scholarly journals Multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women: blinded randomized clinical trial

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 259-266
Author(s):  
Luiz Gustavo Padovini Ferreira ◽  
Caio Vitor dos Santos Genebra ◽  
Nicoly Machado Maciel ◽  
Eduardo Aguilar Arca ◽  
Alexandre Fiorelli ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Functional Capacity ◽  
Elderly Women ◽  
Functional Performance ◽  
The Elderly ◽  
Berg Balance Scale ◽  
Kinetic Chain ◽  
Timed Up And Go ◽  
Closed Kinetic Chain

Abstract Introduction: The aging process causes losses that lead to decreased balance, gait speed and functional capacity and, therefore, there is a need of specific protocols to work preventively these variables, which will contribute to the decrease in the frequency of falls in this population. Objective: Verify the effect of a program of multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women. Methods: Randomized clinical trial masked (blind). Subjects were 32 elderly women from the Centro de Convivência of the Bauru Department of Social Welfare (Secretaria de Bem-Estar Social de Bauru) distributed in two groups: control (CG = 15) and experimental (EG = 17). Interventions: The program of multisensory and closed kinetic chain exercises was applied during an hour, once a week, for 12 weeks. Main measures: Functional capacity was measured by Timed Up and Go (TUG) and the 10-meter walking test (TC10) and their balance by the Berg Balance Scale (BBS). Results: Regarding the comparison between the moments M1 and M2 of the EG after the intervention, there was a statistically significant increase in the functional capability (p = 0.00006), walking speed (p = 0.0008) and balance (p = 0.0006). Conclusion: The multisensory and closed kinetic chain-training program indicated a beneficial effect in the improvement of the elderly women balance and functional performance.

scholarly journals Effects of aquatic physiotherapy versus conventional physical therapy on the risk of fall in the elderly: a randomized clinical trial

2020 ◽  
Vol 21 (3) ◽  
pp. 253
Author(s):  
Christye Ramos Da Silva ◽  
Leonardo Farias Rodrigues Magalhães ◽  
Fernanda Manaia Gonçalves Chaves ◽  
Erica Cardaretti do Nascimento Vieira ◽  
Ana Paula Radies Adames ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Gait Speed ◽  
The Elderly ◽  
Individual Treatment ◽  
Control Group ◽  
Timed Up And Go ◽  
Motor Abilities ◽  
Risk Of Fall

Objective: To identify whether physiotherapy treatment in water is more effective than the treatment in land environment, aiming at improving the process of physical limitation or functional inability (gait speed, balance, motor abilities) caused by lack of balance in elderly with risk of fall. Methods: Randomized clinical trial, experimental study. The sample was composed of 35 senior individuals of both sexes, with average age of 65. Nineteen people composed the control Group /Conventional Physiotherapy, while the rest composed the experimental Group/Aquatic Physical therapy. Both groups were submitted to twenty sessions of physical therapy, twice a week, for 50 minutes in individual treatment. Aerobic activities were conducted for both groups separately. Exercises using water specific therapy, such as Halliwick rotation control and Bad Ragaz ring method, were used in the aquatic group and in the conventional group, physiotherapeutic techniques were applied, approaching the concepts of proprioceptive neuromuscular facilitation (PNF) and decubitus change training. The following tests were used to measure the risk of fall/balance: Timed Up and Go Test, Sit-to-Stand in 30 seconds and Functional Reach. Results: Both physiotherapeutic interventions, aquatic and conventional, showed to be greatly efficient however aquatic physiotherapy showed certain advantages compared to conventional physical therapy, promoting more beneficial effects in the gait speed, balance, motor abilities and, mainly, in the reduction of the risk of fall.Keywords: elderly, Halliwick, Bad Ragaz, Physical therapy, aquatic, risk of fall.

scholarly journals Kinesiotherapy with Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Elderly Women: Protocol for a Mixed Methods Study (Preprint)

2021 ◽  
Author(s):  
Patrícia Paula Bazzanello Henrique ◽  
Fabrízzio Martin Pelle Perez ◽  
Osvaldo Henrique Cemin Becker ◽  
Ericles Andrei Bellei ◽  
Daiana Biduski ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Elderly Women ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
Timed Up And Go ◽  
Epigenetic Marks ◽  
Exercise Interventions ◽  
Clinical Trials Registry ◽  
The Impact

BACKGROUND Kinesiotherapy is an option to mitigate the neuropsychomotor worsening of human aging. Also, exergames are beneficial for the practice of physical therapy of the elderly. There is evidence that physical exercise interventions can alter the epigenome, but little is known about its association with exergames. OBJECTIVE We aim to evaluate the effects of kinesiotherapy with exergaming on elderly women's epigenetic marks and cognitive ability, alongside the effects on clinical functional variables. Our hypothesis states this kind of therapy can elicit equal or even better outcomes than the conventional one. METHODS We will develop a virtual clinic exergame with 8 types of kinesiotherapy exercises. Afterward, we will conduct a 1:1 randomized clinical trial to compare the practice of kinesiotherapy with exergames (intervention group) against conventional kinesiotherapy (control group). A total of 24 elderly women will be enrolled for 1-hour sessions performed twice a week, for 6 weeks, totaling 12 sessions. We will assess outcomes at various stages using epigenetic blood tests, Montreal Cognitive Assessment test, Timed Up and Go test, muscle strength grading in a hydraulic dynamometer, and Game Experience Questionnaire. RESULTS The project was funded at the end of 2019. Game development takes place during 2020. Patient recruitment and clinical trial are planned for 2021. CONCLUSIONS Research on this topic is likely to significantly expand the understanding of kinesiotherapy and the impact of exergames. To our knowledge, this may be one of the first studies exploring epigenetic outcomes of exergaming interventions. CLINICALTRIAL Brazilian Clinical Trials Registry RBR-9tdrmw

scholarly journals The frailty and falling in related with functional performance, balance and physical activity in elderly during Covid-19 pandemics

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
G Utku ◽  
B Akinci ◽  
E Yilmaz ◽  
E Erdinc ◽  
I Atmaca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly Women ◽  
Fear Of Falling ◽  
Functional Performance ◽  
Short Form ◽  
The Elderly ◽  
Activity Level ◽  
Timed Up And Go ◽  
Sit To Stand ◽  
Frailty Score

Abstract Funding Acknowledgements Type of funding sources: None. Background Falls and frailty are main causes of morbidity and frequenty associated with functional performance, balance and physical activity. The restrictions imposed by the COVID-19 pandemic force the elderly to spend most of their time at home which may cause further functional problems. Therefore, identifying the risk factors during the pandemic can help to prevent the elderly from frailty and falls. Aim: Our aims are to investigate the clinical frailty profile and falls in relation to functional performance, balance, fear of falling and physical activity and to compare these parameters of the elderly with and without falling history during the COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) who have never had COVID-19 were included in the study. The participants were invited to an online video-conference based assessment. The number of falls during the last year were asked. Clinical frailty severity was assessed with Clinical Frailty Scale. The fear of falling were assessed using Falls Efficacy Scale (FES). The functional performance of the participants were tested with 30 seconds Sit-to-Stand test. The balance and mobility was evaluated with Timed-Up and Go test in a 3 meter corridor. The physical activity level of the participants were questioned using International Physical Activity Questionnaire-Short Form (IPAQ-SF) and vigorous level of physical activity (VPA), moderate level of physical activity (MPA) and walking were also calculated. Results: The mean scores of the outcomes among participants were shown in Table 1. Clinical frailty was significantly higher in women compared to men (p = 0.08). Clinical frailty score, fear of falling and sit to stand performance were significantly worse in fallers. There were negative weak to moderate correlations between frailty and sit to stand performance (p = 0.001) and MPA (p = 0,016). The clinical frailty was also positively correlated with FES (p < 0.001). FES showed positive correlation with Time-Up and Go performance (p = 0.001) and negative correlation with sit to stand performance (p < 0.001) and MPA (p = 0,036). Conclusion: Our results demonstrated that; clinical frailty, fear of falling and sit to stand performance were associated with the fall history in elderly. In addition, clinical frailty score were higher in women. Our results indicate that, people who have fall history may tend to be frailer and may have lower functional performance, balance and physical activity. The encouragement of the elderly to increased physical activity and exercise program may decrease the frailty score and falling risk especially in elderly women during COVID-19 pandemics.

scholarly journals Telerehabilitation Intervention in Patients with COVID-19 after Hospital Discharge to Improve Functional Capacity and Quality of Life. Study Protocol for a Multicenter Randomized Clinical Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 2924
Author(s):  
José-Manuel Pastora-Bernal ◽  
María-José Estebanez-Pérez ◽  
Guadalupe Molina-Torres ◽  
Francisco-José García-López ◽  
Raquel Sobrino-Sánchez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Hospital Discharge ◽  
Study Protocol ◽  
Functional Capacity ◽  
Treatment Method ◽  
Current Evidence ◽  
Current Standard

COVID-19 can cause important sequels in the respiratory system and frequently presents loss of strength, dyspnea, polyneuropathies and multi-organic affectation. Physiotherapy interventions acquire a fundamental role in the recovery of the functions and the quality of life. Regarding the recovery phases after hospital discharge, the current evidence available is very preliminary. Telerehabilitation is presented as a promising complementary treatment method to standard physiotherapy. The main objective of this research is to evaluate the effectiveness of a personalized telerehabilitation intervention after discharge from hospital for the improvement of functional capacity and quality of life compared to a program of health education and/or care in a rehabilitation center. As secondary objectives, to identify the satisfaction and perception of patients with the telerehabilitation intervention and the presence of barriers to its implementation, as well as to evaluate the cost-effectiveness from the perspective of the health system. This study protocol will be carried out through a single blind multicenter randomized clinical trial in the south of Spain. We hypothesize that the implementation of a telerehabilitation program presents results not inferior to those obtained with the current standard intervention. If the hypothesis is confirmed, it would be an opportunity to define new policies and interventions to address this disease and its consequences. Trial registration NCT04742946.

scholarly journals Effect of acupressure on knee osteoarthritis symptoms in the elderly: a double-blind randomized clinical trial

10.19082/7489 ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 7489-7498
Author(s):  
Ali Ansari Jaberi ◽  
Tahere Norouzi ◽  
Shahin Haydari ◽  
Tayebeh Negahban Bonabi
Keyword(s):  
Clinical Trial ◽  
Knee Osteoarthritis ◽  
Randomized Clinical Trial ◽  
The Elderly ◽  
Double Blind

scholarly journals P2560Cardiac rehabilitation effects on functional capacity of patients with artificial cardiac pacemakers: a randomized clinical trial

2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
L Lopes Do Nascimento ◽  
T S V Jardim ◽  
L A B Sa ◽  
A M C Lima ◽  
I C Oliveira ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Functional Capacity ◽  
Cardiac Pacemakers

RELATIONSHIP BETWEEN THE LEVEL OF EDUCATION AND FUNCTIONAL CAPACITY IN ACTIVE ELDERLY ADULTS

2014 ◽  
pp. 1-5
Author(s):  
M.-M. DUBUC ◽  
S. BARBAT-ARTIGAS ◽  
A.D. KARELIS ◽  
M. AUBERTIN-LEHEUDRE
Keyword(s):  
Oxygen Consumption ◽  
Functional Capacity ◽  
Maximal Oxygen Consumption ◽  
The Elderly ◽  
Knee Extensors ◽  
Elderly Adults ◽  
Timed Up And Go ◽  
Level Of Education ◽  
Sf 36 ◽  
The Relationship

Background:Both the level of education and functional capacity seems to be associated with the levelof physical activity in the elderly. However, the relationship between the level of education and functionalcapacity in active elderly adults is poorly understood. Objective:To examine the association between the level ofeducation and the functional capacity profile of active elderly adults. Design:Cross-sectional. Participants:Onehundred and four elderly men and 198 postmenauposal women (mean age: 62.7 ± 7.6 years old) were recruitedamong registered members of the YMCAs of Montreal who practiced at least one hour of structured physicalactivity per week. Participants were then divided in two groups based on their level of education (the cut-offpoint was the high-school diploma). Measurements:Body composition (DXA), muscle strength (knee extensors,handgrip), estimated maximal oxygen consumption (2-km walk test), perceived health (SF-36) and functionalcapacity (timed up and go, alternate step and one-leg stance tests) were measured. The level of education of theparticipants was assessed by questionnaire. Results:Body composition was similar between groups. We observedthat all functional capacity tests as well as the global functional capacity score were significantly higher in themost educated group compared to the least educated group (p<0.05). In addition, the most educated group hadsignificantly higher levels of knee extensors strength, estimated maximal oxygen consumption and perception ofphysical functioning. Conclusions:A higher level of education was associated with a favourable functionalcapacity profile in our cohort of active elderly adults. However, the mechanism(s) which could mediate thisassociation remain(s) unknown.

The Effects of a Divided-Attention Timed Stepping Accuracy Task on Balance, Strength, Endurance, and Functional Performance in Healthy Older Adults: A Pilot Study

2019 ◽  
Vol 27 (4) ◽  
pp. 521-528 ◽  
Author(s):  
Susan J. Leach ◽  
Joyce R. Maring ◽  
Ellen Costello
Keyword(s):  
Older Adults ◽  
Divided Attention ◽  
Functional Performance ◽  
Step Length ◽  
Berg Balance Scale ◽  
Primary Outcome Measure ◽  
Community Dwelling ◽  
Timed Up And Go ◽  
Healthy Older Adults ◽  
Stepping Accuracy

The aim of this study was to investigate whether a 6-week Divided-Attention Stepping Accuracy Task (DATSAT) intervention improved the primary outcome measure, maximal step length; other balance measures (Berg Balance scale and Timed Up and Go test); leg strength; endurance (6-min walk test); and functional tasks in 15 community-dwelling healthy older adults (age: 71.5 years, female: 46.7%) compared with 15 community-dwelling healthy older adults in a Bike and Strength (B&S) program (age: 73.8 years, female: 33.3%). Participants trained 3× per week, 30–60 min per session. Stepping-group differences were significant for all measures. B&S group improved in maximal step length (anterior and lateral), strength, and one functional task. Stepping group outperformed B&S group in Timed Up and Go and maximal step length posterior. B&S group outperformed stepping group in two strength measures. Exertion scores were lower for the stepping group. Overall, Divided-Attention Timed Stepping Accuracy Task training resulted in more within-group improvements and two between-group measures with less perceived effort and shorter intervention times.

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