YA vs OS p = 0.043, d = 1.07; YA vs YS p = 0.08, d = 0.67). OS exhibited an overall worse performance in dynamic conditions than YA and YS. Surprisingly, no differences were found between YS and OA for all the static and dynamic parameters considered. In conclusion, our results suggest that a physically active lifestyle may promote static and dynamic balance performance in young and older adults, thus with potentially positive effects on the age-related decline of postural balance performance. Dynamic PBC assessment seems more sensitive in detecting differences between groups than the static evaluation.
Collapse
Affiliation(s)
- Fabio Sarto
- Department of Biomedical Sciences, University of Padova, Padua, Italy
| | | | - Francesco Chiossi
- Department of General Psychology, University of Padova, Padua, Italy
- LMU Munich, Munich, Germany
| | | | - Martino V Franchi
- Department of Biomedical Sciences, University of Padova, Padua, Italy
| | - Marco V Narici
- Department of Biomedical Sciences, University of Padova, Padua, Italy
| | - Elena Monti
- Department of Biomedical Sciences, University of Padova, Padua, Italy
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, Padua, Italy
| | - Giuseppe Marcolin
- Department of Biomedical Sciences, University of Padova, Padua, Italy
| |
Collapse
|
6
|
Balim H, Unver B, Sevik K, Unver F. How does Spinal Mobility Affect Balance and Postural Control in
Patients with Ankylosing Spondylitis? A Cross-Sectional Study. AKTUEL RHEUMATOL 2022. [DOI: 10.1055/a-1721-2179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Abstract
Purpose Alterations in spinal mobility lead to impaired postural control
and balance, an increased risk of falls and a decrease in quality of life. The
purposes of this study were to investigate the relationship between spinal
mobility, postural control and balance and to compare spinal mobility and
balance with a view to disease severity in patients with ankylosing spondylitis
(AS).
Methods 137 patients with AS were divided into 2 groups by tragus-to-wall
distance (TWD): (Group I=mild AS, n=51), (Group
II=moderate AS, n=86). Balance was assessed with the Single-Leg
Balance Test, the Timed Up and Go Test (TUG) and the Berg Balance Scale (BBS).
Spinal mobility was measured by BASMI Index [TWD, cervical rotation (CR),
Modified Schober Test (MST), lumbar lateral flexion (LLF), intermalleolar
distance (IMD) and thoracic expansion (TE)] and was compared between the groups.
The association with balance was investigated.
Results Spinal mobility and BBS scores in Group II were worse than in
Group I (p<0.05). Static balance and TUG of the groups were similar
(p>0.05). Dynamic balance was weakly correlated with MST, LLF and IMM
and moderately correlated with CR, TE and BASMI. Static balance was weakly
correlated with spinal mobility (p<0.05). There was no correlation
between TWD and any balance domains (p>0.05).
Conclusions In patients with AS, spinal mobility and dynamic balance
worsen as the disease progresses, whereas static balance does not change. Such
changes in mobility and balance can negatively affect patients’
participation in daily life and increase their risk of falls. Therefore,
detailed evaluation of balance, balance training and fall prevention approaches
need to be implemented in the rehabilitation programs of patients with AS.
Collapse
Affiliation(s)
- Hatice Balim
- Physical Therapy and Rehabilitation, Dokuz Eylul Universitesi,
İZMİR, Turkey
| | - Bayram Unver
- Physical Therapy and Rehabilitation, Dokuz Eylul Universitesi,
Balçova, Turkey
| | - Kevser Sevik
- Physical Therapy, Dokuz Eylul Universitesi, İZMİR,
Turkey
| | - Fatma Unver
- Physical Therapy and Rehabilitation, Pamukkale Universitesi,
Balçova, Turkey
| |
Collapse
|
7
|
Zhang T, Lv Z, Gao S. Tai Chi Training as a Primary Daily Care Plan for Better Balance Ability in People With Parkinson's Disease: An Opinion and Positioning Article. Front Neurol 2022; 12:812342. [PMID: 35002945 PMCID: PMC8739955 DOI: 10.3389/fneur.2021.812342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 12/03/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Ting Zhang
- College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua, China.,University Hospital, Zhejiang Normal University, Jinhua, China
| | - Zhenyu Lv
- Department of Chinese Medicine, Naval Special Medical Center, Naval Medical University, Shanghai, China
| | - Song Gao
- College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua, China
| |
Collapse
|
8
|
Battilana F, Steurer S, Rizzi G, Delgado AC, Tan KR, Handschin C. Exercise-linked improvement in age-associated loss of balance is associated with increased vestibular input to motor neurons. Aging Cell 2020; 19:e13274. [PMID: 33174325 PMCID: PMC7744958 DOI: 10.1111/acel.13274] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 09/23/2020] [Accepted: 10/18/2020] [Indexed: 12/27/2022] Open
Abstract
Age‐associated loss of muscle function is exacerbated by a concomitant reduction in balance, leading to gait abnormalities and falls. Even though balance defects can be mitigated by exercise, the underlying neural mechanisms are unknown. We now have investigated components of the proprioceptive and vestibular systems in specific motor neuron pools in sedentary and trained old mice, respectively. We observed a strong age‐linked deterioration in both circuits, with a mitigating effect of exercise on vestibular synapse numbers on motor neurons, closely associated with an improvement in gait and balance in old mice. Our results thus describe how the proprioceptive and vestibular systems are modulated by age and exercise, and how these changes affect their input to motor neurons. These findings not only make a strong case for exercise‐based interventions in elderly individuals to improve balance, but could also lead to targeted therapeutic interventions aimed at the respective neuronal circuitry.
Collapse
Affiliation(s)
| | | | | | | | - Kelly R. Tan
- Biozentrum University of Basel Basel Switzerland
| | | |
Collapse
|
9
|
Tavares JT, Biasotto-Gonzalez DA, Boa Sorte Silva NC, Suzuki FS, Lucareli PRG, Politti F. Age-Related Changes in Postural Control in Physically Inactive Older Women. J Geriatr Phys Ther 2020; 42:E81-E86. [PMID: 29286981 DOI: 10.1519/jpt.0000000000000169] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND AND PURPOSE The maintenance of postural control is influenced by the complexity of a given task. Tasks that require greater attention and cognitive involvement increase the risk of falls among older adults. The aim of the present study was to evaluate the adaptation of the postural control system to different levels of task complexity in physically inactive young and older women. METHODS A cross-sectional study was conducted with adult women classified as physically inactive based on the results of the International Physical Activity Questionnaire. The participants were 27 young (20-30 years of age) and 27 older (60-80 years of age) women. Sway velocity of the center of pressure in the anterior-posterior and medial-lateral directions was calculated using a force plate under 6 conditions: standing directly on the force plate or on a foam placed over the force plate, eyes open or closed, and dual-task complexity with and without the foam. RESULTS AND DISCUSSION A 2-way analysis of variance revealed that sway velocity increased in both groups when the task conditions were altered. The older women exhibited significantly greater sway velocity compared with the young women on all tasks. However, the patterns of postural control adaptation to the different levels of complexity were similar among all participants. CONCLUSIONS In this study, the adaption of the postural control system to different levels of task complexity did not differ between physically inactive young and physically inactive older women. However, the physically inactive older women exhibited greater sway velocity compared with the young women.
Collapse
Affiliation(s)
- Juliana Teles Tavares
- Postgraduate Program in Rehabilitation Sciences, Physical Therapy Department, Universidade Nove de Julho, São Paulo, Brazil
| | | | | | - Frank Shiguemitsu Suzuki
- Postgraduate Program in Rehabilitation Sciences, Physical Therapy Department, Universidade Nove de Julho, São Paulo, Brazil
| | - Paulo Roberto Garcia Lucareli
- Postgraduate Program in Rehabilitation Sciences, Physical Therapy Department, Universidade Nove de Julho, São Paulo, Brazil
| | - Fabiano Politti
- Postgraduate Program in Rehabilitation Sciences, Physical Therapy Department, Universidade Nove de Julho, São Paulo, Brazil
| |
Collapse
|
10
|
Underwood F, Latour JM, Kent B. A concept analysis of confidence related to older people living with frailty. Nurs Open 2020; 7:742-750. [PMID: 32257261 PMCID: PMC7113533 DOI: 10.1002/nop2.446] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 11/27/2019] [Accepted: 12/19/2019] [Indexed: 11/25/2022] Open
Abstract
Aim To describe and define a concept of confidence in the context of older people living with frailty, which is important to the worldwide healthy-ageing agenda preventing decline in independence and well-being. Design Concept analysis informed by Walker and Avant's eight-stage approach. Methods Electronic databases (MEDLINE, CINAHL and PsychINFO) from 1994-2018 were searched. Published studies exploring confidence and excerpts of papers referencing older people, frailty and confidence informed the concept analysis. Extracted attributes informed model case and additional case development. Appraisal of antecedents, consequences and empirical referents informed the final concept's construction. Results Three overall defining attributes of confidence were identified in this concept analysis: physical, psychological and social. A central feature is personal control, influencing internal and external factors. These control factors can be enabling factors (positive factors) or dis-enabling factors (negative factors), affecting the frail older persons overall physical health and mental well-being.
Collapse
Affiliation(s)
- Frazer Underwood
- Royal Cornwall Hospitals NHS TrustTruroUK
- Faculty of Health: MedicineDentistry and Human ScienceUniversity of PlymouthPlymouthUK
| | - Jos M. Latour
- Faculty of Health: MedicineDentistry and Human ScienceUniversity of PlymouthPlymouthUK
| | - Bridie Kent
- Faculty of Health: MedicineDentistry and Human ScienceUniversity of PlymouthPlymouthUK
| |
Collapse
|
11
|
Paula SD, Griebeler KC, Bez MR, Rocha CFKD. Effects of exergames on trunk balance control in paraplegic patients. FISIOTERAPIA EM MOVIMENTO 2020. [DOI: 10.1590/1980-5918.033.ao36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: Due to motivation and immediate feedback during activities, exergame-based physical therapy may improve trunk balance and functionality in individuals with spinal cord injury (SCI). Objective: evaluate the effects of exergames on the trunk control of paraplegics with spinal cord injury or meningomyelocele. Method: case series involving four paraplegic patients, with SCI or meningomyelocele. Participants underwent a rehabilitation protocol using the exergame Nintendo Wii®, attending one weekly session for 4 weeks. Patients were encouraged to perform trunk movements in the sitting position using the Swordplay and Canoeing games. Data were collected before and after the intervention by applying the functional reach test adapted for trunk control evaluation, and transfer time and propulsion tests for functional assessment. Results: The intervention increased trunk control in 75% of the patients, with improvement varying between 6.4 and 25%. In the propulsion test, the intervention led to a decrease in half of the patients. For the cadence variable, in the same test, there was a reduction in the number of propulsions in 75% of the cases. In the transfer test, the intervention led to reduced chair-to-bed transfer time in all patients. Conclusion: Rehabilitation of paraplegics with the use of exergames can be considered viable, innovative and effective. However, future research with greater methodological rigor should be conducted in order to analyze the clinical applicability of this approach.
Collapse
|
12
|
Dunsky A. The Effect of Balance and Coordination Exercises on Quality of Life in Older Adults: A Mini-Review. Front Aging Neurosci 2019; 11:318. [PMID: 31803048 PMCID: PMC6873344 DOI: 10.3389/fnagi.2019.00318] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Accepted: 11/01/2019] [Indexed: 12/20/2022] Open
Abstract
The ability to control balance during activities of daily living (ADL) is impaired in older adults as a result of deterioration in the sensory systems (i.e., vestibular, visual, somatosensory), the cognitive system (central nervous system), and the musculoskeletal system. Consequently, many older adults face a risk of falling during their ADL. In most cases, falls and related injuries impair the quality of life and result in physical limitations, anxiety, loss of confidence, and fear of falling. Among a variety of fall prevention interventions, adapted physical activity programs have been suggested for improving balance control during ADL. These programs challenge the sensory, cognitive, and musculoskeletal systems while addressing balance constraints such as orientation in space, changes in direction, and the speed or height of the center of mass during static and dynamic situations resembling ADL. The above-mentioned elements can be dealt with through a combination of balance and coordination exercises that challenge the postural control systems in multiple dimensions—including vertical and horizontal changes of the center of mass, standing on unstable surfaces with a reduced base of support, and changing body directions. Consequently, such exercises require environmental information-processing. The combination of dual-task, function-oriented challenges while controlling balance stimulates the sensory and neuromuscular control mechanisms. Among older adults, these programs have been found to improve static and dynamic stability, as well as a number of aspects in the quality of life. Recently, they have also been found to improve cognitive functions such as memory and spatial cognition.
Collapse
Affiliation(s)
- Ayelet Dunsky
- School of Human Movement and Sport Sciences, The Academic College at Wingate, Wingate Institute, Netanya, Israel
| |
Collapse
|
13
|
Reis E, Postolache G, Teixeira L, Arriaga P, Lima ML, Postolache O. Exergames for motor rehabilitation in older adults: an umbrella review. PHYSICAL THERAPY REVIEWS 2019. [DOI: 10.1080/10833196.2019.1639012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Eduardo Reis
- CIS-IUL/ISCTE-Instituto Universitário de Lisboa, Lisbon, Portugal
| | - Gabriela Postolache
- Researcher at Instituto de Telecomunicaçőes, Avenida Rovisco Pais 1, Lisbon, Portugal
| | - Luís Teixeira
- CIS-IUL/ISCTE-Instituto Universitário de Lisboa, Lisbon, Portugal
- Champalimaud Foundation, Lisbon, Portugal
| | - Patrícia Arriaga
- CIS-IUL/ISCTE-Instituto Universitário de Lisboa, Lisbon, Portugal
| | - Maria Luísa Lima
- CIS-IUL/ISCTE-Instituto Universitário de Lisboa, Lisbon, Portugal
| | - Octavian Postolache
- CIS-IUL/ISCTE-Instituto Universitário de Lisboa, Lisbon, Portugal
- Instituto de Telecomunicações, Lisbon, Portugal
| |
Collapse
|
14
|
Drummond A, Paz CCDSC, Menezes RLD. Proprioceptive activities to postural balance of the elderly - systematic review. FISIOTERAPIA EM MOVIMENTO 2018. [DOI: 10.1590/1980-5918.031.ao35] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction: Proprioceptive activities are commonly described for control of the postural balance of the elderly in order to avoid falls. But, there is no consensus on which ones can significantly improve balance or on intervention and assessment protocols. Objective: To investigate which proprioceptive activities are specific to static and dynamic postural balance of the elderly through a systematic review. Method: This is a systematic review based on PRISMA recommendation, by surveying PubMed, Medline, LILACS, Scielo and EBSCO databases. The period considered for the search was from 2006 to 2016, using the following descriptors - aged, proprioception, exercise therapy, and postural balance for articles in English, Portuguese or Spanish. Randomized and non-randomized clinical trials were included using the PEDro scale to analyze the methodological quality of the studies. Results: Eight articles were included with different protocols, without standardization of evaluation and intervention, but, which demonstrated improvement of functional abilities. Different kinds of walk, muscular strengthening exercises, stretching, postural oscillations and Yoga patterns for the improvement of functional abilities. Conclusion: The association of static and dynamic activities can contribute to the improvement of functional abilities, but it cannot be affirmed that they are specific for postural control, given the lack of standardization of exercise protocols and evaluation tools.
Collapse
|
15
|
Momma H, Sawada SS, Kato K, Gando Y, Kawakami R, Miyachi M, Huang C, Nagatomi R, Tashiro M, Ishizawa M, Kodama S, Iwanaga M, Fujihara K, Sone H. Physical Fitness Tests and Type 2 Diabetes Among Japanese: A Longitudinal Study From the Niigata Wellness Study. J Epidemiol 2018; 29:139-146. [PMID: 30058613 PMCID: PMC6414803 DOI: 10.2188/jea.je20170280] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Simple physical fitness test can be a useful potential predictor of type 2 diabetes (T2DM). We examined the association between performances on simple physical fitness tests and the incidence of T2DM. METHODS This longitudinal study was conducted in 21,802 nondiabetic Japanese (6,649 women) aged 20 to 92 years, who underwent all physical fitness tests at baseline (April 2001 to March 2002). From April 2001 to March 2008, physical fitness tests, including grip strength, vertical jump, single-leg balance with eyes closed, forward bending, whole-body reaction time, and supine legs-up, were performed every year. Participants had physical fitness tests at least two times during the period. T2DM was also annually determined based on fasting blood glucose, glycated hemoglobin, and self-reported diabetes during the period. Discrete-time logit models were used to examine the influence of the serial level of each physical fitness test on the incidence of T2DM. RESULTS During the entire study period, 972 participants developed diabetes. Lower relative grip strength (grip strength/body weight) and single-leg balance performance were associated with a higher incidence of T2DM. For relative grip strength, as compared with the fourth quartile group, the odds ratios for other groups ranged from 1.16 to 1.56 (P for trend < 0.001). For single-leg balance, the odds ratios ranged from 1.03 to 1.49 (P for trend < 0.001). CONCLUSION The performance of a simple single-leg balance test as well as that of a grip strength test were negatively associated with the risk of T2DM among Japanese.
Collapse
Affiliation(s)
- Haruki Momma
- Division of Biomedical Engineering for Health and Welfare, Tohoku University Graduate School of Biomedical Engineering.,Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition.,Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine
| | - Susumu S Sawada
- Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition
| | - Kiminori Kato
- Department of Laboratory Medicine and Clinical Epidemiology for Prevention of Noncommunicable Diseases, Niigata University Graduate School of Medical and Dental Sciences
| | - Yuko Gando
- Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition
| | | | - Motohiko Miyachi
- Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition
| | - Cong Huang
- Department of Physical Education and Sports Science, Zhejiang University.,Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine
| | - Ryoichi Nagatomi
- Division of Biomedical Engineering for Health and Welfare, Tohoku University Graduate School of Biomedical Engineering.,Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine
| | | | - Masahiro Ishizawa
- Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine
| | - Satoru Kodama
- Department of Laboratory Medicine and Clinical Epidemiology for Prevention of Noncommunicable Diseases, Niigata University Graduate School of Medical and Dental Sciences
| | - Midori Iwanaga
- Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine
| | - Kazuya Fujihara
- Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine
| | - Hirohito Sone
- Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine
| |
Collapse
|
16
|
|
17
|
Bacha JMR, Gomes GCV, de Freitas TB, Viveiro LAP, da Silva KG, Bueno GC, Varise EM, Torriani-Pasin C, Alonso AC, Luna NMS, D'Andrea Greve JM, Pompeu JE. Effects of Kinect Adventures Games Versus Conventional Physical Therapy on Postural Control in Elderly People: A Randomized Controlled Trial. Games Health J 2018; 7:24-36. [DOI: 10.1089/g4h.2017.0065] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Affiliation(s)
- Jéssica Maria Ribeiro Bacha
- Department of Physical Therapy, Speech Therapy and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Gisele Cristine Vieira Gomes
- Department of Physical Therapy, Speech Therapy and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Tatiana Beline de Freitas
- Laboratory of Motor Behavior, School of Physical Education and Sports, University of São Paulo, São Paulo, Brazil
| | - Larissa Alamino Pereira Viveiro
- Department of Physical Therapy, Speech Therapy and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Keyte Guedes da Silva
- Department of Neuroscience and Behavior, Psychology Institute, University of São Paulo, São Paulo, Brazil
| | - Géssika Costa Bueno
- Department of Physical Therapy, Speech Therapy and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Eliana Maria Varise
- Department of Neuroscience and Behavior, Psychology Institute, University of São Paulo, São Paulo, Brazil
| | - Camila Torriani-Pasin
- Department of Pedagogy of the Human Body; Laboratary of Motor Behavior, School of Physical Education and Sports, University of São Paulo, São Paulo, Brazil
| | | | | | - Júlia Maria D'Andrea Greve
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - José Eduardo Pompeu
- Department of Physical Therapy, Speech Therapy and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil
| |
Collapse
|
18
|
Lelard T, Doutrellot PL, Temfemo A, Ahmaidi S. Electromyographic Pattern during Gait Initiation Differentiates Yoga Practitioners among Physically Active Older Subjects. Front Hum Neurosci 2017; 11:300. [PMID: 28659774 PMCID: PMC5469874 DOI: 10.3389/fnhum.2017.00300] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Accepted: 05/23/2017] [Indexed: 11/21/2022] Open
Abstract
During gait initiation, postural adjustments are needed to deal with balance and movement. With aging, gait initiation changes and reflects functional degradation of frailty individuals. However, physical activities have demonstrated beneficial effects of daily motor tasks. The aim of our study was to compare center of pressure (COP) displacement and ankle muscle co-activation during gait initiation in two physically active groups: a group of walkers (n = 12; mean age ± SD 72.6 ± 3.2 years) and a yoga group (n = 11; 71.5 ± 3.8 years). COP trajectory and electromyography of leg muscles were recorded simultaneously during five successive trials of gait initiation. Our main finding was that yoga practitioners had slower COP displacements (p < 0.01) and lower leg muscles % of coactivation (p < 0.01) in comparison with walkers. These parameters which characterized gait initiation control were correlated (r = 0.76; p < 0.01). Our results emphasize that lengthy ankle muscle co-activation and COP path in gait initiation differentiate yoga practitioners among physically active subjects.
Collapse
Affiliation(s)
- Thierry Lelard
- EA-3300: Adaptations Physiologiques à l'Exercice et Réadaptation à l'Effort, Faculté des Sciences du Sport, Université de Picardie Jules VerneAmiens, France
| | - Pierre-Louis Doutrellot
- EA-3300: Adaptations Physiologiques à l'Exercice et Réadaptation à l'Effort, Faculté des Sciences du Sport, Université de Picardie Jules VerneAmiens, France.,Service Medecine Physique et Rééducation, Centre Hospitalier UniversitaireAmiens, France
| | - Abdou Temfemo
- EA-3300: Adaptations Physiologiques à l'Exercice et Réadaptation à l'Effort, Faculté des Sciences du Sport, Université de Picardie Jules VerneAmiens, France.,Department of Biological Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of DoualaDouala, Cameroon
| | - Said Ahmaidi
- EA-3300: Adaptations Physiologiques à l'Exercice et Réadaptation à l'Effort, Faculté des Sciences du Sport, Université de Picardie Jules VerneAmiens, France
| |
Collapse
|
19
|
Debove L, Bru N, Couderc M, Noé F, Paillard T. Physical activity limits the effects of age and Alzheimer's disease on postural control. Neurophysiol Clin 2017; 47:301-304. [PMID: 28479259 DOI: 10.1016/j.neucli.2017.03.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Accepted: 03/23/2017] [Indexed: 10/19/2022] Open
Abstract
The aim was to study the possible influence of physical activity on the postural performance of subjects with Alzheimer's disease (AD). The postural performance (i.e. surface area of the center of foot pressure displacement) of 3 groups was compared: Alzheimer active group (AA), Alzheimer non-active group (ANA) and healthy non-active group (HNA). The AA group's postural performance was superior to that of the ANA and HNA groups. AD disturbed postural performance but participation in regular physical activity made it possible to limit the disturbing effects of AD to a surprising extent, since the postural performance of active AD subjects was also superior to that of healthy subjects.
Collapse
Affiliation(s)
- Lola Debove
- Laboratoire mouvement, équilibre, performance et santé, EA 4445, département STAPS, université de Pau et des Pays de l'Adour, ZA Bastillac sud, 11, rue Morane-Saulnier, 65000 Tarbes, France; Service gériatrique, centre hospitalier de Lourdes, rue Labastide, 65100 Lourdes, France
| | - Noelle Bru
- Laboratoire de mathématique et leurs applications, UMR CNRS 5142, université de Pau et des Pays de l'Adour, bâtiment IPRA, avenue de l'Université, BP 1155, 64013 Pau cedex, France
| | - Martine Couderc
- Service gériatrique, centre hospitalier de Lourdes, rue Labastide, 65100 Lourdes, France
| | - Frederic Noé
- Laboratoire mouvement, équilibre, performance et santé, EA 4445, département STAPS, université de Pau et des Pays de l'Adour, ZA Bastillac sud, 11, rue Morane-Saulnier, 65000 Tarbes, France
| | - Thierry Paillard
- Laboratoire mouvement, équilibre, performance et santé, EA 4445, département STAPS, université de Pau et des Pays de l'Adour, ZA Bastillac sud, 11, rue Morane-Saulnier, 65000 Tarbes, France.
| |
Collapse
|
20
|
Berton B, Cê A, Sanches VS, Medola FO, Tarnhovi EG, Christofoletti G. Postural balance in Alzheimer's disease patients undergoing sensory pitfalls. MOTRIZ: REVISTA DE EDUCACAO FISICA 2016. [DOI: 10.1590/s1980-6574201600030012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | - Andressa Cê
- Universidade Federal de Mato Grosso do Sul, Brazil
| | | | | | | | | |
Collapse
|