Efficacy of Balance and Flexibility Intervention in a Frail Female Centenarian

Gaub, Mary Gunter; Prost, Evan L; Bomar, Marilee; Farid, Reza; Langland, Gwen; Brown, Marybeth

doi:10.1519/00139143-200404000-00004

Cited by 4 publications

(10 citation statements)

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“…Six studies analyzed the effects of the interventions on gait-related outcomes. 17,[19][20][21][22][23] There was a statistically significant difference between pre-and posttreatment intervention outcomes in five studies, [19][20][21][22][23] whereas the Serra-Rexach et al 17 did not report a difference.…”

Section: Gaitmentioning

confidence: 88%

“…Participants in the included studies were nonagenarians who were described as frail institutionalized, 19 community dwelling, 20 nursing home residents, 17,21 living with family, 22 and independent. 23…”

Section: Participantsmentioning

confidence: 99%

“…Three studies conducted a mixed muscular strength program, with the addition of either balance and gait 19,21 training or aerobic exercise. 17 Two studies focused primarily on balance training, 22,23 while one study exclusively focused on muscular strengthening. 20 The duration of the interventions ranged from six days 21 to 36 weeks.…”

Section: Interventionsmentioning

confidence: 99%

“…20 The duration of the interventions ranged from six days 21 to 36 weeks. 22 Sessions lasted for a duration of 40 to 60 minutes, and frequency was between two and six sessions per week.…”

Section: Interventionsmentioning

confidence: 99%

“…The methodological quality of the RCTs was good. [17][18][19] Singlesubject and case report designs ranged from moderate 20,22 to poor quality. 23 The methodological quality of the retrospective study was moderate.…”

Section: Quality Appraisalmentioning

confidence: 99%

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Exercise for Nonagenarians: A Systematic Review

Miller

Suárez-Iglesias

Varela

et al. 2019

Journal of Geriatric Physical Therapy

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Background: Physical exercise has been identified as a health promotion strategy for the oldest old. However, scientific evidence regarding the benefits of exercise on nonagenarians is scarce. This systematic review aimed to evaluate the characteristics and methodological quality of investigations that have examined the effects of physical exercise on nonagenarians. Methods: A systematic review and evidence synthesis were conducted. MEDLINE/PubMed, CINAHL, Scopus, SPORTDiscuss, and the Cochrane Library were systematically searched up to November 2018. Investigations were included if they tested the effects of an exercise intervention on people 90 years of age or older. The methodological quality of the randomized controlled trials was evaluated using the PEDro scale. Quality appraisal tools developed by the National Heart, Lung and Blood Institute were used to evaluate the uncontrolled and observational investigations. Results: Three randomized controlled trials, one retrospective study, two case reports, and one single subject A-B design met the eligibility criteria. The methodological quality scores obtained from the scales ranged from poor to good. Most interventions were based on muscular strengthening, balance exercises, or a combination of both. No adverse effects were registered. In general, exercise showed a significant impact on muscular strength, while mixed effects were found regarding gait and balance. Pooled analyses indicated that interventions had significant improvements in global lower-body functioning (SMD = 0.47; 95% CI = 0.04, 0.90; p < .01). 2 Conclusions: Exercise is a feasible therapy for nonagenarians, which can lead to improvements in physical functioning. Future research should focus on the effects of aerobic interventions, as well as the impact that exercise has on the cognitive functioning of nonagenarians.

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Section: Gaitmentioning

confidence: 88%

Section: Participantsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

“…20 The duration of the interventions ranged from six days 21 to 36 weeks. 22 Sessions lasted for a duration of 40 to 60 minutes, and frequency was between two and six sessions per week.…”

Section: Interventionsmentioning

confidence: 99%

Section: Quality Appraisalmentioning

confidence: 99%

See 3 more Smart Citations

Exercise for Nonagenarians: A Systematic Review

Miller

Suárez-Iglesias

Varela

et al. 2019

Journal of Geriatric Physical Therapy

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Effect of 16-week Kouk-Sun-Do exercise on physical fitness, emotional state, and immunoglobulin A in community-dwelling elders in Korea

Lim

Hong

2010

Applied Nursing Research

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Postural Responses of Adults With Cerebral Palsy to Combined Base of Support and Visual Field Rotation

Slaboda

Lauer

Keshner

2013

IEEE Trans. Neural Syst. Rehabil. Eng.

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We employed a virtual environment to examine the postural behaviors of adults with cerebral palsy (CP). Four adults with CP (22-32 years) and nine healthy adults (21-27 years) were tested with a Rod and Frame protocol. They then stood quietly on a platform within a three-wall virtual environment. The platform was either kept stationary or tilted 3(°) into dorsiflexion in the dark or with pitch up and down visual field rotations at 30(°)/s and 45(°)/s. While the visual field rotated, the platform was held tilted for 30 s and then slowly returned to a neutral position over 30 s. Center of pressure (CoP) was recorded and center of mass (CoM) as well as trunk and ankle angles were calculated. Electromyography (EMG) responses of the ankle and the hip muscles were recorded and analyzed using wavelets. Larger angular deviations from vertical and horizontal in the Rod and Frame test indicated that adults with CP were more visually dependent than healthy adults. Adults with CP had difficulty maintaining balance when standing on a stationary platform during pitch upward rotation of the visual scene. When the platform was tilted during visual field rotations, adults with CP took longer to stabilize their posture and had larger CoM oscillations than when in the dark. The inability to compensate for busy visual environments could impede maintenance of functional locomotion in adults with CP. Employing a visual field stimulus for assessment and training of postural behaviors would be more meaningful than testing in the dark.

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Efficacy of Balance and Flexibility Intervention in a Frail Female Centenarian

Cited by 4 publications

References 0 publications

Exercise for Nonagenarians: A Systematic Review

Exercise for Nonagenarians: A Systematic Review

Effect of 16-week Kouk-Sun-Do exercise on physical fitness, emotional state, and immunoglobulin A in community-dwelling elders in Korea

Postural Responses of Adults With Cerebral Palsy to Combined Base of Support and Visual Field Rotation

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