Pilates vs. Balance Training in Healthy Community-Dwelling Seniors: a 3-arm, Randomized Controlled Trial

Donath, Lars; Roth, Ralf; Hürlimann, C.; Zahner, Lukas; Faude, Oliver

doi:10.1055/s-0035-1569339

Cited by 6 publications

(6 citation statements)

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“…Improvements in balance ability were lacking in this study in both groups. Considering earlier findings of a similar interventions from our lab this was unexpected, especially for the traditional strength and balance training group (Donath et al, 2016b). In the past, balance training has been considered task-specific (Kummel et al, 2016) and protocols for improving balance are recommended to last 11 to 12 weeks with 90 to 120 min of balance training per week (Lesinski et al, 2015a).…”

Section: Key Resultsmentioning

confidence: 81%

“…Difficulty was increased by increasing the number of repetitions and the range of motion of the exercises. Balance exercises were made more difficult by adhering to common progression principles reducing the base of support, reducing sensory input, introducing unstable surfaces and adding additional tasks (Donath et al, 2016b). An outline of the two training regimes can be found in Table 1.…”

Section: Interventionmentioning

confidence: 99%

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Agility-based exercise training compared to traditional strength and balance training in older adults: a pilot randomized trial

Lichtenstein

Morat

Roth

et al. 2020

PeerJ

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Background In addition to generally high levels of physical activity, multi-component exercise training is recommended for the maintenance of health and fitness in older adults, including the prevention of falls and frailty. This training often encompasses serial sequencing of balance, strength, endurance and other types of exercise. Exercise training featuring integrative training of these components (i.e. agility training) has been proposed, as it more likely reflects real life challenges like stop-and-go patterns, cutting manoeuvers, turns and decision-making. In this study, we compared the efficacy of an agility-based training to the traditional strength and balance training approach with regard to selected risk factors for falls and frailty. Methods We trained twenty-seven community-dwelling healthy seniors (16♂; 11♀; age: 69.5 ± 5.3 y; BMI: 26.4 ± 3.7 kg/m2) for 8 weeks in a group setting with 3 sessions per week, each lasting 50 minutes. Participants were randomized into either the agility group (AGI; n = 12), that used the integrative multi-component training, or the traditional strength and balance group (TSB; n = 15). TSB performed balance and strength exercises separately, albeit within the same session. The training of both groups progressively increased in difficulty. Outcomes were static and dynamic balance (single leg eyes open stand, Y-balance test, reactive balance), lower limb (plantar flexion and dorsal extension) and trunk flexion and extension maximum strength and rate of torque development (RTD). In addition, we tested endurance by the six-minute walk test (6MWT). We calculated linear mixed effects models for between-groups comparisons as well as effect sizes (ES) with 95 % confidence intervals. Results Small ES in favor of AGI were found for plantar flexion strength (ES > 0.18[−0.27;0.89]) and RTD (ES > 0.43[−0.19;1.36]) as well as trunk extension RTD (ES = 0.35[−0.05;0.75]). No other parameters showed notable between group differences. Compliance was high in both groups (AGI: 90 ± 8% of sessions; TSB: 91 ± 7% of sessions). Discussion Agility-based exercise training seems at least as efficacious as traditional strength and balance training in affecting selected physical performance indicators among community-dwelling healthy seniors. In particular, lower limb and trunk extension explosive strength seem to benefit from the agility training.

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Section: Key Resultsmentioning

confidence: 81%

Section: Interventionmentioning

confidence: 99%

Agility-based exercise training compared to traditional strength and balance training in older adults: a pilot randomized trial

Lichtenstein

Morat

Roth

et al. 2020

PeerJ

View full text Add to dashboard Cite

show abstract

“…Improvements in balance ability were lacking in this study in both groups. Considering earlier findings of a similar interventions from our lab this was unexpected, especially for the traditional strength and balance training group [14]. In the past, balance training has been considered task-specific [27] and protocols for improving balance are recommended to last 11 to 12 weeks with 90 to 120 minutes of balance training per week [28].…”

Section: Key Resultsmentioning

confidence: 81%

Agility-based exercise training compared to traditional strength and balance training in older adults: a pilot randomized trial

Lichtenstein¹,

Morat²,

roth³

et al. 2019

Preprint

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Background. In addition to generally high levels of physical activity, multi-component exercise training is recommended for the maintenance of health and fitness in older adults, including the prevention of falls and frailty. This training often encompasses serial sequencing of balance, strength, endurance and other types of exercise. Exercise training featuring integrative training of these components (i.e. agility training) has been proposed, as it more likely reflects real life challenges like stop-and-go patterns, cutting manoeuvers, turns and decision-making. In this study, we compared the efficacy of an agility-based training to the traditional strength and balance training approach with regard to selected risk factors for falls and frailty.Methods. We trained twenty-seven community-dwelling healthy seniors (16♂; 11♀; age: 69.5 ± 5.3 y; BMI: 26.4 ± 3.7 kg/m2) for 8 weeks in a group setting with 3 sessions per week, each lasting 50 minutes. Participants were randomized into either the agility group (AGI; n=12), that used the integrative multi-component training, or the traditional strength and balance group (TSB; n=15). TSB performed balance and strength exercises separately, albeit within the same session. The training of both groups progressively increased in difficulty. Outcomes were static and dynamic balance (single leg eyes open stand, Y-balance test, reactive balance), lower limb (plantar flexion and dorsal extension) and trunk flexion and extension maximum strength and rate of torque development (RTD). In addition, we tested endurance by the six-minute walk test (6MWT). We calculated linear mixed effects models for between-groups comparisons as well as effect sizes (ES) with 95 % confidence intervals. Results. Small ES in favor of AGI were found for plantar flexion strength (ES>0.18[-0.27;0.89]) and RTD (ES>0.43[-0.19;1.36]) as well as trunk extension RTD (ES=0.35[-0.05;0.75]). No other parameters showed notable between group differences. Compliance was high in both groups (AGI: 90 ± 8 % of sessions; TSB: 91 ± 7 % of sessions).Discussion. Agility-based exercise training seems at least as efficacious as traditional strength and balance training in affecting selected fall risk factors among community-dwelling healthy seniors. Especially lower limb and trunk extension explosive strength seem to benefit from the agility training.

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“…Systematic review studies [11,13], meta-analysis [14] and experimental [15,16] have shown the potential of Pilates exercises to prevent falls in the elderly. This is due to the following factors: a) Increased levels of muscle strength in the lower limbs, dorsal and abdominal muscles [17]; b) Better levels of flexibility and stretching [18]; c) Stimulation of the static and dynamic balance regulation system: visual, vestibular and proprioceptive apparatus [19,20]; d) Improves gait pattern: increased speed of strides, length and cadence [21]; e) Reduced fear of falls and increased confidence in balance [22].…”

Section: Benefits Of the Pilates Methods To Preventing Elderly Fallsmentioning

confidence: 99%

Benefits of the Pilates Method in Preventing Elderly Falls

Nascimento¹

2018

JPFMTS

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The proportion of the elderly population has increased considerably in the world; this requires the transformation of public health policies for the coming decades. One of the major health problems of the elderly population is falls, responsible for injuries, days of hospitalization and low functional independence capacity. Different studies have revealed the effects of Pilates practice on the prevention of falls in the elderly. The method is well accepted by the elderly population and able to increase levels of muscle strength, flexibility, balance, functional mobility, body awareness, confidence in balance, reducing fear of falls.

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Pilates vs. Balance Training in Healthy Community-Dwelling Seniors: a 3-arm, Randomized Controlled Trial

Cited by 6 publications

References 0 publications

Agility-based exercise training compared to traditional strength and balance training in older adults: a pilot randomized trial

Agility-based exercise training compared to traditional strength and balance training in older adults: a pilot randomized trial

Agility-based exercise training compared to traditional strength and balance training in older adults: a pilot randomized trial

Benefits of the Pilates Method in Preventing Elderly Falls

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