Effectiveness of a short-term and simple exercise training program for older adults
DOI:
https://doi.org/10.14198/jhse.2021.163.20Keywords:
Fall risk, Elderly exercise, Postural sway, Training program, Elastic bandsAbstract
While there have been many studies determining the effectiveness of training programs to decrease fall risk in the elderly, most of them require special equipment, leader training, or major time commitments (more than 8 weeks, multiple times per week). Individuals older than 66 years old identified an exercise program offered at home, twice a week, lasting 10 or 30 minutes, and with no associated cost as being more attractive than other training program options offered (Franco et al., 2015). The objective of this study was to determine the effectiveness of a simple six-week exercise program on fall risk factors. Thirty-eight older adults were assigned to a Training Group or a Control Group. Investigator-led balance and lower extremity strength exercises were performed twice a week. Mobility, leg strength and postural sway were measured before and after the six weeks for both groups. A survey determined perceptions of participant abilities and fear of falling at three different times. Timed Up and Go times decreased (p = .008), leg strength increased (p = .022), and postural sway decreased in the anteroposterior direction and overall, for the Training Group (p < .05) while the Control group displayed no differences. Surveys administered determined no differences for the Control group, but the Training Group perceived that they had better balance, mobility, and leg strength and a decreased fear of falling (p < .05). This simple training program led to changes that would likely decrease fall risk and did so in an extremely short time.
Funding
Swenson Summer Research Fellowship ProgramDownloads
References
Banez, C., Tully, S., Amaral, L., Kwan, D., Kung, A., Mak, K., ... & Alibhai, S. M. (2008). Development, implementation, and evaluation of an interprofessional falls prevention program for older adults. Journal of the American Geriatrics Society, 56(8), 1549-1555. https://doi.org/10.1111/j.1532-5415.2008.01790.x
Barbosa, B. T., Silva, R. L. S. D., Meneses, A. B. C. D., Brindeiro-Neto, W., Bacurau, T. P., Rocha, A. I. S. D. S., ... & Brasileiro-Santos, M. D. S. (2019). Self-related quality of life of elderly submitted to a 12-week aquatic training program. Journal of Human Sport and Exercise, 14(2), 281-291. https://doi.org/10.14198/jhse.2019.142.03
Bergen, G., Stevens, M.R., & Burns, E.R. (2016). Falls and fall injuries among adults aged ≥ 65 years—United States, 2014. MMWR. Morbidity and Mortality Weekly Report, 65. https://doi.org/10.15585/mmwr.mm6537a2
Bird, M. L., & Fell, J. (2014). Positive long-term effects of Pilates exercise on the age-related decline in balance and strength in older, community-dwelling men and women. Journal of Aging and Physical Activity, 22(3), 342-347. https://doi.org/10.1123/japa.2013-0006
Boyd, R., & Stevens, J. A. (2009). Falls and fear of falling: burden, beliefs and behaviours. Age and Ageing, 38(4), 423-428. https://doi.org/10.1093/ageing/afp053
Burns, E., & Kakara, R. (2018). Deaths from falls among persons aged≥ 65 years—United States, 2007–2016. Morbidity and Mortality Weekly Report, 67(18), 509. https://doi.org/10.15585/mmwr.mm6718a1
Cadore, E. L., Rodríguez-Mañas, L., Sinclair, A., & Izquierdo, M. (2013). Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation Research, 16(2), 105-114. https://doi.org/10.1089/rej.2012.1397
Cancela Carral, J. M., Pallin, E., Orbegozo, A., & Ayan Perez, C. (2017). Effects of three different chair-based exercise programs on people older than 80 years. Rejuvenation Research, 20(5), 411-419. https://doi.org/10.1089/rej.2017.1924
Chang, H. T., Chen, H. C., & Chou, P. (2016). Factors associated with fear of falling among community-dwelling older adults in the Shih-Pai study in Taiwan. PloS One, 11(3), e0150612. https://doi.org/10.1371/journal.pone.0150612
Choi, N. G., Bruce, M. L., Dinitto, D. M., Marti, C. N., & Kunik, M. E. (2019). Fall worry restricts social engagement in older adults. Journal of Aging and Health, 0898264319825586. https://doi.org/10.1177/0898264319825586
de Oliveira, M. R., da Silva, R. A., Dascal, J. B., & Teixeira, D. C. (2014). Effect of different types of exercise on postural balance in elderly women: a randomized controlled trial. Archives of Gerontology and Geriatrics, 59(3), 506-514. https://doi.org/10.1016/j.archger.2014.08.009
Delbaere, K., Bourgois, J., Van Den Noortgate, N., Vanderstraeten, G., Willems, T., & Cambier, D. (2006). A home-based multidimensional exercise program reduced physical impairment and fear of falling. Acta Clinica Belgica, 61(6), 340-350. https://doi.org/10.1179/acb.2006.054
Delbaere, K., Crombez, G., Vanderstraeten, G., Willems, T., & Cambier, D. (2004). Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age and Ageing, 33(4), 368-373. https://doi.org/10.1093/ageing/afh106
Fisher, N. M., Dolan, D. M., Brenner, C., & Pendergast, D. R. (2004). Quantitative effects of a water exercise program on functional and physiological capacity in subjects with knee osteoarthritis: A pilot study. Sport Sciences for Health, 1(1), 17-24. https://doi.org/10.1007/s11332-004-0004-x
Franco, M. R., Howard, K., Sherrington, C., Ferreira, P. H., Rose, J., Gomes, J. L., & Ferreira, M. L. (2015). Eliciting older people's preferences for exercise programs: a best-worst scaling choice experiment. Journal of Physiotherapy, 61(1), 34-41. https://doi.org/10.1016/j.jphys.2014.11.001
Fukusaki, C., Masani, K., Miyasaka, M., & Nakazawa, K. (2016). Acute positive effects of exercise on center-of-pressure fluctuations during quiet standing in middle-aged and elderly women. The Journal of Strength & Conditioning Research, 30(1), 208-216. https://doi.org/10.1519/jsc.0000000000001062
Gusi, N., Adsuar, J. C., Corzo, H., del Pozo-Cruz, B., Olivares, P. R., & Parraca, J. A. (2012). Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial. Journal of Physiotherapy, 58(2), 97-104. https://doi.org/10.1016/s1836-9553(12)70089-9
Hafström, A., Malmström, E. M., Terdèn, J., Fransson, P. A., & Magnusson, M. (2016). Improved balance confidence and stability for elderly after 6 weeks of a multimodal self-administered balance-enhancing exercise program: a randomized single arm crossover study. Gerontology and Geriatric Medicine, 2. https://doi.org/10.1177/2333721416644149
Judge, J. O., Lindsey, C., Underwood, M., & Winsemius, D. (1993). Balance improvements in older women: effects of exercise training. Physical Therapy, 73(4), 254-262. https://doi.org/10.1093/ptj/73.4.254
Justine, M., Hamid, T. A., Mohan, V., & Jagannathan, M. (2011). Effects of multicomponent exercise training on physical functioning among institutionalized elderly. ISRN Rehabilitation, 2012. https://doi.org/10.5402/2012/124916
Kaesler, D. S., Mellifont, R. B., Kelly, P. S., & Taaffe, D. R. (2007). A novel balance exercise program for postural stability in older adults: a pilot study. Journal of Bodywork and Movement Therapies, 11(1), 37-43. https://doi.org/10.1016/j.jbmt.2006.05.003
Kamide, N., Shiba, Y., & Shibata, H. (2009). Effects on balance, falls, and bone mineral density of a home-based exercise program without home visits in community-dwelling elderly women: a randomized controlled trial. Journal of Physiological Anthropology, 28(3), 115-122. https://doi.org/10.2114/jpa2.28.115
Kawasaki, T., Sullivan, C. V., Ozoe, N., Higaki, H., & Kawasaki, J. (2011). A long-term, comprehensive exercise program that incorporates a variety of physical activities improved the blood pressure, lipid and glucose metabolism, arterial stiffness, and balance of middle-aged and elderly Japanese. Hypertension Research, 34(9), 1059. https://doi.org/10.1038/hr.2011.81
Kim, J. W., Eom, G. M., Kim, C. S., Kim, D. H., Lee, J. H., Park, B. K., & Hong, J. (2010). Sex differences in the postural sway characteristics of young and elderly subjects during quiet natural standing. Geriatrics & Gerontology International, 10(2), 191-198. https://doi.org/10.1111/j.1447-0594.2009.00582.x
Kyrdalen, I. L., Moen, K., Røysland, A. S., & Helbostad, J. L. (2014). The Otago exercise program performed as group training versus home training in fall‐prone older people: a randomized controlled trial. Physiotherapy Research International, 19(2), 108-116. https://doi.org/10.1002/pri.1571
Lai, C. H., Peng, C. W., Chen, Y. L., Huang, C. P., Hsiao, Y. L., & Chen, S. C. (2013). Effects of interactive video-game based system exercise on the balance of the elderly. Gait & Posture, 37(4), 511-515. https://doi.org/10.1016/j.gaitpost.2012.09.003
Liu-Ambrose, T., Khan, K. M., Eng, J. J., Lord, S. R., & McKay, H. A. (2004). Balance confidence improves with resistance or agility training. Gerontology, 50(6), 373-382. https://doi.org/10.1159/000080175
Low, D. C., Walsh, G. S., & Arkesteijn, M. (2017). Effectiveness of exercise interventions to improve postural control in older adults: a systematic review and meta-analyses of centre of pressure measurements. Sports Medicine, 47(1), 101-112. https://doi.org/10.1007/s40279-016-0559-0
Maki, B. E., Holliday, P. J., & Topper, A. K. (1994). A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. Journal of Gerontology, 49(2), M72-M84. https://doi.org/10.1093/geronj/49.2.m72
Melzer, I., Kurz, I., & Oddsson, L. I. (2010). A retrospective analysis of balance control parameters in elderly fallers and non-fallers. Clinical Biomechanics, 25(10), 984-988. https://doi.org/10.1016/j.clinbiomech.2010.07.007
Nagy, E., Feher-Kiss, A., Barnai, M., Domján-Preszner, A., Angyan, L., & Horvath, G. (2007). Postural control in elderly subjects participating in balance training. European Journal of Applied Physiology, 100(1), 97-104. https://doi.org/10.1007/s00421-007-0407-x
Nicholson, V. P., McKean, M. R., & Burkett, B. J. (2014). Twelve weeks of BodyBalance® training improved balance and functional task performance in middle-aged and older adults. Clinical Interventions in Aging, 9, 1895. https://doi.org/10.2147/cia.s71769
Ortman, J. M., Velkoff, V. A., & Hogan, H. (2014). An aging nation: the older population in the United States (pp. 25-1140). Washington, DC: United States Census Bureau, Economics and Statistics Administration, US Department of Commerce.
Pajala, S., Era, P., Koskenvuo, M., Kaprio, J., Törmäkangas, T., & Rantanen, T. (2008). Force platform balance measures as predictors of indoor and outdoor falls in community-dwelling women aged 63–76 years. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 63(2), 171-178. https://doi.org/10.1093/gerona/63.2.171
Park, J., & Yim, J. (2016). A new approach to improve cognition, muscle strength, and postural balance in community-dwelling elderly with a 3-D virtual reality kayak program. The Tohoku Journal of Experimental Medicine, 238(1), 1-8. https://doi.org/10.1620/tjem.238.1
Paquette, M. R., Li, Y., Hoekstra, J., & Bravo, J. (2015). An 8-week reactive balance training program in older healthy adults: A preliminary investigation. Journal of Sport and Health Science, 4(3), 263-269. https://doi.org/10.1016/j.jshs.2014.06.004
Patil, R., Uusi‐Rasi, K., Tokola, K., Karinkanta, S., Kannus, P., & Sievänen, H. (2015). Effects of a multimodal exercise program on physical function, falls, and injuries in older women: a 2‐year community‐based, randomized controlled trial. Journal of the American Geriatrics Society, 63(7), 1306-1313. https://doi.org/10.1111/jgs.13489
Pereira, A., Izquierdo, M., Silva, A. J., Costa, A. M., Bastos, E., González-Badillo, J. J., & Marques, M. C. (2012). Effects of high-speed power training on functional capacity and muscle performance in older women. Experimental Gerontology, 47(3), 250-255. https://doi.org/10.1016/j.exger.2011.12.010
Petridou, E. T., Manti, E. G., Ntinapogias, A. G., Negri, E., & Szczerbińska, K. (2009). What works better for community-dwelling older people at risk to fall? A meta-analysis of multifactorial versus physical exercise-alone interventions. Journal of Aging and Health, 21(5), 713-729. https://doi.org/10.1177/0898264309338298
Pijnappels, M., Reeves, N. D., Maganaris, C. N., & Van Dieen, J. H. (2008). Tripping without falling; lower limb strength, a limitation for balance recovery and a target for training in the elderly. Journal of Electromyography and Kinesiology, 18(2), 188-196. https://doi.org/10.1016/j.jelekin.2007.06.004
Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Pondal, M., & del Ser, T. (2008). Normative data and determinants for the timed “up and go” test in a population-based sample of elderly individuals without gait disturbances. Journal of Geriatric Physical Therapy, 31(2), 57-63. https://doi.org/10.1519/00139143-200831020-00004
Prieto, T. E., Myklebust, J. B., Hoffmann, R. G., Lovett, E. G., & Myklebust, B. M. (1996). Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Transactions on Biomedical Engineering, 43(9), 956-966. https://doi.org/10.1109/10.532130
Rogers, M. E., Fernandez, J. E., & Bohlken, R. M. (2001). Training to reduce postural sway and increase functional reach in the elderly. Journal of Occupational Rehabilitation, 11(4), 291-298.
Rubenstein, L. Z. & Josephson K.R. (2002). The epidemiology of falls and syncope. Clinics in Geriatric Medicine, 18, 141-58. https://doi.org/10.1016/s0749-0690(02)00002-2
Shigematsu, R., Okura, T., Sakai, T., & Rantanen, T. (2008). Square-stepping exercise versus strength and balance training for fall risk factors. Aging Clinical and Experimental Research, 20(1), 19-24. https://doi.org/10.1007/bf03324743
Sousa, N., & Sampaio, J. (2005). Effects of progressive strength training on the performance of the Functional Reach Test and the Timed Get‐Up‐and‐Go Test in an elderly population from the rural north of Portugal. American Journal of Human Biology, 17(6), 746-751. https://doi.org/10.1002/ajhb.20446
Stel, V. S., Smit, J. H., Pluijm, S. M., & Lips, P. (2003). Balance and mobility performance as treatable risk factors for recurrent falling in older persons. Journal of Clinical Epidemiology, 56(7), 659-668. https://doi.org/10.1016/s0895-4356(03)00082-9
Swanenburg, J., De Bruin, E. D., Uebelhart, D., & Mulder, T. (2009). Compromising postural balance in the elderly. Gerontology, 55(3), 353. https://doi.org/10.1159/000212757
Vogler, C. M., Sherrington, C., Ogle, S. J., & Lord, S. R. (2009). Reducing risk of falling in older people discharged from hospital: a randomized controlled trial comparing seated exercises, weight-bearing exercises, and social visits. Archives of Physical Medicine and Rehabilitation, 90(8), 1317-1324. https://doi.org/10.1016/j.apmr.2009.01.030
Weerdesteyn, V., Rijken, H., Geurts, A. C., Smits-Engelsman, B. C., Mulder, T., & Duysens, J. (2006). A five-week exercise program can reduce falls and improve obstacle avoidance in the elderly. Gerontology, 52(3), 131-141. https://doi.org/10.1159/000091822
Whitehurst, M. A., Johnson, B. L., Parker, C. M., Brown, L. E., & Ford, A. M. (2005). The benefits of a functional exercise circuit for older adults. Journal of Strength and Conditioning Research, 19(3), 647. https://doi.org/10.1519/00124278-200508000-00027
Wright, R. L., Robinson, P. D., & Peters, D. M. (2012). Lifetime adherence to physical activity recommendations and fall occurrence in community-dwelling older adults: A retrospective cohort study. Journal of Human Sport and Exercise, 7(1), 310-320. https://doi.org/10.4100/jhse.2012.71.09
Yu, D. H., & Yang, H. X. (2012). The effect of Tai Chi intervention on balance in older males. Journal of Sport and Health Science, 1(1), 57-60. https://doi.org/10.1016/j.jshs.2012.03.001
Zijlstra, G. A. R., Van Haastregt, J. C. M., Van Eijk, J. T. M., van Rossum, E., Stalenhoef, P. A., & Kempen, G. I. (2007). Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age and Ageing, 36(3), 304-309. https://doi.org/10.1093/ageing/afm021
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