Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Comparison of rhythmic and non-rhythmic aerobic exercises on depression and balance in the elderly

  • Kwon, Il-Ho (Department of Physical Therapy, College of Health and Medical Science, Daejeon University) ;
  • Song, Jun-Young (Department of Physical Therapy, College of Health and Medical Science, Daejeon University) ;
  • Kim, Do-Ye (Department of Physical Therapy, College of Health and Medical Science, Daejeon University) ;
  • Son, Je-Yeong (Department of Physical Therapy, College of Health and Medical Science, Daejeon University) ;
  • Shim, Yu-Jin (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Shin, Won-Seob (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • Received : 2017.08.26
  • Accepted : 2017.09.18
  • Published : 2017.09.30
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Abstract

Objective: The purpose of this study was to investigate the effects rhythmic and non-rhythmic aerobic exercises on depression and balance of healthy elderly people. Design: Randomized controled trial. Methods: Nineteen older subjects were randomly divided into 2 groups for rhythmic and non-rhythmic aerobic exercises. Both aerobic exercises consisted of functional movements such as turning in opposite directions, and running in place, the exercise consisted of movements that could activate balance. The rhythmic training group initially used music with 8 beats, and then later progressed to 16 beats. Additionally, we adjusted the pace of the music using songs from 125 beats per minute (bpm) to 160 bpm. Both groups were exercised for 50 minutes a day, twice a week, for a total of 8 weeks. We measured the condition of the patients before the intervention, and after 8 weeks of intervention. The Beck depression inventory (BDI) was used to measure the degree of depression. The Berg balance scale (BBS) was used to measure static and dynamic balance ability. We measured the subject's subjective balance confidence using the fall efficacy scale (FES). Results: Both groups showed significant improvement in BDI, BBS, and FES (p<0.05). The rhythmic aerobic exercise group showed a significant improvement only in the BBS change values compared to the non-rhythmic group (p<0.05). Conclusions: According to this study, both rhythmic and non-rhythmic aerobic exercises resulted in significant improvement in the degree of depression and balance ability of the elderly. The rhythmic aerobic exercise was more effective for dynamic balance ability.

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References

  1. Lee SE. An actual study of exercise prescription for the elderly [PhD dissertation]. Seoul: Sungshin Women's University; 2009.
  2. Hughes VA, Frontera WR, Wood M, Evans WJ, Dallal GE, Roubenoff R, et al. Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health. J Gerontol A Biol Sci Med Sci 2001;56:B209-17. https://doi.org/10.1093/gerona/56.5.B209
  3. Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin North Am 2006;90:807-24. https://doi.org/10.1016/j.mcna.2006.05.013
  4. Jeon MJ, Jeon HS, Yi CH, Cynn HS. Comparison of elderly fallers and elderly non-fallers: balancing ability, depression, and quality of life. Phys Ther Korea 2014;21:45-54. https://doi.org/10.12674/ptk.2014.21.3.045
  5. Yeom JH, Na HJ. Risk factors of falls among Korean elderly. J Korea Gerontol Soc 2012;32:577-92.
  6. Nelson ME, Layne JE, Bernstein MJ, Nuernberger A, Castaneda C, Kaliton D, et al. The effects of multidimensional home-based exercise on functional performance in elderly people. J Gerontol A Biol Sci Med Sci 2004;59:154-60. https://doi.org/10.1093/gerona/59.2.M154
  7. Cho KH, Lee WH. Changes of spatio-temporal gait parameters according to experience falls in post-stroke patients. Phys Ther Rehabil Sci 2012;1:22-7.
  8. Sattin RW. Falls among older persons: a public health perspective. Annu Rev Public Health 1992;13:489-508. https://doi.org/10.1146/annurev.pu.13.050192.002421
  9. Visser M, Schaap LA. Consequences of sarcopenia. Clin Geriatr Med 2011;27:387-99. https://doi.org/10.1016/j.cger.2011.03.006
  10. Choi SW, Lee JS, Ku HJ, Lee DT. Effects of resistive and balance training on walking patterns in the falls experienced elderly women. Korean J Phys Educ 2005;44:287-95.
  11. Bae J, Cho SI. Effects of community-based comprehensive fall prevention program on muscle strength, postural balance and fall efficacy in elderly people. J Korean Acad Nurs 2014;44:697-707. https://doi.org/10.4040/jkan.2014.44.6.697
  12. Kang KS. The effects of the fall prevention exercise program focussed on activity of daily living, fear of fall and quality of life for the senior citizen center elderly. J Korea Acad Indust Coop Soc 2016;17:267-72.
  13. Shigematsu R, Chang M, Yabushita N, Sakai T, Nakagaichi M, Nho H, et al. Dance-based aerobic exercise may improve indices of falling risk in older women. Age Ageing 2002;31:261-6. https://doi.org/10.1093/ageing/31.4.261
  14. Shin JS, Kim YK, Kang MA, Yeo HN. Effects of fall prevention program on muscle strength, postural balance, and fear of falling in elderly. J Korean Clin Nurs Res 2016;22:10-9.
  15. Freiberger E, Haberle L, Spirduso WW, Zijlstra GA. Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial. J Am Geriatr Soc 2012;60:437-46. https://doi.org/10.1111/j.1532-5415.2011.03859.x
  16. Grahn Kronhed AC, Hallberg I, Odkvist L, Moller M. Effect of training on health-related quality of life, pain and falls in osteoporotic women. Adv Physiother 2009;11:154-65. https://doi.org/10.1080/14038190902896659
  17. Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation 2007;116:1094-105. https://doi.org/10.1161/CIRCULATIONAHA.107.185650
  18. Han JH, Lee JE, Park JH, Lee SH, Kang HS. Effect of a 12 week-aerobic exercise program on physical fitness, depression, and cognitive function in the elderly. Exerc Sci 2014;23:375-85. https://doi.org/10.15857/ksep.2014.23.4.375
  19. Jung SH, Chung KH. The effects of aerobic exercise therapy on physical functions in the elderly. J Korean Acad Community Health Nurs 2010;21:252-62. https://doi.org/10.12799/jkachn.2010.21.2.252
  20. Yang SH. The effects of rhythmic airobic exercise on the elderly's depression. Korea Entertain Indust Assoc 2012;11:138-41.
  21. Kang HJ, Kim SB, Lee BK. Effects of rhythmic exercise and strengthening-aerobic exercise on physical fitness and MVAS in older females. J Kinesiol 2013;15:1-14.
  22. Nam IS, Yoon HS. An analysis of the interrelationship between depression and falls in Korean older people. J Korea Gerontol Soc 2014;34:523-37.
  23. Lee JW, Hwang SJ. Effects of balance imagery of semi-tandem stance on a flat floor and balance beam for postural control: a comparison between older and younger adults. Phys Ther Rehabil Sci 2015;4:87-93. https://doi.org/10.14474/ptrs.2015.4.2.87
  24. You OK, Pack SH. The effect of aerobic dance participation on the changes in the daily stress of old women. Off J Korean Soc Dance Sci 2015;32:103-12.
  25. Shin MJ, Shim YS. The influence of old people's exercise participation on depression: the function of mediational variables. Korea Soc Wellness 2016;11:327-39.
  26. de Dreu MJ, van der Wilk AS, Poppe E, Kwakkel G, van Wegen EE. Rehabilitation, exercise therapy and music in patients with Parkinson's disease: a meta-analysis of the effects of musicbased movement therapy on walking ability, balance and quality of life. Parkinsonism Relat Disord 2012;18 Suppl 1:S114-9.
  27. Sprinkle SD, Lurie D, Insko SL, Atkinson G, Jones GL, Logan AR, et al. Criterion validity, severity cut scores, and test-retest reliability of the Beck Depression Inventory-II in a university counseling center sample. J Couns Psychol 2002;49:381-5. https://doi.org/10.1037/0022-0167.49.3.381
  28. Bogle Thorbahn LD, Newton RA. Use of the berg balance test to predict falls in elderly persons. Phys Ther 1996;76:576-83; discussion 584-5. https://doi.org/10.1093/ptj/76.6.576
  29. An SH, Kim WG, Lee BK. The predictive validity of the TUG, BBS, FRT, OLST of falls risk in elderly patient. J Spec Educ Rehabil Sci 2013;52:239-53.
  30. Jung DK, Chung Y. The effect of hip joint strengthening exercise using proprioceptive neuromuscular facilitation on balance, sit to stand and walking ability in a person with traumatic brain injury: a case report. Phys Ther Rehabil Sci 2017;6:96-104. https://doi.org/10.14474/ptrs.2017.6.2.96
  31. Godi M, Franchignoni F, Caligari M, Giordano A, Turcato AM, Nardone A. Comparison of reliability, validity, and responsiveness of the mini-BESTest and Berg Balance Scale in patients with balance disorders. Phys Ther 2013;93:158-67. https://doi.org/10.2522/ptj.20120171
  32. An SH, Sin HH, Cho HY, Lee GC. The reliability and validity of the falls efficacy scale (Korean version) in stroke patients. J Spec Educ Rehabil Sci 2012;51:363-81.
  33. Son BY, Bang YS, Hwang MJ, Oh EJ, Bang JH. The effects of physical functions and depression on quality of life according to fall prevention exercise-applying Otago exercise program with music. J Korea Entertain Indust Assoc 2016;10:113-25. https://doi.org/10.21184/jkeia.2016.04.10.2.113
  34. Kim HS, Kwon OY, Lee HJ. Comparison of balance and gait between fallers and non-fallers in elderly. Phys Ther Korea 2002;9:1-15.
  35. Lee HJ, Yi CH, Yoo EY. Correlations among the berg balance scale, gait parameters, and falling in the elderly. PhysTher Korea 2002;9:47-66.
  36. Kim HS, Kwon OY, Lee HJ. Comparison of balance and gait between fallers and non-fallers in elderly. Phys Ther Korea 2002;9:1-15.
  37. Legters K. Fear of falling. Phys Ther 2002;82:264-72.
  38. Son BY, Bang YS. The effect of Otago exercise program on physical function, fall efficacy and fear in falling of stroke patients. J Korea Entertain Indust Assoc 2014;8:187-97.
  39. Kim OH, Lee EK, Kim EM. Effects of fall prevention program on fall efficacy scale and activities-specific of balance confidence scale in rural residents. J Korean Public Health Nurs 2011;25:187-96.
  40. Lucas M, Mekary R, Pan A, Mirzaei F, O'Reilly EJ, Willett WC, et al. Relation between clinical depression risk and physical activity and time spent watching television in older women: a 10-year prospective follow-up study. Am J Epidemiol 2011;174:1017-27. https://doi.org/10.1093/aje/kwr218

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