scholarly journals Six weeks of balance or power training induce no generalizable improvements in balance performance in healthy young adults

Author(s):  
Louis-Solal Giboin ◽  
Markus Gruber ◽  
Andreas Kramer

Abstract Background Training programs for fall prevention often fail to induce large general effects. To improve the efficacy of fall prevention programs, it is crucial to determine which type of training is most effective in inducing generalizable effects, i.e., improvements in untrained situations. Two likely candidates are balance and resistance training. Here, we assessed whether either varied balance training or a training program aiming to increase leg power would improve performance and acquisition rate of a novel balance task. Methods Forty-two healthy recreationally active subjects (16 females, age 24 ± 3y) were assigned to a control group, a varied practice balance group or a loaded squat and plyometrics power group, training for 6 weeks (twice per week, 40 min per session). Before and after the training, we measured peak power in countermovement jumps and balance performance in two different untrained balance tasks (10 trials pre and 50 trials post-training). Results After training, the performance and the acquisition rate in the two untrained tasks were similar for all groups (no group x time interaction), i.e., no generalization of learning effect was induced by either form of training. Peak power in the countermovement jump did not change significantly in any of the groups. Conclusions Neither a six-week power training nor a varied balance training improved performance or acquisition of an untrained balance task. This underpins the task-specificity principle of training and emphasizes the need for studies that assess the mechanisms of transfer and generalization, thus helping to find more effective intervention programs for fall prevention.

Author(s):  
Nada Rhouni ◽  
Nicole C. Dabbs ◽  
Trevor Gillum ◽  
Jared W. Coburn

Jumping and balance are necessary skills for most athletes, and mini-trampoline training has been shown to improve them. Little is known about the acute effect of mini-trampoline jumping on jump performance and dynamic balance. Objectives: The purpose of this study is to investigate the effect of 6 maximal jumps on a mini-trampoline on countermovement vertical jump (CMVJ) variables and on balance parameters. Methods: Twenty one recreationally trained individuals participated in three testing sessions and were either allocated to a control group (N=10) or a trampoline group (N=11). All the participants performed a dynamic warm up prior to their assessments. Baseline CMVJ and balance assessments were measured. For the jump performance tests, the control group rested for 30s, and the trampoline group performed 6 maximal CMVJs on a mini-trampoline. Immediately following the trampoline jumps or the rest period, participants performed three jump trials. The jumping protocol was repeated every minute up to 5 minutes and balance was reassessed immediately after only. Results: There was no significant interaction of time by group and no group effects in all the jumping parameters, however, there was a significant increase in jump height (p <0.001) post-condition, and a significant decrease in peak power (p= 0.01) at the 4th minute for both groups. There was no significant interaction of time by condition, no time effect and no group effect (p>0.05) on the balance variables. Conclusion: These results do not support our hypothesis and show that trampoline jumping does not improve jump and balance performance acutely.


Author(s):  
Simon Schedler ◽  
Florian Tenelsen ◽  
Laura Wich ◽  
Thomas Muehlbauer

Abstract Background Cross-sectional studies have shown that balance performance can be challenged by the level of task difficulty (e.g., varying stance conditions, sensory manipulations). However, it remains unclear whether the application of different levels of task difficulty during balance training (BT) leads to altered adaptations in balance performance. Thus, we examined the effects of BT conducted under a high versus a low level of task difficulty on balance performance. Methods Forty male adolescents were randomly assigned to a BT program using a low (BT-low: n = 20; age: 12.4 ± 2.0 yrs) or a high (BT-high: n = 20; age: 12.5 ± 2.5 yrs) level of balance task difficulty. Both groups trained for 7 weeks (2 sessions/week, 30–35 min each). Pre- and post-training assessments included measures of static (one-legged stance [OLS] time), dynamic (10-m gait velocity), and proactive (Y-Balance Test [YBT] reach distance, Functional Reach Test [FRT]; Timed-Up-and-Go Test [TUG]) balance. Results Significant main effects of Test (i.e., pre- to post-test improvements) were observed for all but one balance measure (i.e., 10-m gait velocity). Additionally, a Test x Group interaction was detected for the FRT in favor of the BT-high group (Δ + 8%, p < 0.001, d = 0.35). Further, tendencies toward significant Test x Group interactions were found for the YBT anterior reach (in favor of BT-high: Δ + 9%, p < 0.001, d = 0.60) and for the OLS with eyes opened and on firm surface (in favor of BT-low: Δ + 31%, p = 0.003, d = 0.67). Conclusions Following 7 weeks of BT, enhancements in measures of static, dynamic, and proactive balance were observed in the BT-high and BT-low groups. However, BT-high appears to be more effective for increasing measures of proactive balance, whereas BT-low seems to be more effective for improving proxies of static balance. Trial registration Current Controlled Trials ISRCTN83638708 (Retrospectively registered 19th June, 2020).


2020 ◽  
Vol 6 (2) ◽  
pp. 170
Author(s):  
Esin Ergin ◽  
Engin Arslan

The present study aimed to examine the effect of an 8-week balance training on the agility, strength, balance performance and tennis skills of tennis players aged 10-14. The study was participated by 19 tennis players (10 males and 9 females) playing in the EA Tennis Academy. The participants were selected randomly and divided into two groups as experimental group (9 players) and the control groups (10 players). Firstly, vertical jump, pro-agility, dynamic balance and ITN tennis skills tests were applied to all the participants. After all the test were completed, the experimental group were applied 8 weeks of balance and tennis training while the players in the control group continued tennis training only. The same tests were applied to the participants at the end of the 8 weeks. The findings of the study showed statistically significant improvement in the agility, balance index and tennis skills tests in the pre-test and post-tests of the experimental group (p = 0.034, p = 0.025, p = 0.003), whereas improvement was seen only in the tennis skills test of the control group (p = 0.000). In addition, no statistically significant difference was found in the vertical jump performance used to determine the explosive strength both in the experimental and control groups. As for the difference between groups, a significant difference was found only in the pro-agility post-tests of the experimental and control groups (p < 0.05). Based on these findings, it was revealed that balance training would improve agility and balance in 10-14 year-old children as well as contributing to their tennis skills. Therefore, it is considered that balance training should be included in training plans.


2020 ◽  
pp. 073346482091266
Author(s):  
Sarah L. Szanton ◽  
Lindy Clemson ◽  
Minhui Liu ◽  
Laura N. Gitlin ◽  
Melissa D. Hladek ◽  
...  

Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen. Design: Randomized controlled pilot trial. Setting: Participants’ homes. Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary. Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention. Results: Sample ( N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Conclusion: Simultaneously addressing preventable fall risk factors is feasible.


1990 ◽  
Vol 12 (4) ◽  
pp. 366-375 ◽  
Author(s):  
Geraldine H. Van Gym ◽  
Howard A. Wenger ◽  
Catherine A. Gaul

This study investigated the effect of engaging in imagery in conjunction with nonspecific training on the transfer of the training to performance. Forty subjects were pretested on a Wingate cycle ergometer test for peak power and a 40-m sprint. Subjects were assigned to one of four groups: imagery training (IT), power training (PT), imagery and power training (DPT), and control (C). Following a 6-week training period, all subjects were retested. Although a MANOVA revealed no significant difference between groups on any variable, the groups-by-time interaction was significant. Therefore an analysis of difference scores on both tests was performed. This analysis revealed that although both the IPT and the PT group significantly improved in peak power, only the IPT group improved significantly on the sprint. The results indicate that imagery coupled with nonspecific training contributes to the enhancement of subsequent performance significantly better than does nonspecific training alone.


2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv34-iv39
Author(s):  
Daina Sturnieks ◽  
Yoshiro Okubo ◽  
Matthew Brodie ◽  
Stephen Lord

Abstract Appropriately timed and directed balance responses are crucial for avoiding a fall. These responses, including feet-in-place adjustments of the centre of mass, stepping and gait adaptations, may be initiated voluntarily to proactively avoid falling or induced reactively in response to sudden external perturbations to balance. Despite good evidence that poor reactive balance responses contribute to falls and injuries, traditional fall prevention interventions have ignored this skill. Reactive balance (or perturbation) training intervention methods are emerging and show promise for preventing falls in older people, some evidence suggesting a 50% reduction in falls. We recruited 44 older adults into a parallel, blinded randomized controlled trial, comparing 3 sessions of reactive balance training (exposure to trips and slips) to one session of sham training. The primary outcome was falls following laboratory-induced trips and slips (&gt;30% body weight in harness). Relative to the control group, the intervention group experienced fewer total falls (rate ratio [RR]=0.40, 95% confidence interval [CI]=0.22-0.76), slip falls (RR=0.33, 95% CI=0.12-0.90) and trip falls (RR=0.49, 95% CI=0.21-1.12). These results will be discussed in the context of other current evidence for reactive balance training and suggestions made for how such interventions might influence the future of fall prevention.


2020 ◽  
Vol 10 (12) ◽  
pp. 4100
Author(s):  
Vanesa Abuín-Porras ◽  
Carmen Jiménez Antona ◽  
María Blanco-Morales ◽  
Antonio Palacios ◽  
Carlos Romero-Morales ◽  
...  

This prospective quasi-experimental study investigated the efficacy of a multitask balance training program to improve the balancing ability of healthy preschool children. A total of 85 (51.8% boys) healthy preschool children aged 4–6 years were randomly divided into an intervention group and a control group. The intervention group received a multitask balance training program, while the control group received a placebo training program. Outcomes were collected at baseline and immediately following the intervention. Independent members of the research team recorded balance skill measurements in the cohort at pre- and post-training using the Pediatric Balance Scale (PBS). Balance-related outcomes were recorded using the Battelle Development Inventory in Spanish using the second edition (BDI-II). A significant effect of time interaction (F = 7.27, p = 0.015; F = 6.16, p = 0.02 and F = 7.41, p = 0.014) existed for the PBS and BDI-II over balance immediately after the intervention (p < 0.001 for each). A significant group-by-time interaction was detected for the PBS and BDI-II (p < 0.001 and p = 0.006, respectively). This study supports the efficacy of multitask-based balance training programs to improve balance in children aged 4–6 years.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S913-S913
Author(s):  
Sarah L Szanton ◽  
Lindy Clemson ◽  
Minhui Liu ◽  
Laura N Gitlin ◽  
David L Roth ◽  
...  

Abstract OBJECTIVES: To evaluate whether a fall prevention intervention, adapted from the LiFE program, reduces fall risk in older adults who have previously fallen. DESIGN: Randomized controlled pilot trial SETTING: Participants’ homes INTERVENTION: LIVE-LIFE is an occupational therapy delivered fall prevention intervention that integrates strength and balance training into daily habits in 8 visits over 12 weeks. The intervention also provides 1) up to $500 in home safety changes prioritized by the participants 2) vision contrast screening and referral, and 3) personalized fall risk medication recommendations to Primary Care Providers (PCP) from a Pharmacist. This multi-component intervention was compared to a control condition consisting of CDC fall prevention materials and an individualized fall risk summary. MEASUREMENT: Primary outcome: Fall risk measured by Timed Up and Go (TUG) and Tandem stand. Secondary outcomes: Falls efficacy, feasibility and acceptability of the intervention. RESULTS: The sample of 37 people was 65% female, 65% white and an average 77 years old. Two were lost to follow up (95% retention). Compared to the control group, the mean of each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect size (1.1) for amount of time study participants could hold a tandem stand, a moderate effect (0.5) in falls efficacy, and a small effect (0.1) in the TUG. CONCLUSION: LIVE-LIFE was acceptable to participants, feasible to provide, and averaged large to small effect sizes. Simultaneously addressing preventable fall risk factors is feasible and should be investigated due to the growing population at risk for falls.


2012 ◽  
Vol 34 (5) ◽  
pp. 561-579 ◽  
Author(s):  
Ying Hwa Kee ◽  
Nikos N.L.D. Chatzisarantis ◽  
Pui Wah Kong ◽  
Jia Yi Chow ◽  
Lung Hung Chen

We examined whether the momentary induction of state mindfulness benefited subsequent balance performance, taking into consideration the effects of dispositional mindfulness. We also tested whether our mindfulness induction, grounded in sustaining moment-to-moment attention, influenced the attentional focus strategies that were adopted by the participants during the balancing task. Balance performance was ascertained based on approximate entropy (ApEn) of the center of pressure (COP) data. The study involved 32 males (age: M = 22.8, SD = 1.94) who were randomly assigned to the mindfulness or control group. Using difference in pretest to posttest performance based on the medio-lateral movements as the dependent variable, the test for interaction showed that the mindfulness induction was more effective for participants with higher dispositional mindfulness. Participants who underwent mindfulness induction also reported greater use of external focus strategies than those in the control group. Results suggest that momentary mindful attention could benefit balance performance and affect the use of attentional focus strategies during movement control.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Regula Furrer ◽  
Richard T. Jaspers ◽  
Hein L. Baggerman ◽  
Nathalie Bravenboer ◽  
Paul Lips ◽  
...  

Improvement of muscle peak power and oxidative capacity are generally presumed to be mutually exclusive. However, this may not be valid by using fibre type-specific recruitment. Since rat medial gastrocnemius muscle (GM) is composed of high and low oxidative compartments which are recruited task specifically, we hypothesised that the adaptive responses to peak power training were unaffected by additional endurance training. Thirty rats were subjected to either no training (control), peak power training (PT), or both peak power and endurance training (PET), which was performed on a treadmill 5 days per week for 6 weeks. Maximal running velocity increased 13.5% throughout the training and was similar in both training groups. Only after PT, GM maximal force was 10% higher than that of the control group. In the low oxidative compartment, mRNA levels of myostatin and MuRF-1 were higher after PT as compared to those of control and PET groups, respectively. Phospho-S6 ribosomal protein levels remained unchanged, suggesting that the elevated myostatin levels after PT did not inhibit mTOR signalling. In conclusion, even by using task-specific recruitment of the compartmentalized rat GM, additional endurance training interfered with the adaptive response of peak power training and attenuated the increase in maximal force after power training.


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