DOI QR코드

DOI QR Code

Effect of 12-week Exercise Programs for Posture Correction on Standing Postural Alignment in Elderly Women

  • Han, Ki Hoon (Division of Kinesiology, College of Health and Welfare, University of Silla) ;
  • Shin, Jin Hyung (Division of Kinesiology, College of Health and Welfare, University of Silla) ;
  • Lee, Joong Sook (Division of Kinesiology, College of Health and Welfare, University of Silla)
  • Received : 2018.01.30
  • Accepted : 2018.04.19
  • Published : 2018.06.30

Abstract

Objective: The purpose of this study was to compare the effect of different 12-week exercise programs for posture correction on postural alignment in elderly women. Method: The study included 36 elderly women who were randomly divided into 3 groups: Group A (core exercise, n=12), Group B (combined exercise, n=12), and Group C (Pilates exercise, n=12). Postural alignment was measured using 6 variables in frontal and sagittal planes. Two-way mixed analysis of variance was used to compare the effect of exercise program types on postural alignment and a paired t-test was used to compare differences in postural alignment after exercise. Results: The core exercise group showed statistically significant improvement (p<.05) in multiple upper and lower body postural alignment measurements. The combined exercise and Pilates exercise groups showed statistically significant improvement (p<.05) in upper body measurements alone. Conclusion: Core exercise, combined exercise, and Pilates exercise improved postural alignment in elderly woman through improvement in muscle strength and ligament flexibility around the spine and pelvis.

Keywords

References

  1. Anacker, S. L. & Di Fabio, R. P. (1992). Influence of sensory inputs on standing balance in community-dwelling elders with a recent history of falling. Journal of the American Physical Therapy Association, 72(8), 575-581.
  2. Bae, Y. S., Um, K. M. & Kim, N. S. (2009). The Effect of proprioceptive exercise of ankle joint on postural alignment in woman elderly person. Journal of Korean Society of Physical Therapy, 21(3), 53-59.
  3. Cheng, P. T., Wu, S. H., Liaw, M. Y., Wong, A. M. & Tang, F. T. (2001). Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Archives of Physical Medicine and Rehabilitation, 82(12), 1650-1654. https://doi.org/10.1053/apmr.2001.26256
  4. Emery, K., De Serres, S, J., McMillan, A. & Cote, J, N. (2010). The effects of a pilates training program on arm-trunk posture and movement. Clinical Biomechanics, 25(2), 124-130. https://doi.org/10.1016/j.clinbiomech.2009.10.003
  5. Gauchard, G. C., Gangolff, P., Jeandel, C. & Perrin, P. P. (2003). Physical activity improves gaze and posture control in the elderly. Neuroscience Research, 45(4), 409-417. https://doi.org/10.1016/S0168-0102(03)00008-7
  6. Hasserius, R., Karlsson, M. K., Jonsson, B., Redlund-Johnell, I. & Johnell, O. (2005). Long-term morbidity and mortality after a clinically diagnosed vertebral fracture in the elderly-a 12-and 22-year follow-up of 257 patients. Calcified Tissue International, 76(4), 235-242. https://doi.org/10.1007/s00223-004-2222-2
  7. Herrington, L. & Davies, R. (2005). The influence of Pilates training on the ability to contract the transversus abdominis muscle in asymptomatic individuals. Journal of Bodywork and Movement Therapies, 9(1), 52-57. https://doi.org/10.1016/j.jbmt.2003.12.005
  8. Hong, W. K. (2015). A study of gait characteristics in the female elderly according to fall risk. The Korea Journal of Sports Science, 24(2), 1431-1440.
  9. Hsu, W. L., Chen, C. Y., Tsauo, J. Y. & Yang, R. S. (2014). Balance control in elderly people with osteoporosis. Journal of Formosan Medical Association, 113(6), 334-339. https://doi.org/10.1016/j.jfma.2014.02.006
  10. Hunter, G. R., McCarthy, J. P. & Bamman, M. M. (2004). Effects of resistance training on older adults. Sports Medicine, 34(5), 329-348. https://doi.org/10.2165/00007256-200434050-00005
  11. Hwang, S. J., Cho, N. J. & Lee, J. W. (2010). Effects of core program exercise on static balance of females in their twenties. Journal of the Korean Academy of Clinical Electrophysiology, 8(1), 31-36. https://doi.org/10.5627/KACE.2010.8.1.031
  12. Kang, S. W. & Park, Y. S. (2014). Difference of postural stability and gait by BMI level in the elderly. The Korean Journal of Growth and Development, 22(1), 61-66.
  13. Kendall, F. P. (2005). Muscles: testing and function with posture and pain. Lippincott Williams & Wilkins, Philadelphia: Wolters Kluwer.
  14. Kim, C. H., Lee, J. S., Yang, J. O., Lee, B. J., Kim, E. S., Woo, K. H. & Park, J. S. (2017). Effects of upright body exercise on postural balance and foot plantar pressure in elderly women. Korean Journal of Sport Biomechanics, 27(1), 59-66. https://doi.org/10.5103/KJSB.2017.27.1.59
  15. Kim, S. S. & Kim, H. E. (2013). Gait analysis on the elderly women with foot scan. Clothing Research Journal, 15(4), 613-619.
  16. Lee, D. H. (2011). The effects of balance exercise and stretching exercise on forward head posture. Un-published Doctor's Thesis. Graduate School of Daegu University.
  17. Lee, H. J., Yi, C. H. & Yoo, E. Y. (2002). Correlations among the berg balance scale, gait parameters, and falling in the elderly. Physical Therapy Korea, 9(3), 47-66.
  18. Lee, J. H., Lee, H. Y. & Yoo, K. T. (2014). Effect of pilates mat exercise program to pelvis and spine angle of the 20's Woman. The Korea Entertainment Industry Association, 8(3), 399-405. https://doi.org/10.21184/jkeia.2014.09.8.3.399
  19. Lee, S. E. (2016). Relationship between bone mineral density and metabolic syndrome risk factors according to dementia levels in the elderly. The Korea Journal of Sports Science, 25(2), 975-983.
  20. Lee, S. H., Kim, Y. J. & Choi, J. G. (2007). The Effect of pilates on scoliosis and physical fitness in lementary school students. Journal of Korea Sport Research, 18(4), 607-616.
  21. Lee, S. Y. & Kim, M. J. (2017). The study of physical performance and standing posture alignment of elderly women according to residential area characteristics. Journal of Sport and Leisure Studies, 69, 375-385.
  22. Lee, W. J. & Lim, C. H. (2012). Effect of unstale surface lumbar stabilization exercise on trunk posture and balance ability in patients with scoliosis. Journal of the Korean Society of Physical Medicine, 7(1), 59-67. https://doi.org/10.13066/kspm.2012.7.1.059
  23. Levine, D. & Whittle, M. W. (1996). The effects of pelvic movement on lumbar lordosis in the standing position. Journal of Orthopaedic & Sports Physical Therapy, 24(3), 130-135. https://doi.org/10.2519/jospt.1996.24.3.130
  24. Maher, C. G. (2004). Effective physical treatment for chronic low back pain. Orthopedic Clinics, 35(1), 57-64.
  25. Mcgibbon, C. A., Krebs, D. E. & Puniello, M. S. (2001). Mechanical energy analysis identifies compensatory strategies in disabled elder's gait. Journal of Biomechanics, 34(4), 481-490. https://doi.org/10.1016/S0021-9290(00)00220-7
  26. Nadler, R. B. (2002). Bladder training biofeedback and pelvic floor. Urology, 60(6), 42-43. https://doi.org/10.1016/S0090-4295(02)02390-7
  27. Oh, S. J. & Lee, J. S. (2016). Effects of probody massage on body alignment and plantar pressure balance in middle-aged men with musculoskeletal diseases. Korean Journal of Sport Biomechanics, 26(2), 213-220. https://doi.org/10.5103/KJSB.2016.26.2.213
  28. Owings, T. M., Pavol, M. J. & Grabiner, M. D. (2001). Mechanisms of failed recovery following postural perturbations on a motorized treadmill mimic those associated with an actual forward trip. Clinical Biomechanics, 16(9), 813-819. https://doi.org/10.1016/S0268-0033(01)00077-8
  29. Park, J. W., Lee, S. J., Han, S. H., Park, S. B. & Lee, K. H. (2008). The effects of subtalar joint ankle brace and shoes on static postural balance in elderly. Annals of Rehabilitation Medicine, 32(3), 327-332.
  30. Pavol, M. J., Owings, T. M., Foley, K. T. & Grabiner, M. D. (2002). Influence of lower extremity strength of healthy older adults on the outcome of an induced trip. Journal of the American Geriatrics Society, 50(2), 256-262. https://doi.org/10.1046/j.1532-5415.2002.50056.x
  31. Reeves, N. D., Narici, M. V. & Maganaris, C. N. (2004). In vivo human muscle structure and function: adaptations to resistance training in old age. Experimental Physiology, 89(6), 675-689. https://doi.org/10.1113/expphysiol.2004.027797
  32. Rose, D. J. (2010). FallProof: A comprehensive balance and mobility training program. Champaign, IL: Human Kinetics.
  33. Seo, S. B., Park, G. J. & Kim, D. H. (2016). Improvement of Postural Balance and Trunk Muscle Strength: Effect of Free Exercise, Elastic Band Exercise and Balance Exercise. Journal of the Korean Society for Precision Engineering, 33(12), 1031-1037. https://doi.org/10.7736/KSPE.2016.33.12.1031
  34. Shin, J. K. & Cho, I. H. (2011). The effect of pilates and core training on spinal posture, balance and isokinetic muscle power in elite tennis player. The Korean Journal of Sport, 9(3), 263-273.
  35. Sinaki, M., Pfeifer, M., Preisinger, E., Itoi, E., Rizzoli, R., Boonen, S., Geusens, P. & Minne, H. W. (2010). The role of exercise in the treatment of osteoporosis. Current Osteoporosis Reports, 8, 138-144. https://doi.org/10.1007/s11914-010-0019-y
  36. Son, N, J., Yi, K, O. & An, J. Y. (2017). The effect of exercise program for prevention of falling on physical fitness, posture and fall prevention self-efficacy for elderly women. Journal of the Korean Gerontological Society, 37(1), 237-250.
  37. Son, N. Y. & Lee, J. S. (2016). Effects of probody massage on lower extremities alignment measure and foot plantar pressure balance in the middle-aged women with musculoskeletal diseases. The Official Journal of the Korean Association of Certified Exercise Professionals, 18(1), 19-29.
  38. Son, N. Y., Lee, J. S. & Kim, J. H. (2014). Effects of the upright body type exercise program on postures and foot balance in female high school students. Korean Journal of Sport Biomechanics, 24(1), 75-83. https://doi.org/10.5103/KJSB.2014.24.1.075
  39. Stephanie, S. L., Charles, A. T., Jason, P. M., William, E. P. & Darin, P. (2010). The effects of an exercise intervention on forward head and rounded shoulder postures in elite simmers. British Journal of Sports Medicine, 44(5), 376-381. https://doi.org/10.1136/bjsm.2009.066837
  40. Studenski, S., Duncan, P. W. & Chandler, J. (1991). Postural responses and effector factors in persons with unexplained falls: results and methodologic issues. Journal of the American Geriatrics Society, 39(3), 229-234. https://doi.org/10.1111/j.1532-5415.1991.tb01642.x
  41. Woo, K. H., Kwak, Y. S. & Yang, J. O. (2016). Educational effect of the upright body type excercise on posture balance and leg muscle strength of people with mental illness. Journal of Coaching Development, 18(2), 119-130.
  42. Yi, K, O., Choi, K, J. & Kim, S. Y. (2014). The Relationship between standing posture biomechanics and physical fitness in the elderly. Korean Journal of Sport Biomechanics, 24(3), 259-267. https://doi.org/10.5103/KJSB.2014.24.3.259
  43. Yoon, S. H., Park, G. H. & Yoon, S. W. (2007). Effect of 12 week of pilates exercise on flexibility, muscular strength and body composition of university women students. Korean Journal of Sport Science, 18(1), 1-8.