1
|
Bayartai ME, Taulaniemi A, Tokola K, Vähä-Ypyä H, Parkkari J, Husu P, Kankaanpää M, Vasankari T, Michael Bauer C, Luomajoki H. Role of the interaction between lumbar kinematics and accelerometer-measured physical activity in bodily pain, physical functioning and work ability among health care workers with low back pain. J Electromyogr Kinesiol 2023; 69:102744. [PMID: 36680881 DOI: 10.1016/j.jelekin.2023.102744] [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: 08/14/2022] [Revised: 11/13/2022] [Accepted: 01/11/2023] [Indexed: 01/15/2023] Open
Abstract
The aim of this study was to examine the associations of spinal kinematics and physical activity (PA) with bodily pain, physical functioning, and work ability among health care workers with low back pain (LBP). Spinal kinematics and PA were measured with a wireless Inertial Measurement Unit system (ValedoMotion®) and a waist-worn tri-axial accelerometer (Hookie AM20), respectively. Their association was assessed in relation to Work Ability Index (WAI), bodily pain and physical functioning (RAND-36) in 210 health care workers with recurrent LBP. Greater lumbar movement variability/less deterministic lumbar movement (in angular velocity) during a "Pick Up a Box" functional task was correlated with higher amounts of step counts (r = -0.29, p = 0.01) and moderate PA (r = -0.24, p = 0.03). A higher amount of PA (p = 0.03) as well as less movement control impairment (p = 0.04) and movement variability (p = 0.03) were associated with greater work ability, whilst greater vigorous PA was the only parameter to explain higher physical functioning (p = 0.02). PA and movement variability were relative to each other to explain bodily pain (p = 0.01). These findings show the importance of considering the interaction between lumbar kinematics and physical activity while planning strategies to improve bodily pain, physical functioning and work ability among health care workers with LBP.
Collapse
Affiliation(s)
- Munkh-Erdene Bayartai
- Institute of Physiotherapy, School of Health Professions, Zurich University of Applied Sciences, 8400 Winterthur, Switzerland; Department of Physical Therapy, School of Nursing, Mongolian National University of Medical Sciences, Ulaanbaatar 14210, Mongolia.
| | - Annika Taulaniemi
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500 Tampere, Finland
| | - Kari Tokola
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500 Tampere, Finland
| | - Henri Vähä-Ypyä
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500 Tampere, Finland
| | - Jari Parkkari
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500 Tampere, Finland; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Pauliina Husu
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500 Tampere, Finland
| | - Markku Kankaanpää
- Department of Rehabilitation and Psychosocial Support, Tampere University Hospital, Tampere, Finland
| | - Tommi Vasankari
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500 Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, 33100 Tampere, Finland
| | - Christoph Michael Bauer
- Department of Physiotherapy and Occupational Therapy, University Hospital Zurich, Zurich, Switzerland
| | - Hannu Luomajoki
- Institute of Physiotherapy, School of Health Professions, Zurich University of Applied Sciences, 8400 Winterthur, Switzerland
| |
Collapse
|
2
|
Fallah H, Nazari J, Choobineh A, Morowatisharifabad MA, Jafarabadi MA. Psychometric properties of the physical environment problems and barriers scale in older adults’ homes using an ergonomic approach. Work 2022; 73:1011-1022. [DOI: 10.3233/wor-210983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: As older adults prefer to live in their homes, it is of paramount importance to examine the adaptation of the environment to the older adults’ capabilities. OBJECTIVE: The aim of this study was to develop and evaluate psychometric properties of a scale to measure physical environment problems and barriers in older adults’ homes using an ergonomic approach in Iran. METHODS: This mixed-method investigation was conducted in two stages in Yazd, Iran. The primary 71-item version of the questionnaire was developed according to qualitative findings and a thorough review of the literature. Then the psychometric characteristics, including face, content, construct validity, were assessed. Content validity was also assessed using CVI and CVR. Finally, its reliability and construct validity were confirmed by composite reliability (CR), Fornell-Larker matrix, and confirmatory factor analysis (CFA) using Smart PLS software version 3. RESULTS: The face validity of the developed scale was acceptable, and the mean scores of CVI and CVR were 0.78 and 0.84, respectively. The preliminary draft of the scale was categorized into seven dimensions. Factor validity and reliability were confirmed by acceptable factor loadings, and desirable realms of composite reliability (>0.7) average variance extracted (>0.5). The cross-loading method and the Fornell-Larker matrix were used to evaluate the divergent validity of the scale, and the results confirmed its acceptable fit. CONCLUSIONS: The findings indicated that reliability reached acceptable values, and different aspects of validity were almost confirmed. Accordingly, the questionnaire was to measure physical environment problems and barriers in older adults’ homes; however, it requires further validation for future use in other contexts.
Collapse
Affiliation(s)
- Hossein Fallah
- Department of Occupational Health Engineering, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
- Occupational Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Jalil Nazari
- Department of Occupational Health Engineering, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Alireza Choobineh
- Department of Ergonomics, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad ali Morowatisharifabad
- Department of Aging and Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Elderly Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Mohamad Asghari Jafarabadi
- Department of Statistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
- Center for the Development of Interdisciplinary Research in Islamic Sciences and Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| |
Collapse
|
3
|
The Effect of Interval and Continued Trainings with Citrus Aurantium on Pain Threshold and Motor Balance in Elderly Rats. JORJANI BIOMEDICINE JOURNAL 2022. [DOI: 10.52547/jorjanibiomedj.10.2.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
|
4
|
Patti A, Zangla D, Sahin FN, Cataldi S, Lavanco G, Palma A, Fischietti F. Physical exercise and prevention of falls. Effects of a Pilates training method compared with a general physical activity program: A randomized controlled trial. Medicine (Baltimore) 2021; 100:e25289. [PMID: 33787615 PMCID: PMC8021317 DOI: 10.1097/md.0000000000025289] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 03/08/2021] [Indexed: 01/04/2023] Open
Abstract
INTRODUCTION Falls are the leading cause of injury-related mortality and morbidity in the elderly. Physical activity plays a key role in the prevention of falls and stimulates postural control. The aim of this study was to compare a general physical activity program for the elderly with a Pilates program to evaluate the effects on balance and on reducing the risk of falling. MATERIALS AND METHODS Forty-six subjects were enrolled in this study, but only 41 were included in the study. The subjects were divided into 2 groups: Pilates group (P-G) and a group following a nonspecific program of physical activity (Pa-G). Each subject underwent the hand grip test, Berg balance scale test, and posturographic analysis. RESULTS Spearman correlation coefficient showed correlations between the following parameters: BBS versus hand grip test (r = 0.68); BBS versus ellipse surface area (r = -0.75). There were significant differences between groups after the exercise program: both groups showed an improvement in performance but the P-G recorded significantly better results than the Pa-G. DISCUSSION AND CONCLUSIONS This study confirmed that physical activity improves both balance and strength. However, our data show that Pilates has a greater effect on these physical abilities than a general physical activity program.
Collapse
Affiliation(s)
- Antonino Patti
- Department of Psychology, Educational Science and Human Movement, University of Palermo
| | - Daniele Zangla
- Department of Psychology, Educational Science and Human Movement, University of Palermo
| | | | - Stefania Cataldi
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, School of Medicine, University of Study of Bari
| | - Gioacchino Lavanco
- Department of Psychology, Educational Science and Human Movement, University of Palermo
| | - Antonio Palma
- Department of Psychology, Educational Science and Human Movement, University of Palermo
| | - Francesco Fischietti
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, School of Medicine, University of Study of Bari
| |
Collapse
|
5
|
Kim SC, Cho WS, Cho SH. Effects of smart phone use on lower limb joint angle and dynamic balance during gait. Work 2020; 65:31-37. [PMID: 31868709 DOI: 10.3233/wor-193055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Cognitive tasks influence gait by reducing balancing abilities. Diverse studies to date have examined dual-tasking and gait. OBJECTIVE This study aimed to determine the influences of smart phone use while walking on lower limb joint angle and dynamic balancing ability. METHODS Thirty healthy subjects were voluntarily recruited from the university population. All subjects were required to perform the tasks under three conditions: not using a smart phone, having a conversation by phone, and playing a smart phone game. Lower limb joint angle and dynamic balance ability related to smart phone use during gait were measured. Motion analysis was used to measure lower limb joint angle changes during gait, while balance measuring equipment was used to measure the dynamic balancing ability. RESULTS In the stability limit test to measure the changes in dynamic balancing abilities, significant differences were found among the different smart phone use conditions. CONCLUSIONS Smart phone use during movements that are required for balance requires special attention, and this study provides important basic data for follow-up studies.
Collapse
Affiliation(s)
- Seon-Chil Kim
- Department of Biomedical Engineering, College of Medicine, Keimyung University, Daegu, South Korea
| | - Woon-Su Cho
- Department of Physical Therapy, College of Health Science, Nambu University, Gwangju, South Korea
| | - Sung-Hyoun Cho
- Department of Physical Therapy, College of Health Science, Nambu University, Gwangju, South Korea
| |
Collapse
|
6
|
The Effects of Physical Exercise on Balance and Prevention of Falls in Older People: A Systematic Review and Meta-Analysis. J Clin Med 2020; 9:jcm9082595. [PMID: 32796528 PMCID: PMC7466089 DOI: 10.3390/jcm9082595] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 07/28/2020] [Accepted: 08/03/2020] [Indexed: 12/20/2022] Open
Abstract
The aims of this systematic review and meta-analysis were to evaluate the effects of physical exercise on static and dynamic balance in the elderly population, and to analyze the number of falls and fallers. A systematic literature search was conducted using PubMed–Medline, Cochrane Central, and Google Scholar to select randomized clinical trials that analyzed the role of exercise on balance and fall rate in patients aged 65 or older. Sixteen articles were included in this review. Applying the Cochrane risk-of-bias tool, three studies were determined to be at low risk of bias, nine at unclear risk of bias, and four at high risk of bias. The meta-analysis showed improvements in dynamic balance (p = 0.008), static balance (p = 0.01), participants’ fear of falling (p = 0.10), balance confidence (p = 0.04), quality of life (p = 0.08), and physical performance (p = 0.30) in patients who underwent physical exercise compared to controls. The analysis of the total numbers of falls showed a decreased likelihood of falls in patients who participated in exercise programs (p = 0.0008). Finally, the number of patients who fell at least once was significantly reduced in the intervention group (p = 0.02). Physical exercise is an effective treatment to improve balance and reduce fall rates in the elderly.
Collapse
|
7
|
Manckoundia P, Barthélémy E, Bonnot R, d'Athis P. Impact of an ambulatory physical activity program on balance and motor abilities of retirees: a prospective study. Int J Clin Pract 2020; 74:e13474. [PMID: 31909862 DOI: 10.1111/ijcp.13474] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 12/24/2019] [Accepted: 01/05/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Given the public health problem generated by posture and gait disorders, a preventive approach is essential. OBJECTIVE We investigated the impact of an ambulatory physical activity program (APAP) on the motor skills of retirees. METHOD Retirees ≥60 years were recruited in this prospective study. The APAP was supported by a French regional health insurance plan. Between inclusion (T0) and 12 weeks (T1), subjects participated in an APAP (1 h/wk) that included strengthening muscular exercises, balance work, joint flexibility exercises, one-leg-balance test (OLB), stimulation of the foot arch and rise-from-the-floor (RFF). Timed-up-and-go test (TUG) duration, gait speed (GS), OLB duration and RFF success were compared between T1 and T0. RESULTS Two hundred subjects (86% women) were enrolled; mean age was 73.8 years (45.5% ≥75 years). TUG durations (s) were lower at T1 than at T0 (8.98 and 9.64; P < .0001). The GS (m/s) and OLB durations (s) were higher at T1 than at T0 (1.26 vs 1.12 for GS, 16.16 vs 13.02 for OLB; P < .0001). The rate of participants who successfully completed RFF was higher at T1 (94%) than at T0 (76%) (P < .0001). After the APAP, TUG duration was reduced in 64.5% of cases, the GS improved in 73% of cases, OLB duration increased in 50% of cases and RFF became possible in 18.5% of cases (all P < .0001). CONCLUSION Physical activity programs are effective for improving motor performance, even in older adults. Retirees must be encouraged to do regular physical activity to prevent or slow the functional decline associated with ageing, and to improve their overall quality of life.
Collapse
Affiliation(s)
- Patrick Manckoundia
- Department of Geriatrics and Internal Medicine, Hospital of Champmaillot, University Hospital, Dijon, France
- UMR Inserm/U1093 Cognition, Action, Sensorimotor Plasticity, University of Burgundy and Franche Comté, Dijon, France
| | - Elise Barthélémy
- "Caisse d'Assurance Retraite Santé au Travail" of Burgundy Franche Comté (CARSAT BFC), Dijon, France
| | - Renaud Bonnot
- "Caisse d'Assurance Retraite Santé au Travail" of Burgundy Franche Comté (CARSAT BFC), Dijon, France
| | - Philippe d'Athis
- Department of Biostatistics, François Mitterrand Hospital, University Hospital, Dijon, France
| |
Collapse
|
8
|
Walking in Natural Environments as Geriatrician’s Recommendation for Fall Prevention: Preliminary Outcomes from the “Passiata Day” Model. SUSTAINABILITY 2020. [DOI: 10.3390/su12072684] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: The Geriatric Unit of the University of Palermo developed the “Passiata Day” model, a green exercise intervention consisting of a one-hour walk, once/week, in a city park. The purpose of this study was to assess body balance in older people who walked regularly compared to sedentary people. Methods: 106 older people (75 women and 31 men; mean age: 72.3 ± 8.2 years) without fall history were invited to participate voluntarily in this natural environment walking program. After six months, both the participants who had taken part regularly in the walk (i.e., the physical activity group (PAG; n = 72; 54 women and 18 men; mean age: 70.7 ± 7.2 years)), and who had not accepted to be included in the outdoor walking program (i.e., the sedentary group (SG; n = 34; 21 women and 13 men; mean age: 75.5 ± 9.4 years)), performed a stabilometric test with open eyes (OE) and with closed eyes (CE). Results: Our preliminary results showed significant differences between groups on the ellipse sway area both in the OE (p < 0.05) and in CE condition (p < 0.01). Moreover, we found a significant difference on sway along the frontal plane both in the OE (p < 0.05) and in the CE condition (p < 0.01), and on sway along the sagittal plane for the test with CE (p < 0.01). Conclusion: Based on our preliminary findings, we suggest that walking regularly in an outdoor setting could lead to a greater body balance in older people and could be recommended by geriatricians for preventing the risk of falls. The next step will be to investigate the effect of an experimental outdoor walking program structured in terms of intensity, frequency and volume.
Collapse
|
9
|
Niu J, Zheng Y, Liu H, Chen X, Ran L. Stumbling prediction based on plantar pressure distribution. Work 2019; 64:705-712. [PMID: 31815710 DOI: 10.3233/wor-193032] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Stumbles are common accidents that can result in falls and serious injuries, particularly in the workplace where back and forth movements are involved and in offices where high heels are imperative. Currently, the characteristics of plantar pressure during a stumble and the differences between stumbling and a normal gait remain unclear. OBJECTIVE This paper is aimed at providing insights into the feasibility of the data mining technique for interventions in stumble-related occupational safety issues. METHODS The characteristics of plantar pressure distribution during stumbling and normal gait were analyzed by using the power spectrum density (PSD) and the Support Vector Machine (SVM). The PSD, a novel pattern recognition feature, was used to mathematically describe the image signal. The SVM, a powerful data mining technique, was used as the classifier to recognize a stumble. Dynamic plantar pressures were measured from twelve healthy participants as they walked. RESULTS The plantar pressures of the stumbling gaits had significantly different patterns compared to the normal ones, from either a qualitative or quantitative perspective. The mean recognition accuracy of the proposed method reached 96.7%. CONCLUSIONS This study helps better understand stumbles and provides a theoretical basis for stumble-related occupational injuries. In addition, the stumble is the precursor of a fall and the research on stumble recognition would be of value to predict and provide warnings of falls and to design anti-fall devices for potential victims.
Collapse
Affiliation(s)
- Jianwei Niu
- School of Mechanical Engineering, University of Science and Technology Beijing, Beijing, China
| | - Yanling Zheng
- School of Mechanical Engineering, University of Science and Technology Beijing, Beijing, China
| | - Haixiao Liu
- School of Mechanical Engineering, University of Science and Technology Beijing, Beijing, China
| | - Xiao Chen
- Institute of Quartermaster Engineering and Technology, Chinese Academy of Military Sciences, Beijing, China
| | - Linghua Ran
- China National Institute of Standardization, Beijing, China
| |
Collapse
|
10
|
Schmid AA, Van Puymbroeck M, Fruhauf CA, Bair MJ, Portz JD. Yoga improves occupational performance, depression, and daily activities for people with chronic pain. Work 2019; 63:181-189. [PMID: 31156199 DOI: 10.3233/wor-192919] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Chronic pain is a complex accumulation of physical, psychological, and social conditions, thus interventions that address pain and promote occupational performance are needed. A holistic intervention, with mind and body components, is likely necessary to best treat the complexities of chronic pain. Thus, we developed and tested a yoga intervention for people with chronic pain. OBJECTIVES In a randomized control trial (RCT), participants with chronic pain were randomized to a yoga intervention or usual care group. Between and within group differences for pre-and post-outcome measure scores were assessed for: occupational performance, completion of activities, and depression. METHODS Pilot RCT with participant allocation to 8 weeks of yoga or usual care. Both groups received ongoing monthly self-management programming. Data were collected before and after the 8-week intervention. Participants were randomized to yoga or usual care after baseline assessments. Demographics were collected and measures included: Canadian Occupational Performance Measure (COPM) to assess occupational performance; the 15-item Frenchay Activities Index (FAI)(activities); and the 9-item Patient Health Questionnaire (PHQ-9) for depression. Independent t-tests were used to assess differences between groups. Paired t-tests were used to assess differences between pre- and post 8-week intervention for both the yoga and the usual care groups. Percent change scores and effect sizes were calculated. RESULTS 83 people were recruited for the study and completed baseline assessments; 44 individuals were randomized to yoga and 39 to the control group. The average age of all participants was 51.4±10.5 years, 68% were female; and 60% had at least some college education. There were no significant differences in demographics or outcome measures between groups at baseline or 8 weeks; however, the study was not powered to see such differences. Individuals randomized to the control group did not significantly improve in any outcome measure over the 8 weeks. There were significant improvements in COPM performance and COPM satisfaction scores for individuals randomized to the yoga group; both scores significantly improved. COPM performance improved by 27% with a moderate to large effect size (3.66±1.85 vs 4.66±1.93, p < 0.001, d = 0.76). COPM satisfaction significantly improved by 78% (2.14±2.31 vs. 3.80±2.50, p < 0.001) and had a large effects size (d = 1.02). FAI scores improved, indicating increased activity or engagement in daily occupation during the 8-week intervention. Scores increased by 5% (38.13±8.48 vs. 39.90±8.57, p = 0.024) with a small effect size (d = 0.37). Depression significantly decreased from 13.21±5.60 to 11.41±5.82, p = 0.041, with a small effect size. CONCLUSION Data from this pilot RCT indicate yoga may be an effective therapeutic intervention with people in chronic pain to improve occupational performance, increase engagement in activities, and decrease depression. Occupational therapy practitioners may consider adding yoga as a treatment intervention to address the needs of people with pain.
Collapse
Affiliation(s)
- Arlene A Schmid
- Department of Occupational Therapy, Colorado State University, Fort Collins, CO, USA
| | - Marieke Van Puymbroeck
- Department of Parks, Clemson University, Recreation and Tourism Management, Clemson, SC, USA
| | - Christine A Fruhauf
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA
| | - Matthew J Bair
- Department of Medicine, VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indiana University School of Medicine, Regenstrief Institute, Inc., Indianapolis, IN, USA
| | | |
Collapse
|
11
|
Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, Bellafiore M. Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine (Baltimore) 2019; 98:e16218. [PMID: 31277132 PMCID: PMC6635278 DOI: 10.1097/md.0000000000016218] [Citation(s) in RCA: 133] [Impact Index Per Article: 26.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND Due to demographic changes the world's population is progressively ageing. The physiological decay of the elderly adult may lead to a reduction in the ability to balance and an increased risk of falls becoming an important issue among the elderly. In order to counteract the decay in the ability to balance, physical activity has been proven to be effective. The aim of this study is to systematically review the scientific literature in order to identify physical activity programs able to increase balance in the elderly. METHODS This review is based on the data from Medline-NLM, Pubmed, ScienceDirect, and SPORTDiscuss and includes randomized control trials that have analyzed balance and physical activity in healthy elderly over 65 years of age during the last decade. A final number of 8 manuscripts were included in the qualitative synthesis, which comprised 200 elderly with a mean age of 75.1 ± 4.4 years. The sample size of the studies varied from 9 to 61 and the intervention periods from 8 to 32 weeks. RESULTS Eight articles were considered eligible and included in the quantitative synthesis. The articles investigated the effects of resistance and aerobic exercise, balance training, T-bow© and wobble board training, aerobic step and stability ball training, adapted physical activity and Wii Fit training on balance outcomes. Balance measures of the studies showed improvements between 16% and 42% compared to baseline assessments. CONCLUSIONS Balance is a multifactorial quality that can be effectively increased by different exercise training means. It is fundamental to promote physical activity in the aging adult, being that a negative effect on balance performance has been seen in the no-intervention control groups.
Collapse
|
12
|
Patti A, Bianco A, Şahin N, Sekulic D, Paoli A, Iovane A, Messina G, Gagey PM, Palma A. Postural control and balance in a cohort of healthy people living in Europe: An observational study. Medicine (Baltimore) 2018; 97:e13835. [PMID: 30593180 PMCID: PMC6314740 DOI: 10.1097/md.0000000000013835] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
In the past 20 years, posturography has been widely used in the medical field. This observational study aimed to report the values derived from posturography of a wide set of healthy subjects from various European countries using a plantar pressure platform and a standardized method of measurement.A random cluster sampling of 914 healthy subjects aged between 7.0 and 85.99 years, stratified by age, was carried out. To provide percentile values of our cohort, data were processed to obtain 3 curves corresponding to the following percentiles: 25th, 50th, 75th, and the interquartile range. Distance-weighted least squares method was used to represent the percentile on appropriate graphs.In our sample, the balance to improve with age, up to approximately 45 years, but the trend to reverse with older age. The data show that the oscillations on the sagittal plane (y-mean) change with advancing age. Young people had more retro-podalic support than older people; the balance shifted forward in elderly people.As the study included a relatively large quantity of data collected using a standardized protocol, these results could be used as normative values of posturography for similar populations. On the basis of this data, correct diagnostic clues will be available to clinicians and professionals in the field. However, further studies are needed to confirm our findings.
Collapse
Affiliation(s)
- Antonino Patti
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Antonino Bianco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Neşe Şahin
- Faculty of Sport Science, Ankara University, Turkey
| | - Damir Sekulic
- Faculty of Kinesiology, University of Split, Teslina 6, Split, Croatia
| | - Antonio Paoli
- Department of Biomedical Science, University of Padua, Italy
| | - Angelo Iovane
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Giuseppe Messina
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
- Posturalab Italy, Palermo, Italy
| | | | - Antonio Palma
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
- Regional Sport School of Sicily CONI (Olympic National Italian Committee), Palermo, Italy
| |
Collapse
|
13
|
Stochastic Resonance Training Improves Balance and Musculoskeletal Well-Being in Office Workers: A Controlled Preventive Intervention Study. Rehabil Res Pract 2018; 2018:5070536. [PMID: 30302291 PMCID: PMC6158968 DOI: 10.1155/2018/5070536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 08/18/2018] [Indexed: 11/22/2022] Open
Abstract
Sixty-two office workers in a Swiss federal department were randomly assigned to a training and a control group. While the training group was instructed to complete 3 stochastic resonance whole-body vibration (SR-WBV) exercises every week for 4 weeks, the control group received no treatment. During this time all participants answered a daily questionnaire concerning their surefootedness, sense of balance, musculoskeletal well-being, and muscle relaxation. Before and after the 4-week SR-WBV intervention, balance was tested with a single-leg stance on a foam mat of the Balance Error Scoring System (BESS) using a SwayStar™-System measuring Total Angle Area (TotAngArea) and Total Velocity Area (TotVelArea). Multilevel results highlighted a significant increase over time for surefootedness and sense of balance (t = 2.491, p = .016), as well as for musculoskeletal well-being and muscle relaxation (t = 2.538, p = .014) in the training group but not in the control group. Balance tests showed improvement of balance in the training group (TotAngArea: Z = 2.550, p = .011; TotVelArea: Z = 3.334, p = .001) but not in the control group. SR-WBV exercise indicated a high compliance during this study (3.87±0.45 trainings per week) underlining its benefits for the working context. Especially office workers who spend most of their time in sitting position could profit from SR-WBV exercise to improve balance and reduce the risk of falls.
Collapse
|