Atrophy of the lower limbs in elderly women: is it related to walking ability?

2012 ◽  
Vol 2012 ◽  
pp. 414-415
Author(s):  
R.J. Shephard
2010 ◽  
Vol 111 (6) ◽  
pp. 989-995 ◽  
Author(s):  
Tome Ikezoe ◽  
Natsuko Mori ◽  
Masatoshi Nakamura ◽  
Noriaki Ichihashi

2018 ◽  
Vol 27 (2) ◽  
pp. 1115-1126 ◽  
Author(s):  
Seul-Hee Lee ◽  
Ga-Ram Hong ◽  
Bong-Jo Kim ◽  
Eun-Hee Kim

2016 ◽  
Vol 19 (1) ◽  
pp. 129-137 ◽  
Author(s):  
Taysi Seemann ◽  
Carolina Weber Schmitt ◽  
Adriana Coutinho de Azevedo Guimarães ◽  
Simone Korn ◽  
Joseani Paulini Neves Simas ◽  
...  

Objective To assess the trainability and reversibility of variables of physical fitness in elderly participants in Active Living Functional Gymnastics. Method This ex post facto study was composed of 115 elderly women from six functional fitness groups in the Active Living Program in Florianopolis. The Rikli and Jones battery of tests (Chair Stand Test, Arm Curl Test, Chair Sit and Reach Test, Back Scratch Test, 8-Foot Up and Go Test, 6 Minute Walk Test) was used. The intervention period lasted for eight months, and the detraining period took three months. Descriptive and inferential statistics with paired Student t-test and Scheffé post hoc was used. Results The performance of the age groups differed in agility and aerobic capacity; Trainability was identified in the strength and resistance variables of the lower and upper limbs, and the flexibility of the lower limbs; Detraining was perceived in the strength and resistance of upper limbs, and aerobic capacity. Conclusion A Functional Gymnastics program produces positive effects on the strength and resistance of the lower and upper limbs, and flexibility of the lower limbs in elderly women. An interruption period lasting three months results in detraining in strength and resistance of the lower limbs and aerobic capacity.


2018 ◽  
Vol 24 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Frank Shiguemitsu Suzuki ◽  
Alexandre Lopes Evangelista ◽  
Cauê Vazquez La Scala Teixeira ◽  
Marcos Rodolfo Ramos Paunksnis ◽  
Roberta Luksevicius Rica ◽  
...  

ABSTRACT Introduction: Aging is inevitable and irreversible, but with the advancement of technology, life expectancy is increasing every year, bringing proposals for various interventions to improve the quality of life. One such intervention is physical exercise programs. Objectives: To investigate the impact of multicomponent training in circuits on functional autonomy parameters in elderly women. Methods: Elderly were recruited and distributed in two groups: trained (N = 16) and non-trained (N = 15). Those in the trained group performed 75-minute training sessions twice a week over a 56-week period. The resistance training included upper and lower limbs with a relative intensity of 70% of 1RM, exercises using body weight, stretching and specific tasks for agility, performed in a circuit form and totaling three passages. Participants underwent functional autonomy (FA) assessment by the protocol of the Latin American Developmental Group for Maturity, the 6-minute walk test (T6M), and the sit-and-reach (SR) test. Results: The trained group had a significant decrease in body weight (p=0.02) and body mass index (p=0.015). Significant improvements (p=0,009) were also observed in FA, SR, and T6M after the intervention Compared with the untrained group, the trained group also obtained significant differences in all functional parameters analyzed. Conclusion: A long-term multicomponent training program conducted on a circuit and applied twice a week was enough to improve multiple components of the functional autonomy of elderly women. Level of Evidence II; Prognostic studies - Investigating the effect of a patient characteristic on the outcome of disease.


Author(s):  
Aline De Freitas Brito ◽  
Naiane Ferraz Bandeira Alves ◽  
Alessandra Araújo Silva ◽  
Alexandre Sergio Silva

Escalas de percepção subjetiva de esforço têm sido usadas há bastante tempo para se referir à intensidade de esforço no exercício aeróbio. Somente há pouco tempo foi validada a escala de OMNI-RES para exercício resistido, de modo que sua aplicação em algumas populações ainda é escassa. Assim, o objetivo deste estudo foi avaliar a efetividade da escala de OMNI-RES em mulheres idosas hipertensas. Vinte e uma voluntárias (60.2±3,8 anos, IMC de 28,7±1,2 Kg/m2), realizaram quatro sessões de exercício resistido randomicamente ordenadas. Duas das sessões eram para membros inferiores (MI), com intensidades de 60% e 80% de 15 RM, e as outras duas, para membros superiores (MS), com as mesmas intensidades. As sessões tiveram três séries de 15 repetições e intervalos de 90 segundos. Ao final de cada série, mediu-se a frequência cardíaca e a percepção subjetiva foi referida pelas mulheres. Para a análise estatística, foi utilizado o teste de ANOVA two-way. A frequência cardíaca se apresentou significativamente mais elevada nas sessões a 80% de 15RM em relação a 60% de 15RM em todas as séries, tanto de membros superiores quanto de membros inferiores. Nos protocolos para MI, as mulheres referiram pontuações na escala de OMNI-RES sempre significativamente maiores ao final das três séries, com intensidade de 80% em relação a 60% de 15 RM (6,1±0,1 versus 3,7±0,1; 6,1±0,1 versus 3,8±0,2 e 6,1±0,1 versus 3,9±0,2 para as 1ª, 2ª e 3ª séries a 80 e 60% respectivamente). Nos protocolos para MS a pontuação na escala de OMNI-RES foi igualmente maior para os exercícios a 80% de 1RM em todas as séries (6,1±0,1 versus 3,5±0,1; 6,1±0,1 versus 3,5±0,1 e 6,1±0,1 versus 3,6±0,1 para as 1ª, 2ª e 3ª séries a 80 e 60% respectiva  mente). Os valores de pontuação foram equivalentes à classificação de razoavelmente leve e compatível com treino de endurance muscular segundo a escala de OMNI-RES nos exercícios a 60% de 15 RM e razoavelmente pesado e compatível com treinamento de hipertrofia para a intensidade de 80% de 15RM. Concluiu-se que a escala de OMNI-RES representa adequadamente a intensidade adotada em exercícios resistidos com características de Resistência Muscular Localizada (RML) e hipertrofia em mulheres idosas hipertensas. THE USE OF THE OMNI-RES SCALE IN HYPERTENSIVE ELDERLY abstract Scales of perceived exertion have been used for some time to refer to the intensity of effort in an aerobic exercise. Only recently the OMNI-RES scale has been validated for resistance exercise, as a result of that its application in some populations is still scarce. Thus, the purpose of this study was to evaluate the effectiveness of the OMNI-RES scale in elderly women with hypertension. Twenty one volunteers (60,2 ± 3,8 years, BMI 28,7 ± 1,2 Kg/m2), undertook four sessions of resistance exercise ordered randomly. Two of those sessions were for lower limbs at intensities of 60% and 80% of 15RM, and the other two were for upper limbs with the same intensity. The sessions had 3 sets of 15 repetitions and intervals of 90 seconds. At the end of each series it was measured the heart rate and the subjective perception was reported by the women. For statistical analysis, it was used the two-way ANOVA test. Heart rate was significantly higher in sessions at 80% with 15RM than at 60% with 15RM in all series, both upper limbs and lower limbs. In the protocols for lower limbs, the women always reported significantly higher scores on the OMNI-RES at the end of the three series with an intensity of 80% compared to 60% with 15 RM (6,1 ± 0,1  versus 3,7 ± 0,1; 6,1 ± 0,1 versus 3,8 ± 0,2 and 6,1 ± 0,1 versus 3,9 ± 0,2 for the 1st, 2nd and 3rd grades 80 and 60% respectively). The values in scores were equivalent to the classification of fairly mild consistent with muscle endurance training according to the OMNI-RES scale on the exercises at 60% with 15 RM and fairly heavy and consistent with hypertrophy training at an intensity of 80% with 15RM. It was concluded that the OMNI-RES scale adequately represented the adopted intensity in resistance exercises with features of RML and hypertrophy in hypertensive elderly women.


2021 ◽  
Vol 13 (3) ◽  
pp. 428-438
Author(s):  
Gianluca Sesenna ◽  
Cecilia Calzolari ◽  
Maria Paola Gruppi ◽  
Gianluca Ciardi

Background: Multiple sclerosis is a progressive neurodegenerative disease that affects myelin in the central nervous system. It is complex and unpredictable and occurs predominantly in young adults, causing increasing disability and a significantly lower quality of life. Recent studies investigated how rehabilitation training through the use of a robotic exoskeleton can influence walking recovery in patients with a serious neurological disease. Aim: The purpose of this study was to analyze the first approach of a multiple sclerosis patient to a robotic exoskeleton for the lower limbs, in order to assess the effectiveness of the protocol on walking ability, adaptability of the device, level of appreciation, variations in parameters related to walking, and fatigue perception. Methods: This study was conducted on a 71-year-old male diagnosed with primary progressive multiple sclerosis since 2012, with an EDSS score of 6. The patient underwent a cycle of 10 sessions of treatment with the exoskeleton for the lower limbs, the UAN.GO, lasting 1 h 30 min. Pre- and post-treatment evaluations were carried out with the 6 min walking test, the Fatigue Severity Scale, the Short Form-36 Health Survey, and a Likert scale for review. During each session, blood pressure, heart rate, and peripheral saturation were monitored; in addition, the perception of fatigue by the Borg scale was studied. Result: A comparison between the initial and final evaluations showed improvements in the walked distance at 6 MWT (T0 = 53 m/T1 = 61 m). There was a positive trend in saturation and heart rate values collected during each session. Further improvements were found by the Borg scale (T0 = 15/T1 = 11). Discussion: The data collected in this case report show promising results regarding the treatment of multiple sclerosis patients with the UAN.GO exoskeleton, with benefits on both motor performance and vital parameters.


Author(s):  
Vitor Nolasco de Moraes ◽  
Gustavo Duarte Ferrari ◽  
Thiago Chiaratto ◽  
Letícia Perticarrara Ferezin ◽  
Átila Alexandre Trapé ◽  
...  

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n1p11 The elderly population has grown substantially, and the decline in physical capacities and increase in the body fat percentage are important characteristics of aging. Genetic factors may explain these declines and studies related to this issue are justified because they predict what physical capacities present larger declines in different individuals and enable the adoption of strategies to slow them. Thus, the aim of this study was to evaluate the effect of ACE I / D and ACTN3 R / X genetic polymorphisms on body fat, muscle strength and power levels, aerobic capacity, flexibility and agility in older women. Sixty-six older women were genotyped with respect to ACTN3 and ACE polymorphisms for the division of groups and submitted to anthropometric measurements, physical tests in the AAHPERD and RIKLI and JONES test batteries and IPAQ to determine the level of physical activity and the Food Consumption Marker Form. Older women with XX genotype in relation to ACTN3 genotype had lower levels of flexibility of upper and lower limbs and lower cardiorespiratory fitness. Moreover, in relation to the ACE genotype, ID individuals exhibited higher cardiorespiratory fitness and lower body fat percentages. In relation to the other variables, there was no statistical difference among groups. It was concluded that the genetic variants under study play a role in some of the physical capacities and body composition in elderly women. In the future, data of this nature will enable each individual to have specific health interventions directed to the variables showing higher genetic potential for decline. 


2012 ◽  
Vol 17 (1) ◽  
pp. 33 ◽  
Author(s):  
Bruno De Souza Moreira ◽  
Renata Noce Kirkwood ◽  
Andréa De Jesus Lopes ◽  
Rosângela Corrêa Dias ◽  
Rosana Ferreira Sampaio

Gait is an important functional activity that elderly individuals used to stay active and be ableto perform their daily living tasks. The purpose of this study was to determine what gait parameterscould discriminate a group of community-dwelling elderly women regularly enrolledin a physical exercise program compared to a paired sedentary group. Participated 145women (65 to 83 years) separated into two groups based on the guidelines of the AmericanCollege of Sports Medicine (2007): sedentary (n = 52) and active (n = 93). Eight gait variableswere recorded using the GAITRite® system (velocity normalized by length of lower limbs, stancetime, swing time, double support time, step time, step length, base width and cadence).Factorial analysis followed by discriminant analysis was performed to determine which variablescould best discriminate the sedentary group from the active group. Factorial analysisresulted in 4 factors which explained 98.7% of the data variability. Factor 3 (composed of steplength and velocity) explained 11.8% of the data variability and was the only factor to discriminatethe groups. When the original variables from Factor 3 were analyzed, gait velocity wasthe most discriminant variable, with a much higher discriminant coeffi cient (-0.999) than steplength (-0.022). Gait velocity and step length could be used as a screening tool to discriminatebetween active and sedentary elderly women.


2021 ◽  
Vol 26 (282) ◽  
pp. 30-43
Author(s):  
Dérrick Patrick Artioli ◽  
Gladson Ricardo Flor Bertolini

Introduction: In assessing patients with a stroke sequel, tonic and postural changes are generally evaluated, but other important information, such as functional capacity, risk of falls, and gait, should also be taken into account. Objective: To correlate the impairment level determined by Brunnstrom's scale, the results of functional tests and analyze the characteristics of the sample as being affected by comorbidities, time and number of strokes occurred. Methods: Cross-sectional evaluation of 50 patients (convenience) at a center of public rehabilitation, using Brunnstrom's scale  (1-6, better limb ability closer to 6), Time Up and Go (TUG) (significant mobility deficit and in risk of falls above 20 seconds), Upright Motor Control Test (UMCT) (1-3, bellow 3 are household walkers), Step Test (ST) (disparity between member refers to slower individuals), registration of comorbidity and the time since the stroke happened and the number of episodes. Results: Grade "4" rated for upper and lower limbs by Brunnstrom's Scale, achieving over 20 seconds in TUG, level 2 in UMCT, and commitment of paretic member related to non-paretic on the ST (p<0.01). There was no influence of the time or number of strokes suffered. The main associations found were hypertension, diabetes, and dyslipidemia. Conclusion: The Brunnstrom's scale appointed moderate level function impairment for upper and lower limbs. Wherein association with functional tests determines slower and vulnerable individuals, with disability in changing the load support between members, neuromuscular control and balance deficit, fall risk and compromised walking ability.


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