scholarly journals Effects of physical exercise on articular range of motion of the lower limb in the Parkinson's disease individuals

2014 ◽  
Vol 21 (2) ◽  
pp. 167-173
Author(s):  
Fabio Augusto Barbieri ◽  
Rosangela Alice Batistela ◽  
Natália Madalena Rinaldi ◽  
Claudia Teixeira-Arroyo ◽  
Florindo Stella ◽  
...  

The aim of this study was to investigate the effect of eight months of a multimodal program of physical exercise on articular range of motion of the lower limb of patients with Parkinson disease (PD), considering gender and disease stage. Seventeen individuals with PD participated in this study. Participants were assessed before of multimodal program of the physical exercise and after four and eight months of physical exercise. In these periods were evaluated the clinical aspects and articular range of motion of the lower limb. For statistical analysis, patients were distributed according to gender and disease stage. A MANOVA considering exercise, gender and stage of disease, with repeated measures for the first factor, was performed. The clinical results showed regression of disease progression, indicating cognitive decline for women. The articular range of motion improved after four and eight months of physical exercise, especially for the hip and ankle, independent of gender and stage of PD. It was concluded that the multimodal exercise program of the eight months was effective in improving articular range of motion in patients with PD. The benefits of exercise for this physical capacity were independent of gender and severity of PD.

Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 53-61
Author(s):  
Karen Melissa Polanco ◽  
Jeanette M. López-Walle ◽  
Brenny C. Muñoz-Noguera ◽  
Argenis P. Vergara-Torres ◽  
José Tristán ◽  
...  

  El objetivo del presente estudio fue evaluar los síntomas depresivos, por separado y en su conjunto, antes y al mes de concluir un programa de ejercicio físico en pacientes hospitalizados con depresión. Participaron 48 pacientes los cuales fueron divididos en dos grupos (n = 24 farmacológico, y n = 24 fármaco+ejercicio físico). Como resultado, al comparar entre grupos al mes de llevar a cabo el programa de ejercicio físico junto con el tratamiento farmacológico, el grupo fármaco+ejercicio físico tuvo puntuaciones significativamente más bajas en el BDI (Msum = 1.0, DTsum = 1.35), en comparación con el grupo que sólo tuvo el tratamiento farmacológico (Msum = 11.08, DTsum = 5.97). En cuanto al ANOVA de medidas repetidas, se evidencia que hubo diferencias significativas en ambos grupos, farmacológico (F(41) = 11.35, p < .000; hp2 = .33; d = .79) y fármaco+ejercicio físico (F(41) = 22.81, p < .000; hp2 = .50; d = .86) debido al factor tiempo. Sin embargo se encuentra un mayor tamaño del efecto en el grupo donde se intervino con ejercicio físico. Como conclusión, este estudio muestra que un programa de ejercicio físico en conjunto con el tratamiento farmacológico, disminuyen la mayoría de la sintomatología depresiva en pacientes hospitalizados. Además, promueve la incorporación del ejercicio como complemento en el manejo de los síntomas de la depresión mayor. Abstract.The aim of the present study was to evaluate depressive symptoms, separately and as a whole, before and at one month after the conclusion of a physical exercise program in hospitalized patients with depression. The participants were 48 patients who were divided into two groups (pharmacological = 24 and pharmacological+physical exercise = 24). As a result, when comparing between groups one month after carrying out the physical exercise program in conjunction with the pharmacological treatment, the pharmacological+physical exercise group had significantly lower scores on the BDI (Msum = 1.0, DTsum = 1.35), compared to the group that only had the pharmacological treatment (Msum = 11.08, DTsum = 5.97). Regarding the repeated measures ANOVA, it is shown that there were significant differences in both groups, pharmacological (F(41) = 11.35, p < .000; hp2 = .33; d = .79) and pharmacological + physical exercise (F(41) = 22.81, p < .000; hp2 = .50; d = .86) due to the time factor. However, a greater effect size was found in the group where physical exercise was used. In conclusion, this study shows that a physical exercise program in conjunction with pharmacological treatment reduces most of the depressive symptoms in hospitalized patients.


2017 ◽  
Vol 23 (3) ◽  
pp. 200-203 ◽  
Author(s):  
Catarina Covolo Scarabottolo ◽  
Jair Rodrigues Garcia Júnior ◽  
Luis Alberto Gobbo ◽  
Marcelo José Alves ◽  
Aline Duarte Ferreira ◽  
...  

ABSTRACT Introduction: With the rapid increase in life expectancy, systematic physical exercise programs can have a good influence on the functional capacity of the elderly, especially in relation to institutionalization. Objective: To analyze the association between a systematic physical exercise program and functional capacity in institu-tionalized elderly. Methods: The sample included 30 elderly subjects (16 women and 14 men) aged 60 years or older (mean age = 74.43), divided into a control group (n=16) and a training group (n=14), residents in a long-stay institution. A training protocol of 12 weeks, two weekly sessions, was applied, and functional capa-city was assessed before and after the intervention, through chair lift tests (lower limb strength), upper limb strength, timed up and go and handgrip dynamometry. The analysis pre and post-training of intervention and control groups was performed using paired Student t test and the ANOVA test for repeated measures. The level of significance was set at 5%. Results: The main statistical significance were found for the following functional tests: upper limb strength (training 15.6±4.1 x control 10.7±6.6 rep, p<0.05) and chair lift test (training 11.0±4.0 x control 8.0±3.1 rep, p<0.05). Conclusion: The protocol used proved to be effective in improving some of the functional capabilities of the institutionalized elderly.


Author(s):  
Guillermo Porrati-Paladino ◽  
Rubén Cuesta-Barriuso

Hamstring muscle injury is common in female soccer players. Changes affecting eccentric strength, flexibility, and the quadriceps–hamstring contraction cycle are risk factors associated with this type of injury. Methods: Seventeen soccer players were randomized to two groups: experimental (plyometric and eccentric exercises without external loads) and control (eccentric exercises without external loads). Eighteen sessions were scheduled over 6 weeks. The exercise program included three plyometric exercises (single-leg squat and lunge, 180 jump, and broad jump stick landing) and three eccentric exercises (Nordic hamstring exercise, diver, and glider). Dependent variables were jumping height (My Jump 2.0 App) and anterior, posteromedial, and posterolateral lower limb stability (Y-Balance test). Results: Following intervention, improvements were found in anterior and posteromedial stability (p = 0.04) in the experimental group. Posterolateral stability improved in athletes included in the control group (p = 0.02). There were differences in the repeated measures analysis for all variables, with no changes in group interaction (p > 0.05). Conclusions: Eccentric exercises, either combined with plyometric exercises or alone, can improve lower limb stability. No changes in jump height were noted in either group. There were no differences between the two groups in the variables studied. Future studies should analyze the effect of external loads on jumping stability and height in the performance of plyometric exercises.


2018 ◽  
Vol 13 (4) ◽  
pp. 607-615
Author(s):  
Kiran D Kanwar ◽  
Mark D Mann

Several golf swing movements have been correlated with the production of club speed in skilled golfers. However, less skilled golfers, such as senior golfers, may not be capable of many of those movements. One golf swing—Minimalist Golf Swing—reduces the downswing range of motion through which a golfer’s body must move to reach the impact positions seen in skilled golfers. The purpose of this study was to assess whether the MGS could improve senior golfers’ ball flight and consistency, and increase their motivation to play golf. Twenty-two seniors (16 males, 6 females), aged 54–81, participated in an 11-session study comprising pretest, intervention, and posttest sessions. During the test sessions, participants hit 20 shots with each of their own 6-iron and driver clubs. Ball movement immediately after impact was measured using a camera-based ball launch monitor. Participants’ motivation to play golf before and after the intervention was assessed using the Sports Motivation Scale II. A mixed effects model was used for the statistical analysis of this repeated measures study, in which participants served as their own controls. Statistically significant per-session results were an increase in the ball’s speed (6-iron and driver) and trajectory (6-iron), and a change in direction (both clubs) from left to slightly right (for right handed golfers). Consistency of ball flight, total motivation and intrinsic motivation increased slightly post-intervention, while amotivation decreased, none significantly. Therefore, some senior golfers can improve ball flight, consistency, and motivation to play golf after six MGS training sessions.


2017 ◽  
Vol 41 (5) ◽  
pp. 446-454 ◽  
Author(s):  
Carol A Miller ◽  
Jennifer E Williams ◽  
Katey L Durham ◽  
Selena C Hom ◽  
Julie L Smith

Background:Many individuals with lower limb loss report concern with walking ability after completing structured traditional rehabilitation.Objectives:The purpose of this study was to explore the impact of a supervised community–based exercise program on balance, balance confidence, and gait in individuals with lower limb amputation.Study design:Repeated measures.Methods:The supervised exercise program was offered biweekly for 6 weeks. The GAITRite System by CIR Systems, Inc., the Figure-of-8 Walk Test, and Activity-specific Balance Confidence Scale were used to measure clinical outcomes pre- and post-intervention.Results:In total, 16 participants with lower limb amputation (mean age: 50.8 years) completed the study. A multivariate, repeated measures analysis of variance indicated a statistically significant effect of training across six clinical outcome measures ( F(6, 10) = 4.514, p = .018). Moderate effect sizes were found for the Figure-of-8 Walk Test ( η2= .586), Activity-specific Balance Confidence Scale ( η2= .504), and gait velocity at comfortable walking speed ( η2= .574). The average increase in gait speed was clinically meaningful at .14 m/s.Conclusion:The supervised community–based exercise program implemented in this study was designed to address specific functional needs for individuals with lower limb loss. Each participant experienced clinically meaningful improvements in balance, balance confidence, and walking ability.Clinical relevanceThe provision of a supervised community–based exercise program, after traditional rehabilitation, provides opportunity to offer a continuum of care that may enhance prosthetic functional ability and active participation in the community for individuals with lower limb amputation.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Rodrigo Gomes de Souza Vale ◽  
Andréa Carmen Guimarães ◽  
Samária Ali Cader ◽  
Robert Wood ◽  
Helô Isa Oliveira Viana André ◽  
...  

Abstract Study aim: To assess the effects of a long-term physical exercise program on balance, physical conditioning, and health perception in elderly women. Material and methods: The sample, 143 elderly women, were randomly assigned to an experimental group (EG; n = 71; age: 71.62 ± 4.96 years) and control group (CG; n = 72; age: 72.89 ± 5.40 years). The EG was submitted to a 32-week physical exercise program (3×/week, 60 min/session). Balance and physical conditioning were assessed through the 10-step in a straight-line test, the unipedal balance test (UBT), the timed up and go (TUG) test, and the 30-second chair stand test (30s CST). Health perception was evaluated by a questionnaire. Results: Repeated measures ANOVA (2×3) revealed significant improvements (p < 0.05) in TUG and 30s CST in the EG from the pre- to the post-test and when compared to the CG in the post-test. There were significant increases (p < 0.05) in health perception, 10-step test, and UBT in the EG, and significant improvements (p < 0.05) in these EG variables when compared to the CG in the post-test. Conclusions: Participating in the exercise program resulted in improvements in balance, muscle strength, agility, and health perception in the elderly of the present study.


2019 ◽  
Vol 2 (3) ◽  
pp. 118
Author(s):  
Adriani Adriani ◽  
Nurfatma Sary

<p>Musculoskeletal system disorders of weakness in the muscles of the elderly are common. Actions that can be taken to reduce complaints of the elderly are with range of motion (ROM) exercises. The purpose of this study was to determine the effect of active range of motion (ROM) exercises on increasing the strength of lower limb muscles in the elderly. Pre-experimental research design with one group pre-test and post-test. By means of purposive sampling with 6 respondents. Giving intervention as much as 6 times exercise for 3 weeks with a frequency of 2 times a day . It takes 10 minutes with 3 repetitions of movements. Analysis was performed by paired dependent T-test samples. The results showed that the average lower limb muscle strength in the elderly before active ROM exercises were the hip region = 3.03317, the knee region = 3.44433, the ankle region = 3.24300, the toe region = 3.31950. While the average lower limb muscle strength after active ROM exercises are the hip region = 3.22117, knee region = 3.76367, ankle region = 3.51383, toe area = 3.86800, with hip value p = 0.028, knee p = 0.002, ankle p = 0.002, toe p = 0,000. Based on the results of the study it can be concluded that there is an effect of active range of motion (ROM) exercises on increasing muscle strength in the elderly. This research is expected to be a consideration for the elderly orphanages in order to make the range of motion (ROM) as an exercise program to increase muscle strength in the elderly.</p>


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