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1.
J Sports Med Phys Fitness ; 61(10): 1333-1338, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34652086

RESUMEN

BACKGROUND: The aim of the study is to compare a 16-week tai chi and Iyengar yoga program effects on muscle strength, static and dynamic balance, and balance confidence in elderly people. METHODS: A total of 48 participants (≥60 years old) without mobility-impairing neurological disease, dementia, cardiovascular disease/symptoms during moderate exercise, poorly controlled hypertension, or balance-impairing drug use. Participants were divided into a tai chi group, an Iyengar yoga group, and a control group (eight males and eight females per group), using a restricted randomization scheme generated by software. While the former two undertook 16-week exercise programs, the control group received general education. Maximum concentric strength was measured with an isokinetic dynamometer. The one-legged stand with eyes closed, "8 feet up and go," and Activities-specific Balance Confidence (ABC) scale were used to assess static balance, dynamic balance, and balance confidence in daily activities, respectively. RESULTS: Both programs improved all measures significantly with tai chi being more effective for increasing knee flexor strength (P=0.045) and extensor strength (P=0.032) and ABC score (P=0.034); Iyengar yoga was more effective for improving static balance (P=0.014) and dynamic balance (P=0.025; all P values here vs. the other program). CONCLUSIONS: Tai chi and Iyengar yoga can improve strength, balance, and balance confidence among older people. Both are suitable exercise choices for older adults.


Asunto(s)
Tai Ji , Yoga , Anciano , Femenino , Humanos , Rodilla , Masculino , Persona de Mediana Edad , Fuerza Muscular , Equilibrio Postural
2.
Neurologia (Engl Ed) ; 36(8): 618-624, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34654537

RESUMEN

INTRODUCTION: Commercial video games are considered an effective tool to improve postural balance in different populations. However, the effectiveness of these video games for patients with multiple sclerosis (MS) is unclear. OBJECTIVES: To analyse existing evidence on the effects of commercial video games on postural balance in patients with MS. MATERIAL AND METHOD: We conducted a systematic literature search on 11 databases (Academic-Search Complete, AMED, CENTRAL, CINAHL, WoS, IBECS, LILACS, Pubmed/Medline, Scielo, SPORTDiscus, and Science Direct) using the following terms: "multiple sclerosis", videogames, "video games", exergam*, "postural balance", posturography, "postural control", balance. Risk of bias was analysed by 2 independent reviewers. We conducted 3 fixed effect meta-analyses and calculated the difference of means (DM) and the 95% confidence interval (95% CI) for the Four Step Square Test, Timed 25-Foot Walk, and Berg Balance Scale (BBS). RESULTS: Five randomised controlled trials were included in the qualitative systematic review and 4 in the meta-analysis. We found no significant differences between the video game therapy group and the control group in Four Step Square Test (DM: -.74; 95% CI, -2.79 to 1.32; P=.48; I2=0%) and Timed 25-Foot Walk scores (DM: .15; 95% CI, -1.06 to .76; P=.75; I2=0%). We did observe intergroup differences in BBS scores in favour of video game therapy (DM: 5.30; 95% CI, 3.39-7.21; P<.001; I2=0%), but these were not greater than the minimum detectable change reported in the literature. CONCLUSIONS: The effectiveness of commercial video game therapy for improving postural balance in patients with MS is limited.


Asunto(s)
Esclerosis Múltiple , Juegos de Video , Humanos , Masculino , Esclerosis Múltiple/terapia , Equilibrio Postural
3.
Saudi Med J ; 42(10): 1065-1071, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34611000

RESUMEN

OBJECTIVES: To compare the efficacy of interspace between the popliteal artery and the capsule of the posterior knee (iPACK) block with periarticular local infiltration analgesia (LIA) to assess postoperative pain control and enhanced recovery after total knee arthroplasty (TKA). METHODS: This research was carried out at King Saud University Medical City, Riyadh, Saudi Arabia, from September 2020 to March 2021. Eighty Patients scheduled for elective unilateral TKA were randomized to receive either iPACK or periarticular LIA along with adductor canal block under spinal anesthesia. The primary outcome was postoperative pain score, and secondary outcomes included physical rehabilitation, duration of surgery, length of post-anesthesia care unit stay, hemodynamics, and length of hospital stay. RESULTS: The pain score during activity in iPACK group was significantly lower compared to LIA group at 4 hours postoperatively, but no significant difference was observed at 24 or 48 hours. The timed up and go test took significantly longer for patients in LIA group at 4, 24, and 48 hours compared to those in iPACK group. No significant differences in knee range of motion were observed between the 2 groups at any point. CONCLUSION: Based on our findings, iPACK block is an effective technique in reducing pain in the immediate postoperative period without affecting motor function, resulting in enhanced recovery following primary TKA.


Asunto(s)
Analgesia , Artroplastia de Reemplazo de Rodilla , Bloqueo Nervioso , Humanos , Dolor Postoperatorio , Arteria Poplítea , Equilibrio Postural , Estudios Prospectivos , Estudios de Tiempo y Movimiento
4.
Ideggyogy Sz ; 74(9-10): 329-336, 2021 Sep 30.
Artículo en Húngaro | MEDLINE | ID: mdl-34657402

RESUMEN

Background and purpose: Vojta therapy has been reported as clinically beneficial for strength, movement and gross motor activities in individual cases and is being included within the second of three levels of evidence in interventions for cerebral palsy. The goal of this study is to understand the effect of Vojta therapy on the gross motor function. Methods: Our clinical trial followed a one group, pre-post design to quantify rates of changes in GMFM-88 after a two-months period undergoing Vojta therapy. Results: A total of 16 patients were recruited. Post-intervention acceleration rates of GMFM-88-items acquisition (0.005; p<0.001) and Locomotor Stages (1.063; p<0.0001) increased significatively following Vojta the-rapy intervention. Conclusion: In this study, Vojta therapy has shown to accelerate the acquisition of GMFM-88-items and Loco-motor Stages in children with cerebral palsy younger than 18 months. Because functional training was not utilised, and other non-Vojta therapy intervention did not influence the outcome, Vojta therapy seems to activate the postural control required to achieve uncompleted GMFM-88-items.


Asunto(s)
Parálisis Cerebral , Parálisis Cerebral/tratamiento farmacológico , Niño , Humanos , Destreza Motora , Equilibrio Postural
5.
Physiother Res Int ; 26(4): e1921, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34482577

RESUMEN

BACKGROUND AND PURPOSE: There are no reports regarding the effect of Lee Silverman Voice Treatment® BIG (LSVT® BIG) on standing balance ability evaluated using quantitative assessment. This case report aimed to describe and evaluate the influence of LSVT® BIG on the center of pressure (COP) trajectory in a patient with Parkinson's disease (PD). METHODS: Although this paper focused on one case, quantitative assessment on the effect of LSVT® BIG on standing balance ability was performed. A 67-year-old woman patient diagnosed with PD at age 59, with a Hoehn and Yahr stage 3 disability severity, underwent a 4-weeks supervised LSVT® BIG program. The total distances of the COP trajectory (two-dimensional [2D] horizontal plane, anterior-posterior [AP] direction, and medial-lateral [ML] direction), and the mean COP velocity for each direction, postural stability, and posture subsections of the Unified Parkinson's Disease Rating Scale (UPDRS) Part 3 were assessed at pre- and post-intervention. RESULTS: The total distances of the COP trajectory, mean COP velocities, and scores of postural stability and posture subsections of the UPDRS Part 3 improved after intervention (from 124.6 to 76.6 cm [2D], 89.4 to 57.7 cm [AP], 77.4 to 38.5 cm [ML]; 4.0 to 2.6 cm/s [2D], 3.0 to 1.9 cm/s [AP], 2.6 to 1.3 cm/s [ML]; and 3 to 0, and 3 to 2, respectively). DISCUSSION: LSVT® BIG may be effective in improving the total distance of the COP trajectory, mean COP velocity, and both postural stability and posture subsections of the UPDRS Part 3 in the presented PD case.


Asunto(s)
Enfermedad de Parkinson , Anciano , Terapia por Ejercicio , Femenino , Humanos , Persona de Mediana Edad , Equilibrio Postural
6.
Medicine (Baltimore) ; 100(35): e27154, 2021 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-34477171

RESUMEN

BACKGROUND: The most challenging aspect of rehabilitation is the high costs of in-patient rehabilitation programs and poor continuity of care while patients are transferred to home. In this regard, numerous home-based rehabilitation programs have been developed. The purpose of this study was to investigate the effects of home-based rehabilitative programs on postural balance, walking, and quality of life in individuals with chronic hemiparetic stroke. DESIGN: A CONSORT-compliant randomized controlled trial. METHODS: Seventeen community-dwelling people diagnosed with a first stroke participated in this study. They randomly divided the home-based rehabilitative program (HBP) group (n = 9) and control group (n = 8). The HBP group received coordination exercises at home and the control group received clinic-based exercises. This study measured postural balance, walking, and quality of life using four outcome measures: 10-meter walk test, figure of 8 walk test, four-square step test, and 36 item short-form survey. RESULTS: After analysis, it was found that the HBP improved postural balance, comfortable speed, and fast speed walking, and straight and curved walking for chronic stroke. Second, clinic-based rehabilitation services improved postural balance, comfortable speed, and fast speed walking abilities in patients with chronic stroke. CONCLUSION: The results of this study suggest that the HBP group received positive benefits with regard to the postural balance and walking abilities of chronic hemiparetic stroke patients compared to the clinical setting exercise program.


Asunto(s)
Rehabilitación de Accidente Cerebrovascular/métodos , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Equilibrio Postural , Calidad de Vida , Caminata
7.
J Int Med Res ; 49(9): 3000605211044207, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34528471

RESUMEN

OBJECTIVE: To analyze recovery from dizziness in patients with acute vestibular neuritis (AVN) after applying the "Dizziness & Fall Risk Assessment and Intervention (DFRAI)". METHODS: This prospective study involved patients with AVN who underwent a survey of dizziness and fall risk. The patients received medical treatment and customized vestibular rehabilitation, and vestibular function was evaluated at the initial attack and 3 months later. RESULTS: Forty-one patients underwent subjective questionnaire assessments, which showed significant improvement in visual analog scale-dizziness handicap inventory-fear of falling (VAS-DHI-FOF) results from the initial vertigo attack to 3 months later. In the sensory organization test (SOT), the initial composite score was 63 ± 13.1, which improved to 77.5 ± 4.9 3 months later. In caloric testing, the canal paresis (CP) score was 42.9 ± 35.2, which improved to 29.9 ± 23.5 3 months later. CONCLUSIONS: Subjective improvement in dizziness and objective recovery of vestibular function were confirmed. DFRAI is a comprehensive solution for dizziness, and appropriate application of the DFRAI is expected to have a positive effect on recovery from dizziness and fall prevention in patients with AVN.


Asunto(s)
Neuronitis Vestibular , Accidentes por Caídas/prevención & control , Mareo , Miedo , Humanos , Equilibrio Postural , Estudios Prospectivos , Neuronitis Vestibular/diagnóstico
8.
Biomed Res Int ; 2021: 5820304, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34497851

RESUMEN

Background: Walking dysfunction exists in most patients after stroke. Evidence regarding gait training in two weeks is scarce in resource-limited settings; this study was conducted to investigate the effects of a short-term robot-assisted gait training plan for patients with stroke. Methods: 85 patients were randomly assigned to one of two treatment groups, with 31 patients in withdrawal before treatment. The training program comprised 14 2-hour sessions, for 2 consecutive weeks. Patients allocated to the robot-assisted gait training group were treated using the Gait Training and Evaluation System A3 from NX (RT group, n = 27). Another group of patients was allocated to the conventional overground gait training group (PT group, n = 27). Outcome measurements were assessed using time-space parameter gait analysis, Fugl-Meyer Assessment (FMA), and Timed Up and Go test (TUG) scores. Results: In the time-space parameter analysis of gait, the two groups exhibited no significant changes in time parameters, but the RT group exhibited a significant effect on changes in space parameters (stride length, walk velocity, and toe out angle, P < 0.05). After training, FMA scores (20.22 ± 2.68) of the PT group and FMA scores (25.89 ± 4.6) of the RT group were significant. In the Timed Up and Go test, FMA scores of the PT group (22.43 ± 3.95) were significant, whereas those in the RT group (21.31 ± 4.92) were not. The comparison between groups revealed no significant differences. Conclusion: Both the RT group and the PT group can partially improve the walking ability of stroke patients within 2 weeks.


Asunto(s)
Terapia por Ejercicio/métodos , Robótica/métodos , Rehabilitación de Accidente Cerebrovascular/métodos , Accidente Cerebrovascular/terapia , Femenino , Marcha , Humanos , Masculino , Persona de Mediana Edad , Equilibrio Postural , Recuperación de la Función , Método Simple Ciego , Estudios de Tiempo y Movimiento
9.
Biomed Res Int ; 2021: 9912094, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34485529

RESUMEN

Background: Spasticity is a factor that impairs the independent functional ability of stroke patients, and noninvasive methods such as electrical stimulation or taping have been reported to have antispastic effects. The purpose of this study was to investigate the effects of transcutaneous electrical nerve stimulation (TENS) combined with taping on spasticity, muscle strength, and gait ability in stroke patients. Methods: From July to October 2020, 46 stroke patients with moderate spasticity in the plantar flexors participated and were randomly assigned to the TENS group (n = 23) and the TENS+taping group (n = 23). All subjects performed a total of 30 sessions of functional training for 30 min/session, 5 days/week, for 6 weeks. For therapeutic exercise, sit-to-standing, indoor walking, and stair walking were performed for 10 min each. In addition, all participants in both groups received TENS stimulation around the peroneal nerve for 30 min before performing functional training. In the TENS+taping group, taping was additionally applied to the feet, ankles, and shin area after TENS, and the taping was replaced once a day. The composite spasticity score and handheld dynamometer measurements were used to assess the intensity of spasticity and muscle strength, respectively. Gait ability was measured using a 10 m walk test. Results: The spasticity score and muscle strength were significantly improved in the TENS+taping group compared to those in the TENS group (p < 0.05). A significant improvement in gait speed was observed in the TENS+taping group relative to that in the TENS group (p < 0.05). Conclusions: Thus, TENS combined with taping may be useful in improving spasticity, muscle strength, and gait ability in stroke patients. Based on these results, an additional application of taping could be used to enhance the antispastic effect of TENS or other electrical stimulation treatments in the clinic. A long-term follow-up study is needed to determine whether the spasticity relieving effect persists after taping is removed.


Asunto(s)
Tobillo/fisiopatología , Terapia por Ejercicio/métodos , Espasticidad Muscular/terapia , Equilibrio Postural/fisiología , Rehabilitación de Accidente Cerebrovascular/métodos , Accidente Cerebrovascular/fisiopatología , Estimulación Eléctrica Transcutánea del Nervio/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Espasticidad Muscular/patología , Espasticidad Muscular/fisiopatología , Resultado del Tratamiento
10.
J Pak Med Assoc ; 71(9): 2119-2123, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34580498

RESUMEN

OBJECTIVE: To compare the effect of mobilisation with movement and Mulligan knee taping on anterior knee pain, hamstring flexibility and physical performance of the lower limb. METHODS: The randomised controlled trial was conducted from July to December, 2019, at the physical therapy department of Sahat Clinic, Rawalpindi, Pakistan, and comprise participants of both genders having patellofemoral pain who were randomised into mobilisation with movement group A and Mulligan knee taping group B. Both the groups were treated for 2 days per week for 2 consecutive weeks. Outcome was measured using the numeric pain rating scale, the Kujala pain rating scale, the active knee extension test and the time-up-and-go test. Assessments were taken at baseline, and at 2nd and 6th weeks post intervention. Data was analysed using SPSS 21. RESULTS: Of the 34 participants, there were 17(50%) in each of the two groups. Overall, there were 6(17.6%) males and 28(82.4%) females with a mean age of 31.17±7.22 years. Group A showed significant improvement (p<0.0001) in terms of pain, while group B had better hamstring flexibility (p<0.0001). Both the groups showed a significant difference (p<0.0001) for all outcome variables post-intervention. CONCLUSIONS: Mobilisation with movement was found to be more effective in the treatment of patellofemoral pain and associated knee functional performance.


Asunto(s)
Síndrome de Dolor Patelofemoral , Adulto , Femenino , Humanos , Articulación de la Rodilla , Masculino , Síndrome de Dolor Patelofemoral/terapia , Equilibrio Postural , Rango del Movimiento Articular , Estudios de Tiempo y Movimiento , Resultado del Tratamiento , Adulto Joven
11.
J Pak Med Assoc ; 71(9): 2130-2134, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34580500

RESUMEN

OBJECTIVE: To determine the effects of Wii Fit exer-gaming on balance confidence, quality of life and fall risk in elderly population. Methods: The double-blind randomised control trial was conducted at Kulsum International Hospital, Islamabad, Pakistan, from July 31 to October 30, 2018, and comprised vitally stable, physically independent subjects of either gender aged 60 years and above, having no serious systemic disease. The subjects were randomly allocated into experimental group A and control group B using the concealed envelope method. After baseline assessment, group A received Wii fit gaming, while group B received balance training for 30 minutes twice a week for 8 weeks. Activities balance confidence (ABC), European Quality of Life-5 Dimensions (EQ 5D-5L), timed up and go (TUG) and Fukuda were used to assess the impact of the intervention. Data was analysed using SPSS 21. RESULTS: Of the 90 subjects, 83(92.2%) completed the study. There were 51(62%) males and 32 (38%) females; and 45(50%) in each of the two groups. Group A had 42(50.6%) subjects with 26(62%) males and 16(38%) females, and 41 were in group B, with 25(61%) males and 16(39%) females. Balance confidence improved in both groups, but it was significantly higher in group A (p<0.001). Mobility, self-care, usual activities, pain/discomfort, anxiety/depression as well as timed up and go and Fukuda showed significantly more improvement in group A compared to group B (p<0.05). CONCLUSIONS: Wii fit was found to have the potential to improve balance confidence and quality of life, reducing the fall risk among the elderly. Clinical Trial Number: IRCT20180417039344N1 by Iranian Registry of Clinical Trials.


Asunto(s)
Calidad de Vida , Juegos de Video , Anciano , Terapia por Ejercicio , Femenino , Humanos , Irán , Masculino , Equilibrio Postural
12.
Med Biol Eng Comput ; 59(10): 2127-2137, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34467447

RESUMEN

A human motion capture system using an RGB-D camera could be a good option to understand the trunk limitations in spondyloarthritis. The aim of this study is to validate a human motion capture system using an RGB-D camera to analyse trunk movement limitations in spondyloarthritis patients. Cross-sectional study was performed where spondyloarthritis patients were diagnosed with a rheumatologist. The RGB-D camera analysed the kinematics of each participant during seven functional tasks based on rheumatologic assessment. The OpenNI2 library collected the depth data, the NiTE2 middleware detected a virtual skeleton and the MRPT library recorded the trunk positions. The gold standard was registered using an inertial measurement unit. The outcome variables were angular displacement, angular velocity and lineal acceleration of the trunk. Criterion validity and the reliability were calculated. Seventeen subjects (54.35 (11.75) years) were measured. The Bending task obtained moderate results in validity (r = 0.55-0.62) and successful results in reliability (ICC = 0.80-0.88) and validity and reliability of angular kinematic results in Chair task were moderate and (r = 0.60-0.74, ICC = 0.61-0.72). The kinematic results in Timed Up and Go test were less consistent. The RGB-D camera was documented to be a reliable tool to assess the movement limitations in spondyloarthritis depending on the functional tasks: Bending task. Chair task needs further research and the TUG analysis was not validated. Comparation of both systems, required software for camera analysis, outcomes and final results of validity and reliability of each test.


Asunto(s)
Movimiento , Equilibrio Postural , Espondiloartritis , Fenómenos Biomecánicos , Estudios Transversales , Humanos , Reproducibilidad de los Resultados , Espondiloartritis/fisiopatología , Estudios de Tiempo y Movimiento
13.
Codas ; 33(6): e20200312, 2021.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-34586329

RESUMEN

PURPOSE: to verify the effectiveness of a Speech Therapy intervention program to decrease the risk of falls in elderly people. METHODS: Exploratory and intervention study where upon 148 volunteers from community, both genders, with an average of 68.6(± 6.5) years were submitted to the Dynamic Gait Index (DGI)- Brazilian brief and the Timed Up and Go (TUG). Volunteers with or without potential risk for falling were invited to participate in a 50-minutes long intervention program carried out for five consecutive weeks, based on Cawthorne and Cooksey exercises. Seventy-two volunteers 68.1(±6.5) years presented in at least three meeting, were reassessed. The results were analyzed by Wilcoxon, Chi-square, Spearman and Correlation Matrix tests, with p≤5.0%. RESULTS: Thirty-seven (25.0%) and 106 (71.6%) participants presented, respectively, risks for falls in the DGI-Brazilian brief and TUG. There was negative correlation between the DGI-Brazilian brief (p=0.034) and positive with the TUG (p=0.0071) with age and both instruments (p=0.00000016). Through the comparison the initial and final data a positive correlation was found for the DGI-Brazilian brief and for TUG in the Chi-square test and by Wilcoxon's. Better performance was observed in both tests after the intervention. CONCLUSION: The intervention was effective in decreasing the risk for falls and improving gait performance, and functional and dynamic balance.


Asunto(s)
Accidentes por Caídas , Logopedia , Accidentes por Caídas/prevención & control , Anciano , Envejecimiento , Femenino , Marcha , Humanos , Masculino , Equilibrio Postural
14.
Sensors (Basel) ; 21(17)2021 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-34502821

RESUMEN

Falling is a common incident that affects the health of elder adults worldwide. Postural instability is one of the major contributors to this problem. In this study, we propose a supplementary method for measuring postural stability that reduces doctor intervention. We used simple clinical tests, including the timed-up and go test (TUG), short form berg balance scale (SFBBS), and short portable mental status questionnaire (SPMSQ) to measure different factors related to postural stability that have been found to increase the risk of falling. We attached an inertial sensor to the lower back of a group of elderly subjects while they performed the TUG test, providing us with a tri-axial acceleration signal, which we used to extract a set of features, including multi-scale entropy (MSE), permutation entropy (PE), and statistical features. Using the score for each clinical test, we classified our participants into fallers or non-fallers in order to (1) compare the features calculated from the inertial sensor data, and (2) compare the screening capabilities of the multifactor clinical test against each individual test. We use random forest to select features and classify subjects across all scenarios. The results show that the combination of MSE and statistic features overall provide the best classification results. Meanwhile, PE is not an important feature in any scenario in our study. In addition, a t-test shows that the multifactor test of TUG and BBS is a better classifier of subjects in this study.


Asunto(s)
Accidentes por Caídas , Equilibrio Postural , Aceleración , Adulto , Anciano , Entropía , Humanos
15.
BMC Geriatr ; 21(1): 489, 2021 09 09.
Artículo en Inglés | MEDLINE | ID: mdl-34503459

RESUMEN

BACKGROUND: The Japanese Orthopaedic Association (JOA) proposed the concept of locomotive syndrome (LS) in 2007 for detecting high-risk individuals with mobility limitation. In 2020, the JOA revised the clinical decision limits and introduced LS stage 3, which carried the highest-risk for LS compared to the conventional stages, 1 and 2. The purpose of this study was to characterize the prevalence, comorbidities, and physical characteristics in each LS stage, as per the LS criteria 2020. METHODS: We analyzed 2077 participants (64.9% women; mean age, 68.3 ± 5.4 years) from the Nagahama Study aged ≥60 years. Participants were classified into 4 groups, non-LS and LS stages 1, 2, and 3, based on a 25-question Geriatric Locomotive Function Scale. The prevalence of comorbidities (sarcopenia, osteoporosis, diabetes mellitus, low back pain [LBP], and knee pain) were investigated. Physical characteristics were measured based on the physical performance tests including gait speed, five-times chair-stand, single-leg stand, and short physical performance battery; muscle strength tests including grip, knee extension, hip flexion, and abduction; and body-composition analysis including muscle quantity and quality. Differences in the prevalence of comorbidities between LS stages were tested using the chi-square test. The general linear model was performed for univariate and multivariate analyses with post-hoc test to compare the differences in physical characteristics among the LS stages. RESULTS: The prevalence of LS increased with age, and the mean prevalence of LS stages 1, 2, and 3 were 24.4, 5.5, and 6.5%, respectively. The prevalence of comorbidities, including sarcopenia, osteoporosis, LBP, and knee pain, increased with worsening LS stage. Physical performance tests were significantly different between LS stages 2 and 3; and muscle strength differed significantly between LS stages 1 and 2. Additionally, in terms of body composition analysis, muscle quality but not muscle quantity showed significant differences among all the LS stages. CONCLUSIONS: Our findings suggest that muscle strengthening and dynamic training, including balance training in LS stage 1 and 2, respectively, were needed for preventing the LS progression. Individuals with LS stage 3 should perform dynamic training and muscle strengthening exercises while receiving treatment for comorbidities.


Asunto(s)
Dolor de la Región Lumbar , Equilibrio Postural , Anciano , Femenino , Humanos , Japón/epidemiología , Locomoción , Dolor de la Región Lumbar/diagnóstico , Dolor de la Región Lumbar/epidemiología , Masculino , Fuerza Muscular , Prevalencia
16.
BMC Res Notes ; 14(1): 356, 2021 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-34507606

RESUMEN

OBJECTIVE: While there is evidence on the short-term effects of unilateral balance training (BT) on bipedal balance performance, less is known on the acute effects of unilateral BT on unilateral (i.e., ipsi- and contralateral) balance performance. Thus, the present study examined the acute effects of a single unilateral BT session conducted with the non-dominant, left leg or the dominant, right leg on ipsilateral (i.e. retention) and contralateral (i.e., inter-limb transfer) balance performance in healthy young adults (N = 28). RESULTS: Irrespective of practice condition, significant improvements (p < 0.001, d = 1.27) in balance performance following a single session of unilateral BT were observed for both legs. Further, significant performance differences at the pretest (p = 0.002, d = 0.44) to the detriment of the non-dominant, left leg diminished immediately and 30 min after the single unilateral BT session but occurred again 24 h following training (p = 0.030, d = 0.36). These findings indicate that a single session of unilateral BT is effective to reduced side-to-side differences in balance performance, but this impact is only temporary.


Asunto(s)
Pierna , Equilibrio Postural , Estado de Salud , Humanos , Extremidad Inferior , Adulto Joven
17.
Nihon Ronen Igakkai Zasshi ; 58(3): 459-469, 2021.
Artículo en Japonés | MEDLINE | ID: mdl-34483174

RESUMEN

AIM: We examined the effect of "IkiIki Hyakusai Taiso" as way to prevent the physical decline in community-dwelling elderly in Nose Town, Osaka Prefecture. METHODS: Participants were community-dwelling elderly who participated in the Preventive Care program "IkiIki Hyakusai Taiso" from October 2015 to June 2019 in Nose Town, Osaka Prefecture, Japan. They performed exercises once a week. An assessment of the physical function, basic health checklist, and questionnaire about daily life were collected. Frailty was determined based on responses to the basic health checklist. RESULTS: A total of 1,028 community-dwelling elderly people participated in this project. There were 766 (74.5%) women. The mean age of the participants was 72.6±8.0 years old, and 506 participants (49.2%) were part of the young-old generation. The physical function measurement values, including the 5-meter walking speed, time up and go test (TUG), 5 times sit to stand, and grip strength all significantly improved. Ninety percent of the participants participated in this program every time it was held. Regarding the self-rated health questionnaire, the rate of "feeling good due to participating in the program" increased from 29.1% to 45.4% after participating in this program for 6 months. The prevalence of partial social activities was mostly an increasing trend among the participants of this program. CONCLUSION: Our findings showed that "IkiIki Hyakusai Taiso" improves and maintains the physical function and self-rated health among community-dwelling elderly individuals. Therefore, "IkiIki Hyakusai Taiso" seems to be a very useful preventive care program in the community.


Asunto(s)
Fragilidad , Anciano , Anciano de 80 o más Años , Femenino , Anciano Frágil , Fragilidad/prevención & control , Evaluación Geriátrica , Humanos , Vida Independiente , Japón , Equilibrio Postural , Estudios de Tiempo y Movimiento
18.
Trials ; 22(1): 587, 2021 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-34479617

RESUMEN

BACKGROUND: Falls are one of the most common accidents in older adults, often leading to injury, disability and quality-of-life declines. Foot core function contributes to postural stability in most static postures and dynamic activities. As efficient foot core training, the intrinsic-foot-muscle exercise has been proposed to improve postural control. However, the effects of the exercise on postural stability in the elderly remain unclear. Therefore, this study attempts to investigate the effect of 12-week intrinsic-foot-muscle exercise on postural stability in older adults with fall risk. METHODS: We will conduct a prospective, single-blind randomised controlled trail on 120 older adults with fall risk. Participants will be randomly assigned to an intrinsic-foot-muscle exercise combining the lower extremity resistance training group (IFM group), an extrinsic-foot-muscle exercise combining the lower extremity resistance training group (EFM group) and a control group. The control group will perform lower extremity resistance training. The IFM and EFM groups will be given additional short-foot exercise or towel-curl exercise training, respectively. After the intervention, participants will be followed up for another 12 weeks with no active intervention. The outcome measures will include the postural stability measurements, self-reported postural stability, number of falls, intrinsic-foot-muscle strength and foot arch function. Furthermore, adverse events will be recorded and analysed. If any participant withdraws from the trial, an intention-to-treat analysis will be performed. DISCUSSION: The trial is designed to investigate the efficacy of a 12-week intrinsic foot muscle training combined with the lower extremity resistance training on postural stability outcomes in elderly people with fall risk. The trial will also examine the comprehensive outcomes of postural stability during static standing and dynamic movements. The function of intrinsic foot muscle to support the arch will also be evaluated. Important features of this trial mainly include intervention setting, outcome measure selection and study duration. The results of this study will determine the effectiveness and provide scientific evidence to establish comprehensive fall prevention intervention. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2000033623. Registered on 7 June 2020. http://www.chictr.org.cn/showproj.aspx?proj=54741.


Asunto(s)
Entrenamiento de Fuerza , Accidentes por Caídas/prevención & control , Anciano , Ejercicio Físico , Terapia por Ejercicio , Pie , Humanos , Músculo Esquelético , Equilibrio Postural , Estudios Prospectivos , Ensayos Clínicos Controlados Aleatorios como Asunto , Método Simple Ciego
19.
Rev. bras. med. esporte ; 27(5): 498-503, July-Sept. 2021. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1288623

RESUMEN

ABSTRACT Introduction: As skiers need to complete their movements in high mountains and snow, the athlete's landing's stability is directly related to the movement's success. The stable landing action wins high scores for the athletes' participating actions and protects their safety. Objective: This article analyzes the characteristics of lower limb muscle strength and static balance ability of female freestyle skiing aerials athletes to provide athletes with targeted strength training, evaluation of muscle effects after training, and athlete selection to provide a scientific basis valuable Theoretical reference. Methods: The paper uses isokinetic testing and balance testing methods to study the characteristics of the hip and knee flexor and extensor strengths of the Chinese great female freestyle skiing aerials athletes and the static balance characteristics in four standing positions. Results: The right flexor-extensor force, flexor-extensor force ratio, and average power value of the right hip joint were slightly greater than the left flexor power. The left and right knee joint extensor unit peak weight moments and the left and right average power values were all four indicators. Greater than the flexor, at different test speeds of 60°/s (slow speed) and 240°/s (fast), the peak flexion and extension torque per unit weight, the average power of flexion and extension, the force of flexion and extension, and the average power appear with the increase of the test speed as a significant difference. Conclusions: The research in the thesis recommends reasonable weight control and balanced training of muscle strength, using the condition of moderately increasing exercise speed, to strengthen the training of lower limb extensor strength, provide targeted strength training for athletes, evaluate the muscle effect after training and providing the scientific basis and valuable theoretical reference. Level of evidence II; Therapeutic studies - investigation of treatment results.


RESUMO Introdução: Como os esquiadores precisam completar seus movimentos em altas montanhas e neve, a estabilidade de pouso do atleta está diretamente relacionada ao sucesso do movimento. A ação de pouso constante ganha altas pontuações para os participantes e protege sua segurança. Objetivo: este artigo discute as características da força muscular das extremidades inferiores e habilidade de equilíbrio estático de atletas de esqui estilo livre para fornecer aos atletas treinamento de força específico e avaliação pós-treino dos efeitos musculares em atletas selecionados para fornecer uma base científica de referência teórica valiosa. Métodos: O artigo usa testes isocinéticos e métodos de teste de equilíbrio para estudar as características de força dos flexores e extensores de quadril e joelho de grandes atletas chinesas de esqui estilo livre e as características de equilíbrio estático em quatro posições de pé. Resultados: A força flexor-extensora direita, a relação da força flexor-extensora e o valor médio da potência da articulação do quadril direito foram ligeiramente maiores do que a potência do flexor esquerdo. Os momentos máximos de peso da unidade extensora da articulação do joelho esquerdo e direito e os valores médios das potências esquerda e direita foram os quatro indicadores. Maior que o flexor, em diferentes velocidades de teste de 60 ° / s (velocidade lenta) e 240 ° / s (rápido), o torque máximo de flexão e extensão por unidade de peso, a força média de flexão e extensão, a força de flexão e extensão, e a potência média aparece com o aumento da velocidade de teste como uma diferença significativa. Conclusões: A pesquisa na tese recomenda o controle de peso razoável e o treinamento de força muscular balanceado, utilizando a condição de aumentar moderadamente a velocidade do exercício, para fortalecer o treinamento de força extensora de membros inferiores, fornecer treinamento de força específico para atletas, avaliando o efeito muscular após formar e fornecer a base científica e um valioso referencial teórico. Nível de evidência II; Estudos terapêuticos- investigação dos resultados do tratamento.


RESUMEN Introducción: Como los esquiadores necesitan completar sus movimientos en alta montaña y nieve, la estabilidad del aterrizaje del atleta está directamente relacionada con el éxito del movimiento. La acción de aterrizaje estable gana puntuaciones altas para las participantes y protege su seguridad. Objetivo: Este artículo analiza las características de la fuerza muscular de las extremidades inferiores y la capacidad de equilibrio estático de las atletas de esquí de estilo libre para proporcionar a los atletas un entrenamiento de fuerza específico y una evaluación de los efectos musculares después del entrenamiento en atletas seleccionados para proporcionar una base científica de referencia teórica valiosa. Métodos: El artículo utiliza pruebas isocinéticas y métodos de prueba de equilibrio para estudiar las características de la fuerza de los flexores y extensores de cadera y rodilla de las grandes atletas chinas de esquí de estilo libre femenino y las características del equilibrio estático en cuatro posiciones de pie. Resultados: La fuerza flexora-extensora derecha, la relación de fuerza flexora-extensora y el valor de potencia promedio de la articulación de la cadera derecha fueron ligeramente mayores que la potencia del flexor izquierdo. Los momentos de peso máximo de la unidad extensora de la articulación de la rodilla izquierda y derecha y los valores de potencia promedio izquierda y derecha fueron los cuatro indicadores. Mayor que el flexor, a diferentes velocidades de prueba de 60 ° / s (velocidad lenta) y 240 ° / s (rápido), el par máximo de flexión y extensión por unidad de peso, la potencia promedio de flexión y extensión, la fuerza de flexión y extensión, y la potencia media aparecen con el aumento de la velocidad de prueba como una diferencia significativa. Conclusiones: La investigación en la tesis recomienda un control de peso razonable y un entrenamiento equilibrado de la fuerza muscular, utilizando la condición de aumentar moderadamente la velocidad del ejercicio, para fortalecer el entrenamiento de la fuerza extensora de las extremidades inferiores, proporcionar entrenamiento de fuerza específico para los atletas, evaluar el efecto muscular después del entrenamiento y proporcionar la base científica y una valiosa referencia teórica. Nivel de evidencia II; Estudios terapéuticos- investigación de los resultados del tratamiento.


Asunto(s)
Humanos , Femenino , Adulto , Adulto Joven , Esquí/fisiología , Equilibrio Postural/fisiología , Fuerza Muscular/fisiología , Articulación de la Rodilla/fisiología , Algoritmos , Cinética , Modelos Teóricos
20.
Clin Rehabil ; 35(10): 1454-1464, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34380344

RESUMEN

OBJECTIVE: To compare the effects of Wii and conventional training on functional abilities and neurocognitive function in basketball-players with Functional Ankle Instability (FAI). DESIGN: Single-blind matched randomized clinical trial study. SETTING: Outpatients setting. PARTICIPANTS: Fifty-four basketball-players were randomly assigned to the Wii and control group. INTERVENTIONS: All athletes in the Wii group (n = 27) performed Wii Fit Plus games; and in the control group (n = 27), they performed conventional training three days a week for 12 sessions. MAIN OUTCOME MEASURES: To assess functional performance and neurocognitive function, we used hop tests (8-hop, side hop, and single hop) and Deary-Liewald Reaction Time Task (DLRT), respectively. DLRT measured simple and choice reaction time and error rate. Measures were taken at baseline, four weeks, and eight weeks after baseline. RESULTS: In all 54 athletes completed the study. The results showed no significant differences for all hop tests in between-group comparison but the neurocognitive function showed significant improvements in the Wii group compared to the control group (P < 0.05). Mean (SD) for 8-hop and side hop tests for the involved limb, and simple and choice reaction time four weeks after baseline in the control group were 10.15 (1.02), 12.36 (1.31), and 339.10 (41.57), 530.52 (53.36), respectively and in the Wii group, were 10.46 (1.23), 12.40 (1.31), and 295.25 (13.16), 431.19 (33.46), respectively. CONCLUSION: Based on our results, both training protocols were equal to positively affect functional abilities. Besides, Wii training improved neurocognitive function and can be applied in FAI rehabilitation protocols.


Asunto(s)
Baloncesto , Inestabilidad de la Articulación , Juegos de Video , Tobillo , Terapia por Ejercicio , Humanos , Equilibrio Postural , Método Simple Ciego
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