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Evangelista RAGDT, Evangelista AL, Ernandes RDC, Brech GC, Silva RND, Lino MHDS, Bocalini DS, Graaf MD, Mochizuki L, Soares-Junior JM, Baracat EC, Greve JMD, Garcez-Leme LE, Alonso AC. Importance of muscle strength to maintain mobility, but not to maintain postural balance in older women: Cross-sectional study. Clinics (Sao Paulo) 2024; 79:100504. [PMID: 39321635 PMCID: PMC11462165 DOI: 10.1016/j.clinsp.2024.100504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Revised: 07/23/2024] [Accepted: 08/29/2024] [Indexed: 09/27/2024] Open
Abstract
BACKGROUND Acknowledging the relationship between postural control and muscle strength in lower limbs is important to find persons with high fall risk and to design fall prevention exercise programs. OBJECTIVE To investigate the connection between knee muscle strength, semi-static postural balance, and functional mobility in irregularly active older women. METHODS One hundred and ten older women aged 60 to 85 years underwent a semi-static postural balance test in a force and functional mobility measured by Timed Up & Go (TUG) with and without Cognitive Tasks (CT). Muscle strength of the knee was assessed by isokinetic dynamometry at 60°/s. RESULTS A negative correlation between the functional mobility (TUG with and without CT) and the muscular strength of the knee was observed. Regarding semi-static balance, there was a low negative correlation with peak torque corrected for body weight of the extensors with the following variables with eyes open: Mean Velocity Dominant limb (D) (r = -0.19; p = 0.03); and anteroposterior range Non-Dominant limb (ND) (r = -0.19; p = 0.04); with eyes closed: mediolateral range ND limb (r = -0.21; p = 0.02) and Mean Velocity ND limb (r = -0.18; p = 0.05). CONCLUSIONS This study found that better functional mobility was associated with greater muscle strength in the knee in elderly women. There were weak negative correlations between knee extensor strength and some measures of semi-static postural balance, suggesting that different motor control actions are required to maintain semi-static balance and mobility. In the case of semi-static balance, a lower level of muscle response is required than in functional mobility.
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Affiliation(s)
| | - Alexandre Lopes Evangelista
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil
| | | | - Guilherme Carlos Brech
- Program in Aging Science, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
| | | | | | - Danilo Sales Bocalini
- Laboratories of Exercise Physiology and Experimental Physiology, Biochemistry of Physical Education and Sport Center at Universidade Federal do Espírito Santo, Vitoria, ES, Brazil
| | - Myriam de Graaf
- Institute of Sport and Exercise Sciences, Universität Münster: Westfalische Wilhelms-Universitat Munster, Germany
| | - Luis Mochizuki
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil; School of Arts, Sciences, and Humanities, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Jose Maria Soares-Junior
- Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Edmund Chada Baracat
- Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Júlia Maria D'Andréa Greve
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil
| | - Luiz Eugênio Garcez-Leme
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil
| | - Angelica Castilho Alonso
- Program in Aging Science, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil
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Rios-Escalante V, Perez-Barba JC, Espinel-Bermudez MC, Zavalza-Gomez AB, Arias-Merino ED, Zavala-Cerna MG, Sanchez-Garcia S, Trujillo X, Nava-Zavala AH. Effects of a Multicomponent Preventive Intervention in Women at Risk of Sarcopenia: A Pilot Study. Healthcare (Basel) 2024; 12:1191. [PMID: 38921304 PMCID: PMC11203817 DOI: 10.3390/healthcare12121191] [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: 02/02/2024] [Revised: 06/05/2024] [Accepted: 06/11/2024] [Indexed: 06/27/2024] Open
Abstract
Sarcopenia is defined by the presence of decreased skeletal muscle mass, strength, and functionality in older people. Multicomponent interventions represent an alternative to non-pharmacological treatment for preventing disease progression. This study aimed to evaluate the effects of a multicomponent intervention approach in women at risk of sarcopenia. METHODS A quasi-experimental pilot study of 12 weeks was conducted, with 24 sessions of dancing and resistance exercises and 12 sessions of nutritional education. The outcomes were changes in muscle mass, grip strength, gait speed, and body composition. The project was registered on Clinical Trials: NCT06038500 (14 September 2023). RESULTS Twelve women aged 55-75 years participated in this study; after the intervention, changes were found in the following variables: grip strength, from 18.70 (17.98-19.23) at baseline to 21.57 (20.67-23.16) kg (p = 0.002); gait speed, from 0.95 (0.81-1.18) at baseline to 1.34 (1.20-1.47) m/s (p = 0.003); and hip circumference, from 99.75 (94.75-110.37) at baseline to 97.65 (93.92-109.50) cm (p = 0.023). Other measurements that appeared without changes were appendicular skeletal muscle mass, from 21.17 (18.58-22.33) at baseline to 20.77 (18.31-22.39) kg (p = 0.875), and the appendicular skeletal muscle mass index, from 8.64 (8.08-9.35) at baseline to 8.81 (7.91-9.38) kg/m2 (p = 0.875) after the intervention. CONCLUSIONS The three-month multicomponent intervention in women at risk of sarcopenia improved their grip strength and gait speed.
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Affiliation(s)
- Violeta Rios-Escalante
- Departamento de Salud Publica, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico; (V.R.-E.); (E.D.A.-M.)
- Facultad de Medicina, Universidad de Colima, Colima 28040, Colima, Mexico
| | - Juan Carlos Perez-Barba
- Hospital de Ginecologia y Obstetricia, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Jalisco, Mexico; (J.C.P.-B.); (A.B.Z.-G.)
| | - Maria Claudia Espinel-Bermudez
- Departamento de Salud Publica, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico; (V.R.-E.); (E.D.A.-M.)
- Facultad de Medicina, Universidad de Colima, Colima 28040, Colima, Mexico
- Hospital de Ginecologia y Obstetricia, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Jalisco, Mexico; (J.C.P.-B.); (A.B.Z.-G.)
- Unidad de Investigacion Biomedica 02, Hospital de Especialidades, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Jalisco, Mexico
| | - Ana Bertha Zavalza-Gomez
- Hospital de Ginecologia y Obstetricia, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Jalisco, Mexico; (J.C.P.-B.); (A.B.Z.-G.)
| | - Elva Dolores Arias-Merino
- Departamento de Salud Publica, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico; (V.R.-E.); (E.D.A.-M.)
| | - Maria G. Zavala-Cerna
- Unidad Academica Ciencias de la Salud, Universidad Autónoma de Guadalajara, Zapopan 45129, Jalisco, Mexico;
| | - Sergio Sanchez-Garcia
- Unidad de Investigación Epidemiológica y en Servicios de Salud, Area Envejecimiento, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;
| | - Xochitl Trujillo
- Centro Universitario de Investigaciones Biomedicas, Universidad de Colima, Colima 28040, Colima, Mexico;
| | - Arnulfo Hernan Nava-Zavala
- Unidad de Investigacion Epidemiologica y en Servicios de Salud, Centro Medico Nacional de Occidente Organo de Operación Administrativa Desconcentrada Jalisco, Instituto Mexicano del Seguro Social, Guadalajara 44329, Jalisco, Mexico
- Programa Internacional de Medicina, Universidad Autónoma de Guadalajara, Zapopan 45129, Jalisco, Mexico
- Departamento de Inmunologia y Reumatologia del Hospital General de Occidente, Secretaria de Salud Jalisco, Guadalajara 45170, Jalisco, Mexico
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Alarcón-Rivera M, Cornejo-Mella C, Cáceres-Aravena C, Concha-Cisternas Y, Fernández-Valero P, Guzmán-Muñoz E. Relationship between appendicular muscular mass index and physical function in older people. AIMS Public Health 2024; 11:130-140. [PMID: 38617413 PMCID: PMC11007416 DOI: 10.3934/publichealth.2024006] [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: 11/02/2023] [Revised: 12/13/2023] [Accepted: 12/25/2023] [Indexed: 04/16/2024] Open
Abstract
This study aimed to establish the relationship between the appendicular muscle mass index (AMMI), assessed from anthropometric variables, and the physical function of older people. Seventy-six older people participated in this study (72.03 ± 7.03 years). The participants underwent evaluations to determine their AMMI using anthropometry (weight, calf circumference, hip circumference, and knee height) and manual grip strength. Additionally, their physical function was evaluated using the 5-chair stand test, the 3-meter walk test, and the timed up and go test (TUG) to determine the strength of the lower limbs, the gait speed, and the dynamic balance, respectively. The results show that the AMMI did not present a significant relationship with the 5-chair stand test in both women (r = -0.135; p = 0.204) and men (r = -0.067; p = 0.349). The AMMI was moderately correlated with the gait speed in both women (r = 0.542; p < 0.001) and men (r = 0.556; p < 0.001). Finally, a statistical significance was observed in the relationship between the AMMI and the TUG test in women (r = -0.273; p = 0.047) and older men evaluated in this study (r = -0.284; p = 0.042). In conclusion, there is a relationship between the AMMI and both the dynamic balance and the gait speed. Therefore, the AMMI emerges as a potential public health assessment by enabling the clinical quantification of muscle mass and an estimation of physical function in the elderly population.
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Affiliation(s)
- Miguel Alarcón-Rivera
- School of Sports Sciences and Physical Activity, Faculty of Health, Universidad Santo Tomás, Talca, Chile
- Faculty of Medicine, Universidad Católica del Maule, Talca, Chile
| | | | | | - Yeny Concha-Cisternas
- School of Kinesiology, Faculty of Health, Universidad Santo Tomás, Talca, Chile
- School of Pedagogy in Physical Education, Faculty of Education, Universidad Autónoma de Chile, Talca, Chile
| | - Paz Fernández-Valero
- Faculty of Human Sciences, School of Physical Education, Sports and Recreation, Universidad Bernardo O'Higgins, Santiago, Chile
| | - Eduardo Guzmán-Muñoz
- School of Kinesiology, Faculty of Health, Universidad Santo Tomás, Talca, Chile
- School of Pedagogy in Physical Education, Faculty of Education, Universidad Autónoma de Chile, Talca, Chile
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Rittiwong T, Reangsing C, Schneider JK. The Effects of Dance Interventions on Depression in Older Adults: A Meta-Analysis. J Appl Gerontol 2023; 42:2009-2024. [PMID: 37126730 DOI: 10.1177/07334648231172357] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023] Open
Abstract
Meta-analyses of the effects of dance on depressive symptoms in older adults have shown contradictory results, but few primary studies were included (5 and 8 studies). We aimed to examine the effects of dance on depressive symptoms in older adults aged 60 years and older and to examine the moderator effects of the source, participants, methods, and intervention characteristics. We included 23 primary studies that compared depressive symptoms across dance and comparison/control groups of older adults (72 ± 6.7 years old) and were written in English (N = 1,398) participants. Dance groups showed significantly less depressive symptoms post-intervention than comparison groups (ES = 0.66, 95% CI [0.42, 0.91], p < .001, I2 = 76.80%). South America and Australia showed the greatest effects. Using quasi-experimental designs showed significant effect sizes compared to using randomized designs. Only one quality indicator, intention-to-treat, influenced effect size. Dance might be used as an alternative treatment to improve depression.
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Affiliation(s)
- Tanapa Rittiwong
- Faculty of Nursing, Praboromarajchanok Institute, Bangkok, Thailand
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Blanco-Rambo E, Izquierdo M, Cadore EL. Letter to the editor: Dance as an Intervention to Improve Physical and Cognitive Functioning in Older Adults. J Nutr Health Aging 2023; 27:75-76. [PMID: 36651489 DOI: 10.1007/s12603-022-1873-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- E Blanco-Rambo
- Mikel Izquierdo, PhD, Department of Health Sciences Public University of Navarra, Av. De Barañain s/n 31008 Pamplona (Navarra) Spain, Tel + 34 948 417876
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de Araújo AXP, de Araújo MDGR, Mendes Fontes LA, Souto Braz RR, Sañudo B, Thaiar R, de Melo Marinho PÉ. Do two whole-body vibration amplitudes improve postural balance, gait speed, muscle strength, and functional mobility in sedentary older women? A crossover randomized controlled trial. J Bodyw Mov Ther 2022; 32:143-148. [DOI: 10.1016/j.jbmt.2022.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 02/15/2022] [Accepted: 05/15/2022] [Indexed: 11/24/2022]
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Brech GC, Bobbio TG, Cabral KDN, Coutinho PM, Castro LRD, Mochizuki L, Soares-Junior JM, Baracat EC, Leme LEG, Greve JMD, Alonso AC. Changes in postural balance associated with a woman's aging process. Clinics (Sao Paulo) 2022; 77:100041. [PMID: 35567828 PMCID: PMC9111954 DOI: 10.1016/j.clinsp.2022.100041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 02/27/2022] [Indexed: 11/24/2022] Open
Abstract
CONTEXT Aging causes a progressive worsening in postural balance, affecting functional independence and increasing the risk of falls. OBJECTIVE The aim of the study was to evaluate the effect of aging on the static balance in women from 50-years to 89-years of age. DESIGN This was a cross-sectional study, with 400 irregularly active women were evaluated and grouped by age: Group 6th decade (age 50 to 59) ‒ 58 participants; Group 7th decade (age 60 to 69) ‒ 214 participants; Group 8th decade (age 70 to 79) ‒ 92 participants; Group 9th decade (age 80 to 89) ‒ 36 participants. Postural balance was evaluated using a portable force platform in a standard standing position, with Eyes Open (EO) and Eyes Closed (EC). RESULTS In the two measurement conditions, the elderly women in Group 9th decade presented mediolateral displacement and range, and mean velocity greater than the women's values in Groups 6th and 7th decade. In the EO e EC situation, the displacement was higher in the elderly Group 9th decade compared to younger groups. Group 8th has a mean velocity greater than Group 6th decade in the EO situation. CONCLUSIONS Posturography showed a decline in postural balance with advancing age, suggesting that the 9th decade of life is a borderline age to this detriment due to an increase in postural instability.
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Affiliation(s)
- Guilherme Carlos Brech
- Graduate Program in Aging Sciences, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | - Tatiana Godoy Bobbio
- Universidade de Campinas (UNICAMP), Campinas, SP, Brazil; University of St. Augustine for Health Sciences, Miami Campus, United States of America
| | - Kelem de Negreiros Cabral
- Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Patrícia Mota Coutinho
- Graduate Program in Aging Sciences, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil
| | - Leila Regina de Castro
- Graduate Program in Aging Sciences, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil
| | - Luis Mochizuki
- Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Jose Maria Soares-Junior
- Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Edmund Chada Baracat
- Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Luiz Eugênio Garcez Leme
- Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Julia Maria D'Andréa Greve
- Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Angélica Castilho Alonso
- Graduate Program in Aging Sciences, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
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Okabe T, Suzuki M, Goto H, Iso N, Cho K, Hirata K, Shimizu J. Sex Differences in Age-Related Physical Changes among Community-Dwelling Adults. J Clin Med 2021; 10:jcm10204800. [PMID: 34682922 PMCID: PMC8538508 DOI: 10.3390/jcm10204800] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 10/11/2021] [Accepted: 10/16/2021] [Indexed: 12/25/2022] Open
Abstract
The prevalence of physical functioning limitations is positively correlated with age in both men and women. However, whether the appearance of deterioration differs depending on physical function and sex remains unclear. This study aimed to clarify the modes of age-related changes in physical function and sex differences in middle-aged and older adults. This study comprised 124 (46 men and 78 women) healthy adults aged 30 years or older and examined gender differences in physical function. The results of this study showed that one-leg standing time had the highest rate of age-related decline in both men and women, followed by knee extension strength, skeletal muscle mass, the 5 m walking test, and the timed up and go test. The sex-specific points showed a high rate of decline in trunk forward bending in men and a high rate of decline in forced expiratory volume (1 s) and gradual rate of decline in the bone area ratio in women. After middle age, it is desirable to start monitoring and training balance, muscle function, and walking. Men require early intervention for flexibility, and women require early intervention for respiratory function and continued intervention for bone mineral density.
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Nikolaidou ME, Karfis V, Koutsouba M, Schroll A, Arampatzis A. Postural Balance Ability and the Effect of Visual Restriction on Older Dancers and Non-Dancers. Front Sports Act Living 2021; 3:707567. [PMID: 34632376 PMCID: PMC8494947 DOI: 10.3389/fspor.2021.707567] [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: 05/10/2021] [Accepted: 08/24/2021] [Indexed: 11/18/2022] Open
Abstract
Dance has been suggested to be an advantageous exercise modality for improving postural balance performance and reducing the risk of falls in the older population. The main purpose of this study was to investigate whether visual restriction impacts older dancers and non-dancers differently during a quiet stance balance performance test. We hypothesized higher balance performance and greater balance deterioration due to visual restriction in dancers compared with non-dancers, indicating the superior contribution of the visual channel in the expected higher balance performances of dancers. Sixty-nine (38 men, 31 women, 74 ± 6 years) healthy older adults participated and were grouped into a Greek traditional dance group (n = 31, two to three times/week for 1.5 h/session, minimum of 3 years) and a non-dancer control group (n = 38, no systematic exercise history). The participants completed an assessment of one-legged quiet stance trials using both left and right legs and with eyes open while standing barefoot on a force plate (Wii, A/D converter, 1,000 Hz; Biovision) and two-legged trials with both eyes open and closed. The possible differences in the anthropometric and one-legged balance parameters were examined by a univariate ANOVA with group and sex as fixed factors. This ANOVA was performed using the same fixed factors and vision as the repeated measures factor for the two-legged balance parameters. In the one-legged task, the dance group showed significantly lower values in anteroposterior and mediolateral sway amplitudes (p = 0.001 and p = 0.035) and path length measured in both directions (p = 0.001) compared with the non-dancers. In the two-legged stance, we found a significant vision effect on path length (p < 0.001) and anteroposterior amplitude (p < 0.001), whereas mediolateral amplitude did not differ significantly (p = 0.439) between closed and open eyes. The dance group had a significantly lower CoP path length (p = 0.006) and anteroposterior (p = 0.001) and mediolateral sway amplitudes (p = 0.003) both in the eyes-open and eyes-closed trials compared with the control group. The superior balance performance in the two postural tasks found in the dancers is possibly the result of the coordinated, aesthetically oriented intersegmental movements, including alternations between one- and two-legged stance phases, that comes with dance. Visual restriction resulted in a similar deterioration of balance performance in both groups, thus suggesting that the contribution of the visual channel alone cannot explain the superior balance performance of dancers.
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Affiliation(s)
- Maria-Elissavet Nikolaidou
- Department of Physical Education and Sport Science, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, Athens, Greece
| | - Vasilios Karfis
- Department of Physical Education and Sport Science, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, Athens, Greece
| | - Maria Koutsouba
- Department of Physical Education and Sport Science, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, Athens, Greece
| | - Arno Schroll
- Department of Training and Movement Sciences, Humboldt-Universität zu Berlin, Berlin, Germany.,Berlin School of Movement Science, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Adamantios Arampatzis
- Department of Training and Movement Sciences, Humboldt-Universität zu Berlin, Berlin, Germany.,Berlin School of Movement Science, Humboldt-Universität zu Berlin, Berlin, Germany
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Ferreira BADS, Benetti FA, Luna NMS, Brech GC, Bocalini DS, Maifrino LBM, Magaldi F, Greve JMDA, Alonso AC. ANTHROPOMETRIC FACTORS AND BODY COMPOSITION AND THEIR RELATIONSHIP WITH DYNAMIC BALANCE TESTS. REV BRAS MED ESPORTE 2020. [DOI: 10.1590/1517-869220202605190218] [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: The limit of stability is characterized by the maximum angle of inclination that an individual can reach and greater variability in extreme conditions; it is a bold and/or dangerous motor control strategy. Objective: Assess whether anthropometric measurements and body composition interfere with limits of stability and weight-bearing at different speeds in adults. Methods: Eighty-seven subjects of both sexes aged between 20 and 40 years were analyzed using anthropometric assessment and body composition. A force platform, limits of stability (LoS) and rhythmic weight shift (RWS) tests were used for the balance assessments. Results: In the LoS test, being female was negatively correlated with foot size and reaction time, and positively correlated with maximum excursion. In the RWS test, the female group had a negative correlation with height and upper limb length (ULL), with mediolateral directional control. The male group had a negative correlation with ULL and laterolateral directional control. Conclusion: Body composition variables do not interfere in the LoS and RWS tests in subjects with normal body mass index (BMI) values, except for bone densitometry (BMD) in women. As regards anthropometric parameters, height, ULL and foot size in the female and male groups were as follows: ULL and foot size exert little influence on postural balance control. Level of evidence II, Diagnostic studies - Investigation of a diagnostic test.
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Kaewjoho C, Mato L, Thaweewannakij T, Nakmareong S, Phadungkit S, Gaogasigam C, Amatachaya S. Thai dance exercises benefited functional mobility and fall rates among community-dwelling older individuals. Hong Kong Physiother J 2020; 40:19-27. [PMID: 32489237 PMCID: PMC7136526 DOI: 10.1142/s1013702520500031] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Accepted: 10/25/2019] [Indexed: 11/18/2022] Open
Abstract
Background With dramatic increase in the number of older individuals, special efforts have been made to promote the levels of independence and reduce fall rates among these individuals. Objective To investigate the effects of Thai dance exercises over 6 weeks on functional mobility and fall rates in community-dwelling older individuals. Methods Sixty-one community-dwelling older adults were interviewed and assessed for their demographics and fall data during 6 months prior to participation in the study. Then they completed the quasi-experimental Thai dance exercise program for 50 minutes/day, 3 days/week over 6 weeks. Their functional mobility relating to levels of independence and safety were assessed prior to training, at 3-week and 6-week training. After completing the program at 6 weeks, participants were prospectively monitored for fall data over 6 months. Results Participants improved their functional mobility significantly after 3- and 6-week training ( p < 0.01 ) . The number of faller individuals obviously decreased from 35% ( n = 21 ) prior to training to only 8% ( n = 5 ) after training ( p < 0.01 ) . Conclusion The current findings further extend benefits of Thai dance as an alternative musical exercise program to promote levels of independence and safety among community-dwelling older adults.
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Affiliation(s)
- Chonticha Kaewjoho
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.,Improvement of Physical Performance and Quality of Life (IPQ), Research Group, Khon Kaen University, Khon Kaen, Thailand
| | - Lugkana Mato
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.,Improvement of Physical Performance and Quality of Life (IPQ), Research Group, Khon Kaen University, Khon Kaen, Thailand
| | - Thiwabhorn Thaweewannakij
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.,Improvement of Physical Performance and Quality of Life (IPQ), Research Group, Khon Kaen University, Khon Kaen, Thailand
| | - Saowanee Nakmareong
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.,Improvement of Physical Performance and Quality of Life (IPQ), Research Group, Khon Kaen University, Khon Kaen, Thailand
| | - Supaporn Phadungkit
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.,Improvement of Physical Performance and Quality of Life (IPQ), Research Group, Khon Kaen University, Khon Kaen, Thailand
| | - Chitanongk Gaogasigam
- Improvement of Physical Performance and Quality of Life (IPQ), Research Group, Khon Kaen University, Khon Kaen, Thailand.,Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand
| | - Sugalya Amatachaya
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.,Improvement of Physical Performance and Quality of Life (IPQ), Research Group, Khon Kaen University, Khon Kaen, Thailand
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de Negreiros Cabral K, Brech GC, Alonso AC, Soares AT, Opaleye DC, Greve JMD, Jacob-Filho W. Posturographic measures did not improve the predictive power to identify recurrent falls in community-dwelling elderly fallers. Clinics (Sao Paulo) 2020; 75:e1409. [PMID: 32267394 PMCID: PMC7100920 DOI: 10.6061/clinics/2020/e1409] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 01/07/2020] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE This study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals. METHODS This was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups-the recurrent fallers (89) and single fallers (35) groups. Patients' sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, and Falls Efficacy Scale (to measure fear of falling). Static posturography was performed in a force platform in the following three different situations-eyes open (EO), eyes closed (EC), and EO dual task. RESULTS There were significant differences between the single and recurrent fallers groups regarding the fear of falling, the Geriatric Depression Scale score, the mean speed calculated from the total displacement of the center point of pressure (COP) in all directions with EO, and the root mean square of the displacement from the COP in the mediolateral axis with EC. Based on the hierarchical logistic regression model, none of the studied posturographic variables was capable of significantly increasing the power of differentiation between the recurrent and single fallers groups. Only TUGT with a cognitive distractor (p<0.05) and the BBS (p<0.01) presented with significant independent predictive power. CONCLUSION TUGT with a cognitive distractor and the BBS were considered recurrent fall predictors in elderly fallers.
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Affiliation(s)
- Kelem de Negreiros Cabral
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
- Divisao de Geriatria, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Guilherme Carlos Brech
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
- Programa de Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
- Corresponding author.E-mail:
| | - Angelica Castilho Alonso
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
- Programa de Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
| | - Aline Thomaz Soares
- Divisao de Geriatria, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
| | | | - Julia Maria D'Andrea Greve
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Wilson Jacob-Filho
- Divisao de Geriatria, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
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Wang Y, Watanabe K, Asaka T. Effect of dance on multi-muscle synergies in older adults: a cross-sectional study. BMC Geriatr 2019; 19:340. [PMID: 31795946 PMCID: PMC6889198 DOI: 10.1186/s12877-019-1365-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Accepted: 11/22/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this study was to investigate the efficacy of dance in the experienced older dancers compared to the inexperienced older adults. We explored the effect of dance on the composition of muscle groups and multi-muscle synergies stabilizing the center of pressure (COP) displacement in preparation to take a step during support surface translation. METHODS Eight dance experienced elderly participants were asked to take a step in response to support surface perturbations. Uncontrolled manifold analysis was used to identify muscle modes (M-modes) as factors in the muscle activation space. Variance components in the M-mode space and indices of M-mode synergy stabilizing COP displacement were computed. RESULTS The reciprocal M-modes were observed more frequently in the dance group than in the control group prior to the step initiation. Dance led to higher indices of multi-muscle synergies and earlier anticipatory synergy adjustments during preparation for making a step in response to the support surface translations. CONCLUSIONS Dance appeared to be associated with adjustments in both the composition of M-modes and M-mode co-variation patterns resulting in stronger synergies stabilizing COP coordinate in older adults. The results reported here could have clinical relevance when offering a dance approach to balance training for impaired individuals.
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Affiliation(s)
- Yun Wang
- Tianjin Key Lab of Exercise Physiology and Sports Medicine, College of Social Sport and Health Sciences, Tianjin University of Sport, 16 Donghai Road, Tuanbo Xincheng Xiqu, Jinghai District, Tianjin, 301617 China
| | - Kazuhiko Watanabe
- Institute of Sports and Health Science, 3-10-31, Kagamiyama, Higashi-hiroshima, Hiroshima, 739-0046 Japan
| | - Tadayoshi Asaka
- Department of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, N12-W5, Kita-ku, Sapporo, 060-0826 Japan
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Orawiec RB, Nowak SB, Tomaszewski P. Postural stability in Parkinson's disease patients' wives and in elderly women leading different lifestyles. Health Care Women Int 2019; 40:1070-1083. [PMID: 30742568 DOI: 10.1080/07399332.2018.1531865] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 09/30/2018] [Accepted: 09/30/2018] [Indexed: 10/27/2022]
Abstract
The study aimed to determine postural stability of Parkinson's disease (PD) patients' wives in comparison with women differing in their lifestyle. (PD) patients' wives (n = 44), homemakers (n = 41), and female students of the University of the Third Age (n = 43) performed balance tests on a stabilometric platform. The PD patients' wives were characterized by significantly (p < 0.001) higher values of mean velocity sway than the homemakers and students (approximately 3.5 and 5 mm/s, respectively) and performed worst in displacement velocity and sway range in both sagittal and frontal plane. The results indicate that the wives of PD patients need support in the area of health training targeted at improving their standing stability.
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Affiliation(s)
- Renata B Orawiec
- Department of Physiotherapy, Kazimierz Pulaski University of Technology and Humanities , Radom , Poland
| | - Stanisław B Nowak
- Department of Physical Education, Kazimierz Pulaski University of Technology and Humanities , Radom , Poland
| | - Paweł Tomaszewski
- Department of Biometry, The Jozef Pilsudski University of Physical Education , Warsaw , Poland
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Balance and functional fitness benefits of a Thai boxing dance program among community-dwelling older adults at risk of falling: A randomized controlled study. Arch Gerontol Geriatr 2019; 83:231-238. [PMID: 31102925 DOI: 10.1016/j.archger.2019.04.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Revised: 04/08/2019] [Accepted: 04/21/2019] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The present study aimed at examining the effects of a Thai Boxing dance (TBD) program on balance performances and functional fitness in community-dwelling older adults at risk of falling who have no comorbidities leading to falls. METHODS Seventy-eight participants were randomly equally assigned either to a 4-week TBD program or to a control group receiving a fall prevention booklet. Static and dynamic balance performances, and functional fitness including lower limb muscle strength, body flexibility, and agility were evaluated before and after the intervention, and at 4-month follow-up. RESULTS After receiving 4-week TBD intervention, participants showed significantly greater improvements in static balance with eyes open, dynamic balance and all functional fitness when compared to the control group (p < 0.05), and these effects except for body flexibility were still maintained at 4-month follow-up (p < 0.05). CONCLUSIONS This study highlights TBD as an intervention for improving balance and functional fitness of community-dwelling seniors at risk of falling.
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Bigongiari A, Mochizuki L, Francica JV, Souza FDA, Franciulli PM, Alonso AC. O efeito da idade, da dupla tarefa e da visão no senso de posicionamento do tornozelo. FISIOTERAPIA E PESQUISA 2018. [DOI: 10.1590/1809-2950/17000925042018] [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
RESUMO O objetivo desta pesquisa foi mensurar de forma objetiva a propriocepção, em diferentes situações (com e sem o auxílio da visão, com e sem tarefa cognitiva concomitante e de forma ativa ou passiva), em indivíduos idosos e adultos. Participaram do estudo dez adultos saudáveis e dez idosos saudáveis. Foram estudados os efeitos de diferentes restrições no desempenho do movimento por meio dos erros absoluto (precisão) e relativo (consistência). A mensuração do senso de posicionamento do tornozelo foi realizada com o dinamômetro isocinético Biodex Sistem 3. A análise de variância de quatro fatores e o teste post hoc de Tukey foram utilizados para analisar os parâmetros. Os resultados mostraram que o fator sujeito interfere no erro absoluto, pois os grupos apresentaram diferença significativa: os idosos erram mais quando comparados com os adultos. Os demais fatores (visão, tarefa cognitiva e tipo de movimento) não apresentaram diferença significativa. No erro relativo os resultados mostraram que a tarefa cognitiva concomitante ao movimento foi capaz de produzir diferença significante; entretanto os demais fatores (indivíduos, visão e tipo de movimentação) não foram capazes de produzir uma diferença significativa. A idade afeta a precisão do sentido proprioceptivo, independentemente da situação. Não houve diferença entre a realização do movimento com e sem o auxílio da visão, e a dupla tarefa (motora associada à cognitiva) afeta a consistência do movimento.
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Alonso AC, Brech GC, Ernandes RDC, Rodrigues D, Ayama S, Canonica AC, Luna NMS, Santos SDS, Mochizuki L, Peterson M, Garcez-Leme LE, Greve JMD. The effects of motor adaptation on ankle isokinetic assessments in older drivers. Clinics (Sao Paulo) 2018; 73:e303. [PMID: 30066728 PMCID: PMC6055022 DOI: 10.6061/clinics/2018/e303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 02/09/2018] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES This study sought to analyze the extent of motor adaptation in ankle plantar flexors and dorsiflexors among older drivers during clinical isokinetic testing. METHODS One hundred older adults (70.4±5.7 years) participated in two bilateral ankle plantar flexor and dorsiflexor isokinetic assessments at 30°/sec. Peak torque (PTQ), PTQ adjusted for body weight (PTQ/BW), and total work (TW) were analyzed. RESULTS On the dominant side, PTQ/BW and TW were significantly greater for the second plantar flexion test than were those for the first such test (p<0.001), whereas PTQ, PTQ/BW, and TW (p<0.001) were significantly greater for the second dorsiflexion test than were those for the first such test. On the non-dominant side, plantar flexion PTQ and TW were significantly lower for the second test than were those for the first test (p<0.001). CONCLUSION Older drivers demonstrated better performance with the dominant limb on the second test. The low variability in test execution showed the existence of a motor adaptation effect for the tested movements, despite the short recovery period between the assessments.
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Affiliation(s)
- Angelica Castilho Alonso
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
- Departamento de Ciěncias do Envelhecimento da Universidade São Judas Tadeu (USJT), São Paulo, SP, BR
- *Corresponding author. E-mail:
| | - Guilherme Carlos Brech
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
- Departamento de Ciěncias do Envelhecimento da Universidade São Judas Tadeu (USJT), São Paulo, SP, BR
| | - Rita de Cássia Ernandes
- Departamento de Ciěncias do Envelhecimento da Universidade São Judas Tadeu (USJT), São Paulo, SP, BR
| | - Douglas Rodrigues
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
| | - Sérgio Ayama
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
| | - Alexandra Carolina Canonica
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
| | - Natália Mariana Silva Luna
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
- Departamento de Ciěncias do Envelhecimento da Universidade São Judas Tadeu (USJT), São Paulo, SP, BR
| | - Sileno da Silva Santos
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
| | - Luis Mochizuki
- Escola de Artes, Ciěncias e Humanidades, Universidade de São Paulo (USP), São Paulo, SP, BR
| | - Mark Peterson
- Department of Physical Medicine and Rehabilitation, University of Michigan-Medicine, Ann Arbor, Michigan, United States
| | - Luiz Eugênio Garcez-Leme
- Grupo de Ortogeriatria, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
| | - Júlia Maria D’Andréa Greve
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, SP, BR
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Alonso AC, Ribeiro SM, Luna NMS, Peterson MD, Bocalini DS, Serra MM, Brech GC, Greve JMD, Garcez-Leme LE. Association between handgrip strength, balance, and knee flexion/extension strength in older adults. PLoS One 2018; 13:e0198185. [PMID: 29856802 PMCID: PMC5983424 DOI: 10.1371/journal.pone.0198185] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 05/15/2018] [Indexed: 11/18/2022] Open
Abstract
The objective of the study was to examine the association between handgrip strength (HGS), knee flexion and extension strength, and static and dynamic balance in older women. One hundred and ten women with a mean age of 67.4±5.9 years were assessed for dynamic postural balance using the Time Up & Go Test (TUG) with and without cognitive tasks. Semi-static balance was assessed by means of a force platform; knee flexor and extensor muscle strength was calculated using an isokinetic dynamometer; and HGS using a hand held dynamometer. Weaker HGS was significantly correlated with worse performance in dynamic postural balance, as well as performance with TUG with and without cognitive tasks; however, there was no correlation between HGS and static balance. There was a moderate positive correlation between knee flexion/extension strength and HGS. This suggests that HGS could be used as a proxy indicator of overall strength capacity for clinical screening among older women.
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Affiliation(s)
- Angelica Castilho Alonso
- Program in Aging Science, São Judas Tadeu University (USJT), São Paulo, Brazil
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculty of Medicine, University of São Paulo (USP), São Paulo, Brazil
- * E-mail:
| | - Samia Maria Ribeiro
- Program in Aging Science, São Judas Tadeu University (USJT), São Paulo, Brazil
- State University Vale do Acaraú (UVA), Ceará, Brazil
| | - Natália Mariana Silva Luna
- Program in Aging Science, São Judas Tadeu University (USJT), São Paulo, Brazil
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculty of Medicine, University of São Paulo (USP), São Paulo, Brazil
| | - Mark D. Peterson
- Department of Physical Medicine and Rehabilitation, University of Michigan-Medicine, Ann Arbor, Michigan, United States of America
| | | | - Marcos Maurício Serra
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculty of Medicine, University of São Paulo (USP), São Paulo, Brazil
| | - Guilherme Carlos Brech
- Program in Aging Science, São Judas Tadeu University (USJT), São Paulo, Brazil
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculty of Medicine, University of São Paulo (USP), São Paulo, Brazil
| | - Julia Maria D’Andréa Greve
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculty of Medicine, University of São Paulo (USP), São Paulo, Brazil
| | - Luiz Eugênio Garcez-Leme
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculty of Medicine, University of São Paulo (USP), São Paulo, Brazil
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de Mendonça DLC, Alonso AC, Greve JMD, Garcez-Leme LE. Assessment of the quality of life, muscle strength, and dynamic balance of elderly Kendo players. Clinics (Sao Paulo) 2017; 72:661-666. [PMID: 29236911 PMCID: PMC5706064 DOI: 10.6061/clinics/2017(11)03] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2017] [Accepted: 07/20/2017] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To compare Kendo players with active elderly adults in terms of quality of life, functional aspects (muscle strength, postural balance) and body composition. METHODS This was a controlled cross-sectional study. Twenty elderly individuals were divided into two groups: the Kendo group, with an average age of 71.8 (5.4) years, and the Control group, with an average age of 73.1 (4.8) years. Quality of life was evaluated using a questionnaire (WHOQOL-bref and WHOQOL-old); body composition was evaluated with a bioimpedance scale (InBody230); hand-grip strength was assessed with a portable manual dynamometer (Jamar SH 5001); flexor and extensor muscle strength of the knees was evaluated with an isokinetic device (Biode® System 3 model Biodex Multi Joint System, BIODEX); and dynamic balance was assessed using a force platform (Balance Master System, Neurocom International, Inc.,® Clackamas County, Oregon, USA). RESULTS The groups were statistically homogeneous in terms of socio-demographic characterization, body composition, muscle strength, and dynamic balance, but the Control group was faster in the sit-to-stand test (p=0.03). The Kendo group had a statistically significantly better quality of life; in the WHOQOL-bref, these differences were present in the physical (p≤0.001) and environment (p=0.004) domains, and in the WHOQOL-old, these differences were present in social participation (p=0.001) and in past, present, and future activities (p=0.019). CONCLUSION The results suggest that Kendo is a health-promoting activity that improves the quality of life, functional aspects (muscle strength and postural balance) and body composition of players.
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Affiliation(s)
- Dário Lucas Costa de Mendonça
- Laboratorio de Estudo do Movimento, Laboratório de Investigação Médica do Sistema Músculo-Esquelético LIM 41, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Grupo de Ortogeriatria, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- *Corresponding author. E-mail:
| | - Angelica Castilho Alonso
- Laboratorio de Estudo do Movimento, Laboratório de Investigação Médica do Sistema Músculo-Esquelético LIM 41, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Grupo de Ortogeriatria, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Programa de Mestrado em Ciencias do Envelhecimento, Universidade Sao Judas Tadeu, Sao Paulo, SP, BR
| | - Júlia Maria D’Andrea Greve
- Laboratorio de Estudo do Movimento, Laboratório de Investigação Médica do Sistema Músculo-Esquelético LIM 41, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Luiz Eugênio Garcez-Leme
- Laboratorio de Estudo do Movimento, Laboratório de Investigação Médica do Sistema Músculo-Esquelético LIM 41, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Grupo de Ortogeriatria, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
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