Effects of exercise and nutrition on postural balance and risk of falling in                 elderly people with decreased bone mineral density: randomized controlled trial                 pilot study

Swanenburg, Jaap; Bruin, Eling D. de; Stauffacher, M.; Mulder, Theo; Uebelhart, Daniel

doi:10.1177/0269215507075206

Cited by 102 publications

(106 citation statements)

References 31 publications

(31 reference statements)

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“…Furthermore, exercise that challenges balance plays a particularly important role in preventing falls in older people Gillespie et al 2012). Moreover, further benefits are likely if in addition to improving balance, training programs for older individuals also target improvements in muscle strength and functional independence (Eyigor et al 2007;Swanenburg et al 2007;Giné-Garriga et al 2010;Bird et al 2011;Kuptniratsaikul et al 2011). Interventions specifically designed to improve balance and strength in older people are expected to have important clinical implications.…”

Section: Introductionmentioning

confidence: 99%

Balance Exercises Circuit improves muscle strength, balance, and functional performance in older women

Avelar

Costa

Safons

et al. 2016

AGE

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This study introduces the Balance Exercises Circuit (BEC) and examines its effects on muscle strength and power, balance, and functional performance in older women. Thirty-five women aged 60+ (mean age = 69.31, SD = 7.35) were assigned to either a balance exercises group (BG, n = 14) that underwent 50-min sessions twice weekly, of a 12-week BEC program, or a wait-list control group (CG, n = 21). Outcome measures were knee extensor peak torque (PT), rate of force development (RFD), balance, Timed Up & Go (TUG), 30-s chair stand, and 6-min walk tests, assessed at baseline and 12 weeks. Twenty-three participants completed follow-up assessments. Mixed analysis of variance models examined differences in outcomes. The BG displayed improvements in all measures at follow-up and significantly improved compared with CG on, isokinetic PT60, PT180 (p = 0.02), RFD (p < 0.05), balance with eyes closed (p values range .02 to <.01) and TUG (p = 0.03), all with medium effect sizes. No changes in outcome measures were observed in the CG. BEC improved strength, power, balance, and functionality in older women. The BEC warrants further investigation as a fall prevention intervention.

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Section: Introductionmentioning

confidence: 99%

Balance Exercises Circuit improves muscle strength, balance, and functional performance in older women

Avelar

Costa

Safons

et al. 2016

AGE

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“…Mortalität (van Haastregt, Diederiks, van Rossum, de Witte, Voorhoeve, & Crebolder, 2000;van Rossum, Frederiks, Philipsen, Portengen, Wiskerke, & Knipschild, 1993;Carpenter & Demopoulos, 1990), Muskelkraft (Woo, Hong, Lau, & Lynn, 2007;Lord, Ward, Williams, & Strudwick, 1995), Koordinationsfähigkeit (Woo et al, 2007;Lord et al, 1995), Reaktionszeit (Lord et al, 1995), Gehgeschwindigkeit (Steadman, Donaldson, & Kalra, 2003;Liu-Ambrose, Khan, Eng, Lord, & McKay, 2004;Woo et al, 2007), posturale Balance (Swanenburg, De Bruin, Stauffacher, Mulder, & Uebelhart, 2007), StandSitz-Performance (Lord et al, 2005), Knochendichte (Harwood, Sahota, Gaynor, Masud, & Hosking, 2004;Greenspan, Resnick, & Parker, 2003;Swanenburg et al, 2007) und allgemeiner Gesundheitsstatus (McMurdo, Mole, & Paterson, 1997;Carter et al, 2002;Barnett, Smith, Lord, Williams, & Baumand, 2003). Jedoch berücksichtigt die Begrenzung der Endpunkte auf klinische Parameter die Präferenzen der Zielgruppe nicht ausreichend (Langer et al, 2012;Nilsen, Myrhaug, Johansen, Oliver & Oxman, 2006;PCORI, 2012).…”

Section: Klientenzentrierte Endpunkteunclassified

“…Zu den bedeutenden klientenzentrierten Endpunkten zählen z.B. die Anzahl an Stürzen (McMurdo et al, 1997;Harwood et al, 2005;Lord et al, 2005;Porthouse et al, 2005;Swanenburg et al, 2007), die Anzahl an Gestürzten (McMurdo et al, 1997;Harwood et al, 2005;Porthouse et al, 2005), die Sturzangst (Porthouse et al, 2005;Lannin, Clemson, McCluskey, Lin, Cameron, & Barras, 2007;Lin, Wolf, Hwang, Gong, & Chen, 2007) sowie die Lebensqualität (Gallagher & Brunt, 1996;Harwood, Foss, Osborn, Gregson, Zaman, & Masud, 2005;Lannin et al, 2007) und Mobilität (Lannin et al, 2007). Da die individuelle Partizipation und Teilhabe von Klienten/-innen am Leben in der Gesellschaft Handlungsmaxime und fester Bestandteil der Sozialgesetzgebung (SGB IX) sind, sind Endpunkte, die soziale Partizipation und Wertvorstellungen abbilden, stärker in den Fokus zu rücken (BAR, 2008;Welti, & Fuchs, 2007).…”

Section: Klientenzentrierte Endpunkteunclassified

Potential analysis for research on occupational therapy-led physical exercise programmes and home environment adaptation programmes to prevent falls for elderly people living at home / Potenzialanalyse zu ergotherapeutischen körperlichen Trainingsprogrammen und Wohnraumanpassungen zur Vermeidung von Stürzen bei zu Hause lebenden älteren Menschen

Müller

Lautenschläger

Voigt-Radloff

2016

International Journal of Health Professions

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Background:In Germany, four to five million community-dwelling people aged 65 years or older fall every year. The presented potential analysis evaluates the potential of occupational therapy-led physical exercise programs and home environment adaptations to reduce the frequency of falling and as well as intrinsic and extrinsic risk factors for falling of older people living at home. Methods: The potential analysis was compiled according to a method guideline (p.11-22) available as follows: http://www.cochrane. de/news/leitfaden-f%C3%BCr-gesundheitsfachberufe-mai-2013. The research question of fall prevention was considered as very relevant for health care and specified according to the PICOS-system. A Cochrane review was systematically searched and the body of evidence was assessed using the GRADE-system. In addition, studies after the search period of the Cochrane review were identified using the search strategy of this review. Both the studies within and after the review were assessed regarding their transferability to the German health care context. . However, direct implementation into the German healthcare context is not recommendable. Implication for research: It is recommended (1) to manualise identified home environment adaptation programmes for the German healthcare context and (2) to pilot-test the physical exercise programmes `LiFE` with regard to theoretical framework, acceptance, applicability and feasibility and to examine both interventions as part of a feasibility study. If this trial results in a feasible treatment programme well accepted by patients and their treating occupational therapists, a large-scaled randomized clinical trial in terms of comparative effectiveness research may follow. Abstract

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“…Swanenberg and colleagues 9 explored the effect of resistance training in conjunction with adjunctive treatment such as vitamin D supplementation on participants with osteoporosis and found reductions in falls and increases in activity levels. 9 Long-term studies (8 weeks to 30 months) that explored the effect of resistance programmes among community-based individuals demonstrated improved physical ability, decreased fall risk, and prevention of functional limitations over time. [10][11][12][13] It is also necessary to measure one's subjective perception of health to fully assess the benefits of a given intervention.…”

mentioning

confidence: 99%

“…[10][11][12][13] It is also necessary to measure one's subjective perception of health to fully assess the benefits of a given intervention. 9 Therapists tend to view subjective measures as less reliable than objective measures because participants report their subjective experiences. 14 However, this may not be true since health-related QOL questionnaires have been established as reliable and valid while many objective measures lack reliability and validity.…”

mentioning

confidence: 99%

Effect of Resistance Exercises on Function in Older Adults with Osteoporosis or Osteopenia: A Systematic Review

Wilhelm

Roskovensky

Emery

et al. 2012

Physiotherapy Canada

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Purpose: To examine the effect of resistance exercises on self-reported physical function and activities of daily living (ADL) in older adults with osteoporosis or osteopenia. Methods: A search of available literature was conducted using PubMed, CINAHL, SPORTDiscus, PEDro, ProQuest Nursing and Allied Health Source, and Cochrane Controlled Trials Register. Studies were included if they involved (1) randomized controlled trials; (2) participants with osteoporosis or osteopenia; (3) resistance exercise as an intervention; and (4) self-report of physical function or ADL. Articles were independently reviewed for quality by two authors using the Physiotherapy Evidence Database (PEDro) scale. Cohen's d effect size was calculated by dividing standardized mean differences by the standard deviation to determine treatment effect in terms of physical function or ADL. Results: Five full-text articles were selected for inclusion. PEDro scores ranged from 5 to 7 (out of 10). Effect size mean differences as a result of resistance intervention ranged from 0.08 to 1.74, suggesting “trivial” to “large” effects on self-reported physical function and ADL. Conclusion: Results suggest that interventions using resistance training have a beneficial impact on the domains of physical function and ADL in participants with osteoporosis or osteopenia. More high-quality studies are needed to lend further validity to this supposition.

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Effects of exercise and nutrition on postural balance and risk of falling in elderly people with decreased bone mineral density: randomized controlled trial pilot study

Abstract: This study provides support for our intervention programme aimed at reducing the risk of falling in elderly participants diagnosed with osteopenia or osteoporosis. The data obtained from the pilot study allow the calculation of the actual sample size needed for a larger randomized trial.

Cited by 102 publications

References 31 publications

Balance Exercises Circuit improves muscle strength, balance, and functional performance in older women

Balance Exercises Circuit improves muscle strength, balance, and functional performance in older women

Effect of Resistance Exercises on Function in Older Adults with Osteoporosis or Osteopenia: A Systematic Review

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