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Effects of Non-Contact Complex Exercise Program on the Older over 65 Years of Age on Muscle Strength, Falling Efficacy and Balance Ability

  • Sam Ho Park (Department of Physical Therapy, Daejeon University) ;
  • Youn Jung Oh (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Myung Mo Lee (Department of Physical Therapy, Daejeon University)
  • Received : 2023.06.20
  • Accepted : 2023.06.26
  • Published : 2023.06.30

Abstract

Objective: The purpose of this study was to investigate the effects of anon-contact complex exercise program on muscle strength, fall efficacy, quality of life, and balance ability in older over 65 years of age. Design: A randomized controlled trial Methods: A total of 37 people in older over 65 years of age participated in the study. Random program was conducted and assigned to the experimental group (n=19) and the control group (n=18). Both groups performed the older people welfare center program. In addition, in the experimental group, a non-contact complex exercise program for muscle and balance exercise was performed. All interventions were performed 2 times a week, for a total of 6 weeks. chair stand test (CST), fall efficacy scale (FES), Euro quality of life 5 dimension (EQ-5D), Berg balance scale (BBS), timed up and go test (TUG), Fullerton advanced balance scale (FAB) were measured before and after the intervention to compare their effectiveness. Results: Both groups showed significant differences in CST, FES, EQ-5D, BBS, and TUG before and after intervention (p<0.05). FAB showed significant differences before and after intervention in all items except for FAB 8 and 9 items in the experimental group. In addition, the experimental group showed significant differences in CST, FES, BBS, TUG, FAB (except 1, 7, 8, 9) compared to the control group (p<0.05). Conclusions: The non-contact complex exercise program is an effective intervention method that has clinical significance in improving muscle strength, fall efficacy and static and dynamic balance abilities for the older over 65 years of age.

Keywords

References

  1. Kim YM, Park JH. The effect of whole-body vibration exercise on balance, muscle strength and falls efficacy in the elderly. J Kor Soc Phys Med. 2017;12(4):61-71. https://doi.org/10.13066/kspm.2017.12.4.61
  2. Kim E, Lee H, Lee SH. The effects of community-based fall prevention exercise program on lower extremity muscle strength, balance ability and fall efficacy in older adults. J Muscle Joint Health. 2021;28(2):102-10.
  3. Bauman A, Merom D, Bull FC, Buchner DM, Fiatarone Singh MA. Updating the evidence for physical activity: summative reviews of the epidemiological evidence, prevalence, and interventions to promote "active aging". Gerontologist. 2016;56:S268-S80. https://doi.org/10.1093/geront/gnw031
  4. Kim HJ, Park JS. The effects of Aerobic exercise intensity participation training on body composition, health related fitness and quality of life in elderly women. Kor JSport Sci. 2020;31(1):35-47. https://doi.org/10.24985/kjss.2020.31.1.35
  5. Pirker W, Katzenschlager R. Gait disorders in adults and the elderly: A clinical guide. Wien Klin Wochenschr. 2017;129(3-4):81-95. https://doi.org/10.1007/s00508-016-1096-4
  6. Sung S. Effects of Resistance and Balance Exercise on Temporal.Spatial Gait Ability, and Functional Ambulatory Profiles in Elderly Women. Kor JSport Studi. 2018;57(4):363-73.
  7. Ha J. Development and evaluation of a person-centered nursing intervention for frailty in pre-frail community-dwelling older adults. Unpublished doctoral dissertation, Seoul National University, Seoul. 2018.
  8. Jung K, Kang E, Kim K, Oh Y, Oh M, Lee Y. A Survey study of aged (Policy Report 2017-53). Seoul: Korea Institute for Health and Social Affairs. 2018.
  9. Bhedi JR, Sheth MS, Vyas NJ. Correlation between fear of fall, balance and physical function in people with osteoarthritis of knee joint. Int Archive Integrat Med. 2015;2(6).
  10. Lee SH, Bak WS, Shin G, Lee KS, Lim KC, Kim M, et al. Development of a fall-prevention exercise program for elderly people in community. J Muscle Joint Health. 2020;27(1):61-70.
  11. Kontis V, Bennett JE, Mathers CD, Li G, Foreman K, Ezzati M. Future life expectancy in 35 industrialised countries: projections with a Bayesian model ensemble. Lancet. 2017;389(10076):1323-1335. https://doi.org/10.1016/S0140-6736(16)32381-9
  12. Cho M, Hur J. A study on effect of regular leisure activities on health-related quality of life (SF-36) in the elderly: physical leisure activities. JLei Rec Stud. 2020;44:77-91.
  13. Park SH, Lee MM. Effects of progressive neuro-muscular stabilization exercise on the support surface on patients with high obesity with lumbar in- stability: A double-blinded randomized controlled trial. Medicine. 2021;100(4).
  14. Park SH, Kim BS, Lee MM. The Effect of Trunk Control Training Using Virtual Reality Game-based Training Program on Balance and Upper Extremity Function of Subacute Stroke Patients. JConvergence Information Technology. 2019;9(5):172-9.
  15. Seo JH, Lee MM. Effects of whole body vibration exercise on the muscle strength, balance and falling efficacy of super-aged elderly: Randomized controlled trial study. Kor Soc Phys Med. 2020;15(1):33-42. https://doi.org/10.13066/kspm.2020.15.1.33
  16. Pietrzak RH, Tsai J, Kirwin PD, Southwick SM. Successful aging among older veterans in the United States. Am J Geriatr Psychiatry. 2014;22(6):551-63. https://doi.org/10.1016/j.jagp.2012.11.018
  17. Ko S, Park J, Kang S, Kim J. Effects of multicomponent exercise program on functional fitness and balance in community-dwelling elderly women. KorJPhysEduc. 2017;56(3):575-88.
  18. Lancet T. COVID-19: protecting health-care workers. Lancet (London, England). 2020;395(10228):922.
  19. Mutz M, Gerke M. Sport and exercise in times of self-quarantine: How Germans changed their behaviour at the beginning of the Covid-19 pandemic. Int RevSociol Sport. 2021;56(3):305-16. https://doi.org/10.1177/1012690220934335
  20. Choi Y, Kim E, Kwon S, Lee S. A study on the changed daily life of the elderly in the age of the COVID-19 pandemic-focused on welfare center users. JIndustrial Technol Res. 2021;26(2):77-88. https://doi.org/10.29279/kostet.2021.26.2.77
  21. Yoo B, Lee K. Change in Ways of Providing Services at the senior welfare center based on COVID-19 coping strategies. Kor J ResGerontol. 2021;30(1):21-36. https://doi.org/10.25280/kjrg.30.1.2
  22. Lee S, Cha Y, Lee S. The effects of dual task training on balance for elderly. Neurotherapy. 2015;19:41-7.
  23. Faul F, Erdfelder E, Lang A-G, Buchner A. G* G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. https://doi.org/10.3758/BF03193146
  24. Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol. 2004;4(1):26.
  25. Bohannon RW. Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills. 1995;80(1):163-6. https://doi.org/10.2466/pms.1995.80.1.163
  26. Huang HC, Gau ML, Lin WC, George K. Assessing risk of falling in older adults. Public Health Nursing. 2003;20(5):399-411. https://doi.org/10.1046/j.1525-1446.2003.20508.x
  27. Bae E, Choi SE, Lee H, Shin G, Kang D. Validity of EQ-5D utility index and minimal clinically important difference estimation among patients with chronic obstructive pulmonary disease. BMC Pulm Med. 2020;20(1):1-10. https://doi.org/10.1186/s12890-020-1116-z
  28. Downs S, Marquez J, Chiarelli P. The Berg Balance Scale has high intra-and inter-rater reliability but absolute reliability varies across the scale: a systematic review. Jphysiother. 2013;59(2):93-99. https://doi.org/10.1016/S1836-9553(13)70161-9
  29. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Timed "Up & Go" test in people with Parkinson disease. Phys Ther. 2001;81(2):810-818. https://doi.org/10.1093/ptj/81.2.810
  30. Hernandez D, Rose DJ. Predicting which older adults will or will not fall using the Fullerton Advanced Balance scale. Arch Phys Med Rehabil. 2008;89(12):2309-2315. https://doi.org/10.1016/j.apmr.2008.05.020
  31. Rose DJ, Lucchese N, Wiersma LD. Development of a multidimensional balance scale for use with functionally independent older adults. Arch Phys Med Rehabil. 2006;87(11):1478-85. https://doi.org/10.1016/j.apmr.2006.07.263
  32. Kang SJ, Kim JH, Ko KJ. Effects of Aerobic, Resistance, Balance Exercise Program on Skeletal Muscle Index, Functional Fitness, and Health-Related Quality of Life in Frail Elderly Women. Official JKor Academy of Kinesiology. 2015;17(4):9-20.
  33. Um HM, SI JW, Lee HJ. Effects of Resistance exercise with elasticity of tubes on the gait, balance and strength in the elderly of the daycare center. JKor Academia-Industrial Cooperation Soc. 2019;20(7):102-10.
  34. Kim BK, Kang JS, Lee YJ, Kim, MY, The Effects of WEBB Exercise and Senior Fitness Test, Fullerton Advanced Balance Ability and Falls Efficacy in Elderly Women. Kor JGrowth Dev. 2023;31(1):59-74 https://doi.org/10.34284/KJGD.2023.02.31.1.59