Effects of Physical Exercise on Lower Body Strength, Balance and Reducing Risk of Falls of Older People

Yıl 2019, Cilt: 7 Sayı: 3, 34 - 40, 27.12.2019

Hung Manh Nguyen

Öz

The main aim of this study was to investigate the effects of physical exercises on lower body strength, balance and reducing risk of falls of community-dwelling older people in order to suggest an effective intervention for fall prevention for this population. Participants were divided into intervention and control groups. Intervention group followed exercise program in twelve weeks whereas control group still remain daily activities and did not participate in any new exercice program. The lower body strength and balance of research groups were evaluated by Chair stand test, 8-foot up and go test, Stand on one leg with eyes open and eyes closed tests. After twelve-week intervention, participants in intervention group obtained better results in all tests calculated by t-test (p<.05), making a significant improvement in lower body strength and balance which may reduce the risk of falls. It can be suggested that the exercise program was effective in improving lower body strength, balance and reducing risk of falls of older people.

Anahtar Kelimeler

Physical exercices, Strength, Balance, Risk of falls

Kaynakça

• Arnold, C. M., Sran, M. M., & Harrison, E. L. (2008). Exercise for Fall Risk Reduction in Community-Dwelling Older Adults: A Systematic Review. Physiother Can, 60(4), 358-372.
• Bell, A., Talbot-Stern, J., & Hennessy, A. (2000). Characteristics and outcomes of older patients presenting to the emergency department after a fall: a restrospective analysis. Medical Journal of Australia, 173(4), 179-182.
• Campbell, A. J., Borrie, M. J., Spears, G. F., Jackson, S. L., Brown, J. S., & Fitzgerald, J. L. (1990). Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age and Ageing, 19(2), 136-141.
• Carter, N. D., Kannus, P., & Khan, K. M. (2001). Exercise in the prevention of falls in older people: A systematic literature review examining in rationale and the evidence. Sports Medicine, 31(6), 427-438.
• Cho, S. I., & An, D. H. (2014). Effects of a fall prevention exercise program on muscle strength and balance of the old-old elderly. Journal of Physical Therapy Science, 26, 1771-1774.
• Cho, S. I., An, D. H., & Yoo, W. G. (2014). Effects of Recreational Exercises on the Strength, Flexibility, and Balance of Old-old Elderly Individuals. Journal of Physical Therapy Science, 26(10), 1583-1584
• Clemson, L., Fiatarone Singh, M. A., Bundy, A., Cumming, R. G., Manollaras, K., O'Loughlin, P., & Black, D. (2012). Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. BMJ, 345:e4547. doi: 10.1136/bmj.e4547.
• Clinical Excellence Commision. (2012). Falls Prevention Program.
• Day, L., Fildes, B., Gordon, I., Fitzharris, M., Flamer, H., & S., L. (2002). Randomised factorial trial of falls prevention among older people living in their own homes. BMJ . 325(7356):128.
• Deschenes, M. R. (2004). Effects of aging on muscle fibre type and size. Sports Medicine, 34, 809-824.
• El-Khoury, F., Cassou, B., Charles, M. A., & Dargent-Molina, P. (2013). The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials. BMJ, 347:f6234. doi: 10.1136/bmj.f6234.
• Freiberger, F., Menz, H. B., Abu-Omar, K., & Rutten, A. (2007). Preventing falls in physically active community-dwelling older people: a comparison of two intervention techniques. Gerontology, 53(5), 298-305.
• Gardner, M., Robertson, M., & Campbell, M. (2000). Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials. Br J Sports Med, 34(1), 7-17.
• Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L. M., & Lamb, S. E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev, 9 CD007146. doi: 10.1002/14651858.CD007146.pub3.
• 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 & Geriatric Medicine, 2, 1-13.
• Hagedorn, D. K., & Holm, E. (2010). Effects of traditional physical training and visual computer feedback training in frail elderly patients. A randomized intervention study. Eur J Phys Rehabil Med, 46(2), 159-168.
• Kannus, P., Parkkari, J., & Niemi, S. (2000). Prevention of hip fracture in elderly people with use of a hip protector. N Engl J Med, 343(1506-1513).
• Keller, K., & Engelhardt, M. (2014). Strength and muscle mass loss with aging process. Age and strength loss. Muscles Ligaments Tendons J, 3(4), 346-350.
• Khasnis, A., & Gokula, R. M. (2003). Romberg's test. Journal of Postgraduate Medicine, 49(2), 169-172.
• Land, S., & Dinan, S. (2010). An Age UK Home Exercise.
• Lee, C. T. (1998). Sharpening the Sharpened Romberg. SPUMS Journal, 28(3), 125-132.
• National Institute of Aging. (2018). Exercises and Physical activities.
• Pearce, & John, M. S. (2005). Romberg and His Sign. European Neurology, 53(210-3).
• Rikli, R., & Jones, C. J. (2001). Senior Fitness Tests Manual. Champaign, IL: Human Kinetics.
• Rogers, J. H. (1980). Romberg and his test. J Laryngol Otol, 94(12), 1401-1404.
• Rubenstein, L. Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing, 35 Suppl 2:ii37-ii41 DOI: 10.1093/ageing/afl084.
• Shanthi, G. S., & Krishnaswamy, B. (2005). Risk Factors for Falls in Elderly. Journal of The Indian Academy of Geriatrics, 2, 57-60.
• Sherrington, C., Whitney, J. C., Lord, S. R., Herbert, R. D., Cumming, R. G., & Close, J. C. T. (2008). Effective Exercise for the Preventtion of Falls: A Systematic Review and Meta-Analysis. Journal of the American Geriatrics Society, 56, 2234-2243.
• Tinetti, M. E., Baker, D. I., McAvay, G., Claus, C. B., Garrett, P., Gottschalk, M., . . . Horwitz, R. I. (1994). A multifactorial intervention to reduce the risk of falling among elderly people living in the community. The New England Journal of Medicine, 331(13), 821-827.
• Tinetti, M. E., Richman, D., & Powell, L. (1990). Falls Efficacy as a measure of fear of falling. Journal of Gerontology, 45(6), 239-243.
• Tinetti, M. E., & Williams, C. S. (1997). Falls, injuries due to falls, and the risk of admission to a nursing home. New England Journal of Medicine, 337(18), 1279-1284.
• Tomicki, C., Zanini, S. C. C., Cecchin, L., Benedetti, T., R. B., Portella, M. R., & Leguisamo, C. P. ( 2016). Effect of physical exercise program on the balance and risk of falls of institutionalized elderly persons: a randomized clinical trial. Rev. bras. geriatr. gerontol, 19(3), 473-482.