The Effect of Selected Core Stability Exercises on Balance and Muscle Endurance in the Elderly Patients Undergoing Hemodialysis

Abstract

The elderly patients undergoing hemodialysis who developed end-stage renal failure are at higher risk for falling and its critical outcomes compared with their healthy counterparts due to of poor balance, reduced muscle endurance, and sedentary lifestyle. The current study aimed at evaluating the effect of selected core stability exercises on balance and muscle endurance in the elderly patients undergoing hemodialysis. Methods: In the current quasi-experimental study, a total of 30 patients undergoing hemodialysis with the mean age of 62.24±6.51 years, the mean hemodialysis duration of 29.4±18.44 months, and the history of falling at least once during the last year were selected using the purposive convenience sampling method and then, the subjects were randomly allocated into 2 groups of intervention (n=15) and control (n=15). To assess the static balance, dynamic balance, and muscle endurance in the patients, the stork stand test, the timed Up and Go test (TUG), and the sit-to-stand-to-sit test for 60 seconds (STS-60) were used, respectively. The selected core stability exercises were performed for the intervention group in 6 weeks, three 45-minute sessions per week. To analyze data, the repeated measures analysis of variance (RM ANOVA) with SPSS version 22 was used; P<0.05 was considered the level of significance. Results: Results of the current study indicated significant differences between the groups in terms of static balance, dynamic balance, and muscle endurance (P<0.001). In other words, the implemented exercises significantly affected the studied variables. Conclusion: Based on the obtained results, the therapists can suggest the core stability exercises as a safe and functional strategy to improve balance and muscle endurance in patients undergoing hemodialysis, which may result in increased independence of action and reduced risk of falling due to loss of balance.

The Effectiveness of Core Strength Training to Improve Functional Mobility and Balance in Geriatric Population: A Literature Review

“…The review study is tabulated in Table 1A. About author, title of the study and final conclusion of the study were described below in the Table 1; [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. [9] Strength and Endurance Influence on the Trunk Muscle in the Functional Performance of Elderly Women.…”

Effectiveness of Core Stability Exercises to Improve the Balance Among Elderly People - A Narrative Review

“…This could lead to a decrease in the risk of falling because of poor balance and a rise in the patients' independence of movement. [16] chatwalai Sonthikul, M.Sc.1 , Nurulhuda Hadhoh, B.Sc.2 et al conducted study on Active video gaming has the potential to enhance not only lower limb muscular strength and reaction time, but also dynamic balance,it is highly recommended that using active video gaming in elderly in addition they should provide significant information of improvement s of muscle power and balance which may be beneficial for geriatric rehabilitation program [17] Italo sannicandro et al conducted study on Effects of integrative core stability training on Balance And walking speed in healthy elderly people The results revealed a change in test score across the two time periods for csg in the mcgill sit up test (p<0.01), in the trunk extention (p<0.01) [18] Muslimainia*Dita Mirawatib ;Asita Rohmah Mutnawasitohc et al conducted study on Differences in the effect of the combination of square stepping and gaze stabilization with square stepping and core stability on dynamic balance in the elderly The study comes to the conclusion that the impact of exercise treatments on dynamic balance varies significantly among the elderly. [19] Urs [20] Xu Y et al conducted study on Impact of core fitness affecting elderly people's ability to balance Core training can improve the elderly´s functional physical ability and static balance capacity.…”

Untitled

“…Bastani M et al Experimental study [13] The Effect of Selected Core Stability Exercises on Balance and Muscle Endurance in the Elderly Patients undergoing heamodialysis.…”