scholarly journals Comparative Study of Balance Exercises (Frenkel) and Aerobic Exercises (Walking) on Improving Balance in the Elderly

Author(s):  
Mohammad Reza Vafaeenasab ◽  
Athareh Amiri ◽  
Mohammad Ali Morowatisharifabad ◽  
Seyedeh Mahdieh Namayande ◽  
Hossein Abbaszade Tehrani

Introduction: Balance in the elderly is one of the important issues, and imbalance can create irreparable problems for the elderly. The aim of this study was to investigate the effect of Frenkel balance exercise and aerobic exercise (walking) on improving the balance of elderly patients in Kerman province in 2016-2017.  Methods: We used a randomized block design, with 4 participants in each block; 48 elderly men and women living in the nursing homes of Kerman province were randomly assigned to two groups, balance (Frenkel) exercises and aerobic exercises (walking). The two groups performed Frenkel exercises and aerobic exercises (walking) for three 10- to 15-min sessions a week for five weeks. The balance time using the Sharpened Romberg test was recorded to measure static balance and the Get Up and Go test used to measure dynamic balance before and after the exercise program. To describe the variables studied, central tendency indicators and dispersion were used. Paired t-test was used to compare the time of balance before and after intervention and independent t-test to compare changes in balance time between two groups. Results: The mean static balance (with Sharpend Römberg test) was increased from 3.16 s to 6.01 s in Frenkel exercise, and from 3.33 s to 4.95 s in aerobic training group, indicating an improvement in the static balance after intervention. The mean time of dynamic balance (in the Get Up and Go test) during Frenkel exercise reduced from 17.07 s to 12.03 s, and during aerobic training from 17.08 s to 10.9 seconds, indicating an improvement in dynamic balance (p < 0.01). However, there was no significant difference in the mean changes in the duration of dynamic and static balance before and after intervention in the two groups. Conclusion: Both Frenkel exercise and walking equally improve static and dynamic balance in the elderly in different settings.

2019 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.


2021 ◽  
Vol 19 (3) ◽  
pp. 279-288
Author(s):  
Mohammad Hani Mansori ◽  
◽  
Yousef Moghadas Tabrizi ◽  
Kamal Mohammadkhani ◽  
◽  
...  

Objectives: Walking and balance control are determining factors in the independence of the elderly because they are the main components of daily physical activity. This study evaluated the effectiveness of Dynamic Neuromuscular Stability (DNS) training on balance and gait function in the elderly. Methods: This study had a pre-test/post-test design. It was a quasi-experimental study performed on 30 older men aged 60-70 years in Qom Province, Iran, in 2021. The elderly was randomly divided into experimental (n=15) and control (n=15) groups. The Experimental Group (EG) participated in three 45-min sessions of dynamic neuromuscular stability training every week for 6 weeks, and the Control Group (CG) continued their normal daily routine. Berg balance scale (dynamic balance), modified stork stand (static balance), and temporal and spatial gait parameters were used to collect information before and after applying the training protocol. The obtained data were analyzed using ANCOVA statistical method and the paired t test. Results: There were significant differences between pre-test and post-test in EG regarding the variables of dynamic balance, static balance (P=0.001), and gait function, but in the CG, no significant difference was observed for these variables (P>0.05). Also, there was a significant difference between the mean scores obtained in the balance and gait tests between the two groups (P<0.05), and EG performed better in the post-test. Discussion: DNS training due to the great variety of movement in different parts of the body and the effect on improving strength, flexibility, range of motion, and physical fitness can also improve balance and gait function in the elderly. According to the present study results, one of the best ways to reduce the costs and physical, psychological, and social problems caused by aging is to use DNS training for the elderly.


2020 ◽  
Vol 6 (1) ◽  
pp. 44-53
Author(s):  
Ali Fattahi ◽  
◽  
Zahra Koreili ◽  
Mitra Ameli ◽  
◽  
...  

Objective: The purpose of this study was to examine the instantaneous effect of insole on the balance of adolescents with flat foot and Pes Cavus. Methods: In this quasi-experimental study, 34 adolescents with flat foot and Pes Cavus (17 girls and 17 boys) in the age range of 11 to 14 years in Tehran were randomly selected and their balance performance in static and dynamic positions was examined before and after instantaneous using of insole. Data were analyzed using paired t-test and independent t-test. Results: Paired t-test results showed that the instantaneous effect of insole on dynamic balance is significant (P=0.00), but it had no significant effect on static balance (P=0.07). The results of independent t-test showed no significant difference between the two groups in terms of dynamic balance (P=0.99) and static balance (P=0.52) in Pre-test phase. There was no significant difference between the two groups in dynamic balance (P=0.25) and static balance (P=0.72) in Post-test phase, either. Conclusion: Using medical insole can improve the dynamic balance in adolescents with Pes Cavus and flat foot, but has no effect on their static balance.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Zahra Mandegari Bamakan ◽  
Khadijeh Nasiriani ◽  
Farzan Madadizadeh ◽  
Fatemeh Keshmiri

Abstract Background The knowledge and attitude of health care providers are important and influential factors in providing care services to the elderly and need to be considered during the training course. Simulation in geriatric nursing education can be an opportunity for learners to experience the restrictions of the elderly. The present study was conducted to determine the effect of training through simulation on the attitude and knowledge of nursing students in elderly care. Methods This study was quasi-experimental with two experimental and control groups of pre and post-test, which was conducted on 70 nursing students of the 5th semester (two groups of 35 people). For the experimental group, the elderly simulation suit was worn for two hours, which was designed by the researcher and created sensory, physical, and motor restrictions similar to the elderly for students. Before and after the study, Kogan’s attitudes toward older people scale and Palmore’s “facts on aging quiz” were completed by students. The data were analyzed using an independent t-test and paired t-test using SPSS version 16 software. Results The mean scores of students’ knowledge in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). But the mean scores of knowledge in the experimental group before and after the intervention was (9.2 ± 2.6) and (15.3 ± 3.5), respectively, and in the control group before and after the intervention was (10.4 ± 2.9) and (11.3 ± 2.6), respectively, which had a statistically significant difference (p = 0.0001). The mean scores of students’ attitudes in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). The mean scores of attitude in the experimental group before and after the intervention was (114.69 ± 8.4) and (157.31 ± 10.7), respectively and in the control group before and after the intervention was (113.34 ± 13.6) and (108.5 ± 16.6), respectively, which was significantly different (p = 0.0001). Conclusions Based on the findings, the experience of aging restrictions through simulation has improved the knowledge and attitude of nursing students towards the elderly. Nursing education requires the growth of attitudinal skills, individuals’ beliefs, and creating empathy among them, so creating simulation opportunities can assist nursing students in the educational processes.


Author(s):  
Sri Sukarni

This research aimed to describe the result of the non-English department students’ reading comprehension tested by using cloze test and the effect of using cloze test on non-English department students’ achievement on reading comprehension. This research is classified into pre-experimental research that used one group pre-test and post-test design.  The population of this research is the non-English department students in the academic Year 2020/2021 with a total number of 107 students. The researcher used non-probability sampling type purposive sampling technique and there were 44 students taken as samples. The test is the instrument in this research. Data are taken from the result of pre-test and post-test then analyzed by using statistical technique. The analysis is used to find the significant difference in the students’ reading comprehension ability before and after the use of cloze test. In this research, the researcher used paired sample t-test through SPSS 17.0 to analyze the data. Based on data analysis, the mean score of the pre-test was 46.86 categorized as poor whereas the mean score of the post-test was 65.61 categorized as average to good. The mean score of the pre-test 46.86 smaller than 65.61 mean scores of the post-test. It meant that there was a difference mean score of students’ reading comprehension between the pre-test and post-test. This finding showed there was a different score before and after giving treatment. The result of paired samples t-test analysis showed the significance value Sig. (2-tailed) < alpha (0.000 < 0.05). Therefore, the alternative hypotheses which stated that there is an effect of using cloze test on improving non-English department students’ reading comprehension is accepted. It is concluded that there was an effect of cloze test on improving non-English department students’ reading comprehension.


2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Nur Hidayati

The objectives of the study are (1) To find out the students’ vocabulary mastery before being taught by using homophone stories, (2) To find out the students’ vocabulary mastery after being taught by using homophone stories, (3) To find out the significant difference the vocabulary mastery of the seventh grade students of SMP N 1 Kranggan before and after being taught using homophone stories. The population of the study was the seventh grade students of SMP N 1 Kranggan. The writer took class 7D as a sample of the study. The class consists of 31 students. The writer used experimental quantitative research in the study. Test as the instrument was used to collect the data. The objective of conducting try out test was to measure the validity, reliability, discrimination power, and level difficulty of the test. The data was computed and it was find out that 30 items were valid. Then, the valid items were used for the pre-test and post-test of vocabulary mastery item tests. The result of the mean score of students before being taught by using homophone stories was 56.34 and the mean score of students after being taught by using homophone stories was 77.5. The result showed that the mean score of post-test was higher than pre-test. Then, the writer calculated t-test to know whether or not there was significant difference students’ achievement between them who were taught before using homophone stories and students who were taught after using homophone stories. The result showed that t-test was higher than t-table. It was 9.19> 1.697. It means that there is significant difference between the students’ vocabulary mastery after being taught by using homophone stories and before being taught by using homophone stories. From the data above, it can be concluded that the students’ vocabulary mastery after being taught by using homophone stories was higher than the students’ vocabulary mastery before being taught by using homophone stories. The data prove that it is effective to use homophone stories as a media teaching in improving students’ vocabulary mastery.


2017 ◽  
Vol 24 (1) ◽  
Author(s):  
Prahara Yuri ◽  
Sungsang Rochadi

Objective: This study aimed to find out the effectiveness of percutaneous nephrostomy (PCN) as palliative decompression of the obstructed urinary system. Materials & Methods: A case control study was performed with 118 patients (69 female and 49 male) with obstructive uropathy who were undergoing PCN during 2009 until 2012, retrospectively. The mean of age was 50.03 years. The PCN technique involves an ultrasound-guided puncture of the dilated collecting system with nephrostomy trocar than insert an 8 Fr nasogastric tube as nephrostomy catheter. Differences of renal function between benign and malignancy were assessed using Independent t-test. Changes in renal function after procedure were expressed as mean ± SD and analyzed using Pair t-test.  Results: There was no procedure-related mortality. The most cause of malignancy was cervix cancer (36.4%) while the result of a benign process was 28.8% of urinary tract stones. Dialysis before procedure were performed in 43 (36.4%) consisting of 42 malignancies and 1 benign process. Improvement in renal function were statistically significant both benign and malignant groups seen in the levels of creatinine and blood urea nitrogen (BUN) before and after procedure (p<0.001). The mean differences were also statistically significant at the preoperative creatinine values between benign and malignant processes (p=0.019) but BUN levels before and after as well as postoperative creatinine levels showed no significant difference. Conclusion: PCN is a widely used technique, with a high technical success rate and low rate of complications. Obstructive uropathy due to benign processes had a better prognosis than malignancy after PCN treatment. Hemodialysis was mainly performed in patients with malignancy prior to PCN.


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
M. Khoiruddin

The objectives of this research are (1) to find out the speaking ability of SMA Negeri 2 Rembang students before being taught using series pictures of storytelling, (2) to find out the speaking ability of SMA Negeri 2 Purwodadi students after being taught using series pictures of storytelling, and (3) to find out whether or not there is a significant difference of speaking ability of SMA Negeri 2 Purwodadi students before and after being taught using series pictures of storytelling.This study uses Experimental method. The number of populations in this research is30 students. The method of data collection is spoken test. First the writer gives pre-test to the students and scores. Second the writer gives a treatment for two meetings at this time, the writer implements the series pictures in classroom activities. At last, the writer gives the students a post test. The data analysis reveals that the mean of pre-test score is 61,03 ; it is at fair level. The mean of post-test score is 76,1 ; it is at good level. Then the result of t-test is9,71, and the t-table of 30 students is2,04. The result of t-test is higher than t-table. Based on research analysis, the writer takes conclusions: first the speaking ability of the students before being taught using series pictures of storytelling is fair, second the speaking ability of the students after being taught using series pictures of storytelling is good, and last there is significant improvement of English speaking ability of the students taught by using series pictures of storytelling. The writer also suggests to all of teachers of senior high school. It is better for them to use the media of series pictures of storytelling to improve the students’ speaking ability. It is for the simple reason that a series pictures are a media to improve the speaking ability at storytelling. The writer also suggests to the students that the study is as recommendation to motivate the students in improving the students’ speaking ability. The students are encouraged to give their opinions, ideas and imagination about the presented pictures. Definition of key terms (1) series picture A picture is an illustration of pictures that can be used as a two dimensional visual representation of percent, place, or things. (2) Media is any extension of man which allows him to affect other people who are not in face to face with him. (3) Story telling is In this research storytelling is used to improve the students’ speaking ability. It caused that storytelling can improve the ideas and imagines their story and express it by telling the story. It helps the students to speak and talk active.


2021 ◽  
Vol 68 (1) ◽  
pp. 3-17
Author(s):  
Mina Parvizishad ◽  
Simin Naseri ◽  
Ramin Nabizadeh ◽  
Abdollah Sohrabi Bidar ◽  
Amir Hossein Mahvi ◽  
...  

Abstract Dam construction is one of the most popular solutions for managing water resources. In recent years, changes in patterns of regional seismicity associated with large impoundment dams have raised concerns among environmentalists. In this study, five large dams located in Iran were studied from this perspective. The Gutenberg-Richter, linear regression and T-test were used to examine the seismic changes in the radius of 100 km of each of the dams during a twenty-five-year period before and after the construction of the dams. The results revealed that the seismicity level and relative density of large and small earthquakes in three of these dams have increased after dam construction. A significant difference between the magnitude of earthquakes, as well as the number of earthquakes before and after the construction of dams in the region, was recognized. However, the results of the T-test statistical analysis indicated that the mean depth of the earthquakes and their distance from the dams before and after construction have not changed significantly. Overall, these results indicated that the construction of large impoundment dams has been associated with some changes in patterns of regional seismicity. The findings would guide researchers to further investigate the type of impacts that dam construction may have on seismicity patterns.


Author(s):  
Morteza Taheri ◽  
Shakiba Farzian ◽  
Atefeh Esmaeili ◽  
Ebrahim Shabani

Objectives: The aim of this research was to study the effects of a course of water therapy and jogging on factors related to the physical fitness of elderly women. Methods: Semi experimental study was performed by pretest-posttest design in which elderly women over 60 (64.3 ± 2.5 years old) were randomly divided into 3 groups of water therapy exercises, jogging group (JG) and control group (CG). Factors related to physical fitness (lower limb muscle strength test, static balance, dynamic balance and physical flexibility) before and after interventional exercises. One-way ANOVA and Tukey's post hoc test were applied to analyze the data. Results: It was shown that both water therapy exercises and jogging had a significant effect on static (P = 0.03), dynamic (P = 0.04), lower limb strength [P = 0.03 and (P = 0.01) for WTE and JG, respectively] and physical flexibility scores (P = 0.03), but there was no significant difference between the two experimental groups in all research variables (P ≥ 0.05). Conclusions: The use of water therapy and jogging exercises leads to improved static and dynamic balance, muscular strength of the lower extremities. Since improving the motor performance variables has a significant effect on preventing the falling of the elderly, it is recommended to use these exercises for the elderly.


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