Background: Discussion has been continued about the stability of the spine, and relationship with physical flexibility and exercise function. We have continued physical rehabilitation for various subjects, and proposed clinical application for pole exercise. In this study, we investigated the efficacy of standing pole exercise.
From anatomical and physiological points of view, human perform various movements, which are combined with behaviors of trunk and extremities. In human body, proprioception system has been present between sensory receptors and central nervous system (CNS). For this mechanism, minute motions are possible. Trunk has to be trained with the concept with three dimensions, which are frontal, sagittal and horizontal planes. Pole exercise has been developed for rehabilitation in the coordination of the movements of trunk and extremities, including bend and extend, side bend, turn, slide, spiral and rotate.
Currently, the pandemic of Coronavirus disease-2019 (COVID-19) has been crucial problem worldwide. 1 Lots of people are restricted in their behavior. 2 In particular, elderly people are at high risk of becoming serious due to COVID-19 infection. 3 Then, physical activity and social interaction have also decreased. 4 For the elderly, deterioration of physical and cognitive function as well as exacerbation of nutritional status are observed. Consequently, there are concerns about the progression of sarcopenia and frailty. 5 In such social situation, the balance between infection prevention and activity maintenance would be important. For healthy life expectancy, specific tools have been recently developed. 6 This is the National Center for Geriatrics and Gerontology-Home Exercise Program for Older People (NCGG-HEPOP) 2020. 7 This paper introduces this program and related matters.How much exercise and activity were actually reduced by COVID-19? There are data for 30days after the WHO pandemic declaration. The average steps in 455million subjects in 187 countries decreased by 1432 steps (27.3%). 8 An internet survey of 2381 patients aged >18years reported reduced physical activity in 43% of subjects. 9 Another study uses wearable devices to track individual physical activity levels. The average steps for 30million users were 7% -38% lower in mid-March 2020 compared to the same period last year in almost all countries. An internet survey of 1600 elderly people aged >65 showed that physical activity time per week decreased by about 30% (about 60minutes) after the pandemic. 10 Furthermore, during the emergency period for 40days from April, the steps decreased by up to 30%. 11 During this period, 41% of outpatients refrained from visiting the hospital for dementia rehabilitation at NCGG facilities.
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