scholarly journals Effectiveness of a 3-month antifalling program in the mobility, balance confidence, and muscle performance of older adults

2021 ◽  
Vol 17 (4) ◽  
pp. 247-255
Author(s):  
Rahim Nor ◽  
Maria Justine ◽  
Angelbeth Joanny ◽  
Azrul Anuar Zolkafli

This study determined the effectiveness of a 3-month group-based multicomponent exercise program in the mobility, balance confidence, and muscle performance of older adults. A total of 40 participants (mean age=70.60±6.25 years completed pre- and posttest clinical intervention measures of mobility using the Timed Up and Go (TUG) test, balance confidence using the Activities-specific Balance Confidence scale, upper limb strength (handgrip dynamometer), and lower limb function (30-sec chair rise test). Data were analyzed using paired t-test and based on TUG criteria for risk of fall (low- and high-risk groups). Significant improvements were found in all measures (All P<0.05) following the 3-month program. Measures according to the risk of fall categories were also significantly improved (P<0.01), except the left handgrip strength (P>0.05). The low-risk group showed a higher improvement in mobility (14.87% vs. 11.74%), balance confidence (34.21% vs. 26.08%), and lower limb function (96.87% vs. 21.20%) but was not significantly different from the high-risk group (P>0.05). A group-based multicomponent exercise program benefited the physical functions of older adults at low- or high risk of falls.

2019 ◽  
pp. 1-5
Author(s):  
M. Maltais ◽  
P. de Souto Barreto ◽  
Y. Rolland ◽  
B. Vellas

Background/Objectives: Apolipoprotein (ApoE ε4) status has been associated with various cardiovascular diseases and Alzheimer’s Disease. Some studies have found a possible relationship between the presence of an ApoE ε4 allele and the decrease of motor function in healthy older adults. The objective of this study was to measure the cross-sectional and prospective associations of ApoE ε4 status with lower limb function and handgrip strength in older adults. Design: Longitudinal observational study using data from a randomized controlled trial.Setting: Community-dwelling older adults. Participants: 1300 older adults (≥70 years old) with ApoE ε4 status from the Multidomain Alzheimer’s Preventive Trial (MAPT) were followed for three years. Measurements: Lower-limb function was measured with the Short Physical Performance Battery (SPPB) and muscle strength was measured with a handgrip strength dynamometer. ApoE ε4 status was assessed with a blood draw. Mixed-effect linear regressions were used to examine cross-sectional as well as prospective associations between ApoE ε4 status and the outcomes. Results: No significant cross-sectional or prospective associations were found between ApoE ε4 status, lower-limb function and handgrip strength in our study. Conclusions: ApoE ε4 status was not associated with motor function in older adults.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S291-S291
Author(s):  
Tyler R Bell ◽  
Pariya Fazeli ◽  
Caitlin N Pope ◽  
Michael Crowe ◽  
Karlene Ball

Abstract Pain causes functional limitations and might elevate risk for mobility-related injuries in older adults. For this reason, we examined the longitudinal impact of lower back pain on the likelihood of MVCs and falls. Between 1998 and 1999, participants (ages &gt;55 years) completed cognitive and physical measures at three Motor Vehicle departments. Participants then completed a telephone interview (n=1,248) assessing yearly health complications and injuries, which continued annually for 14 years. Separate longitudinal models examined the relationship between lower back pain and MVC and fall likelihood while controlling for demographics and mobility. Overall, those with lower back pain were twice as likely to have a fall than unafflicted peers (95%CI:1.69-2.47) and odds of MVC was just beyond statistical significance (95%CI: 0.97-1.94). In persons with lower back pain, problems in lower-limb function, divided attention, and task-switching were associated with MVCs whereas problems in lower-limb function were related to falls. Addressing limitations from pain might reduce mobility-related injury in older adults.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 298-298
Author(s):  
Tai-Te Su ◽  
Shannon Mejia

Abstract Assistive technologies are an essential component of meeting the needs of an aging population. With advancing age, chronic conditions and physiological changes can result in impaired lower limb function among older adults, which may in turn limit their ability to perform daily activities or even walking. Informed by the continuity theory, we conceptualize assistive devices (ADs) as a resource that older adults with mobility limitations can leverage to remain active and mobile in late life. However, evidence remains scarce to determine the extent to which using ADs could create a measurable change in older people’s experienced well-being. Using data from the 2012 wave of the Health and Retirement Study, our study aimed to examine the potential psychological benefits that accompany ADs use in a sample of older adults with at least some limited lower limb mobility (n = 505, 59% female, 85.6% white, age = 75.8 ± 6.7). Results from multiple linear regression showed that although AD use was not directly associated with global well-being, those who used ADs reported more positive experience while walking (b = 0.65, SE = 0.23, p&lt;.01) and traveling (b = 0.92, SE = 0.43, p&lt;.05). Additionally, our results indicated that AD users had higher self-efficacy compared with nonusers (b = 0.40, SE = 0.20, p&lt;.05) after controlling for age, gender, socioeconomic status, as well as physical function level. We suggest that AD provision should be considered in intervention strategies to increase well-being and quality of life in older adults with impaired lower limb function.


2005 ◽  
Vol 43 (5) ◽  
pp. 552-556 ◽  
Author(s):  
S. Chapdelaine ◽  
B. J. McFadyen ◽  
S. Nadeau ◽  
G. St-Vincent ◽  
E. Langelier

2014 ◽  
Vol 35 (4) ◽  
pp. 729-739 ◽  
Author(s):  
Etienne Allart ◽  
Julie Paquereau ◽  
Caroline Rogeau ◽  
Walter Daveluy ◽  
Odile Kozlowski ◽  
...  

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