Effectiveness of an exercise program on postural control in frail older adults

Fábio Marcon Alfieri,1,2 Marcelo Riberto,3 Àngels Abril-Carreres,4 Maria Boldó-Alcaine,4 Elisabet Rusca-Castellet,4 Roser Garreta-Figuera,4 Linamara Rizzo Battistella51São Paulo Adventist University Center, São Paulo, Brazil; 2Institute of Physi...

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Autores principales:	Alfieri FM, Riberto M, Abril-Carreres A, Boldó-Alcaine M, Rusca-Castellet E, Garreta-Figuera R, Battistella LR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	aging falls postural control exercise Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/06f13327dc8b4e248460db43ba2979e4
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spelling	oai:doaj.org-article:06f13327dc8b4e248460db43ba2979e42021-12-02T00:16:31ZEffectiveness of an exercise program on postural control in frail older adults1178-1998https://doaj.org/article/06f13327dc8b4e248460db43ba2979e42012-12-01T00:00:00Zhttps://www.dovepress.com/effectiveness-of-an-exercise-program-on-postural-control-in-frail-olde-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Fábio Marcon Alfieri,1,2 Marcelo Riberto,3 Àngels Abril-Carreres,4 Maria Boldó-Alcaine,4 Elisabet Rusca-Castellet,4 Roser Garreta-Figuera,4 Linamara Rizzo Battistella51São Paulo Adventist University Center, São Paulo, Brazil; 2Institute of Physical and Rehabilitation Medicine Hospital of Clinics, University of São Paulo, Brazil; 3School of Medicine in Ribeirão Preto, University of São Paulo, Brazil; 4University Hospital Mútua Terrassa Department of Rehabilitation, University of Barcelona, Barcelona, Spain; 5School of Medicine, Institute of Physical Medicine and Rehabilitation, Clinics Hospital of University of São Paulo, São Paulo, BrazilBackground: Exercise programs have proved to be helpful for frail older adults. This study aimed to investigate the effects of an exercise program with a focus on postural control exercises in frail older adults.Method: Twenty-six older adults (76.7 ± 4.9 years) deemed clinically stable, chosen from the Falls Unit, University Hospital Mútua Terrassa, Barcelona, Spain, participated in this single-group study. Volunteers' postural control was evaluated using the Timed Up and Go test (TUG) and the Guralnik test battery, and their static and dynamic posturography were evaluated using the Synapsys Posturography System®. These evaluations were performed before and after the intervention program, which included an educational session and two weekly 1-hour sessions over an 8-week period of stretching exercises, proprioception, balance, and motor coordination. Data were analyzed using the Student's t-test or the Wilcoxon test, with a significance level of 5%.Results: The TUG and Guralnik tests did not show significant differences. Concerning static posturography, there was improvement in the base of support (P = 0.006), anteroposterior displacement with eyes open (P = 0.02) and closed (P = 0.03), and the total amplitude of the center of pressure with eyes closed (P = 0.02). Regarding dynamic posturography, a decrease of the oscillation speed in the anteroposterior direction (P = 0.01) was observed in individuals with their eyes open.Conclusion: The program used in this study was safe and was able to promote some improvement in postural control, especially in the anteroposterior direction and in the base of support. However, it is noteworthy that further improvements could be obtained from a program of longer duration and greater frequency.Keywords: balance, aging, intervention, fallsAlfieri FMRiberto MAbril-Carreres ABoldó-Alcaine MRusca-Castellet EGarreta-Figuera RBattistella LRDove Medical Pressarticleagingfallspostural controlexerciseGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 7, Pp 593-598 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	aging falls postural control exercise Geriatrics RC952-954.6
spellingShingle	aging falls postural control exercise Geriatrics RC952-954.6 Alfieri FM Riberto M Abril-Carreres A Boldó-Alcaine M Rusca-Castellet E Garreta-Figuera R Battistella LR Effectiveness of an exercise program on postural control in frail older adults
description	Fábio Marcon Alfieri,1,2 Marcelo Riberto,3 Àngels Abril-Carreres,4 Maria Boldó-Alcaine,4 Elisabet Rusca-Castellet,4 Roser Garreta-Figuera,4 Linamara Rizzo Battistella51São Paulo Adventist University Center, São Paulo, Brazil; 2Institute of Physical and Rehabilitation Medicine Hospital of Clinics, University of São Paulo, Brazil; 3School of Medicine in Ribeirão Preto, University of São Paulo, Brazil; 4University Hospital Mútua Terrassa Department of Rehabilitation, University of Barcelona, Barcelona, Spain; 5School of Medicine, Institute of Physical Medicine and Rehabilitation, Clinics Hospital of University of São Paulo, São Paulo, BrazilBackground: Exercise programs have proved to be helpful for frail older adults. This study aimed to investigate the effects of an exercise program with a focus on postural control exercises in frail older adults.Method: Twenty-six older adults (76.7 ± 4.9 years) deemed clinically stable, chosen from the Falls Unit, University Hospital Mútua Terrassa, Barcelona, Spain, participated in this single-group study. Volunteers' postural control was evaluated using the Timed Up and Go test (TUG) and the Guralnik test battery, and their static and dynamic posturography were evaluated using the Synapsys Posturography System®. These evaluations were performed before and after the intervention program, which included an educational session and two weekly 1-hour sessions over an 8-week period of stretching exercises, proprioception, balance, and motor coordination. Data were analyzed using the Student's t-test or the Wilcoxon test, with a significance level of 5%.Results: The TUG and Guralnik tests did not show significant differences. Concerning static posturography, there was improvement in the base of support (P = 0.006), anteroposterior displacement with eyes open (P = 0.02) and closed (P = 0.03), and the total amplitude of the center of pressure with eyes closed (P = 0.02). Regarding dynamic posturography, a decrease of the oscillation speed in the anteroposterior direction (P = 0.01) was observed in individuals with their eyes open.Conclusion: The program used in this study was safe and was able to promote some improvement in postural control, especially in the anteroposterior direction and in the base of support. However, it is noteworthy that further improvements could be obtained from a program of longer duration and greater frequency.Keywords: balance, aging, intervention, falls
format	article
author	Alfieri FM Riberto M Abril-Carreres A Boldó-Alcaine M Rusca-Castellet E Garreta-Figuera R Battistella LR
author_facet	Alfieri FM Riberto M Abril-Carreres A Boldó-Alcaine M Rusca-Castellet E Garreta-Figuera R Battistella LR
author_sort	Alfieri FM
title	Effectiveness of an exercise program on postural control in frail older adults
title_short	Effectiveness of an exercise program on postural control in frail older adults
title_full	Effectiveness of an exercise program on postural control in frail older adults
title_fullStr	Effectiveness of an exercise program on postural control in frail older adults
title_full_unstemmed	Effectiveness of an exercise program on postural control in frail older adults
title_sort	effectiveness of an exercise program on postural control in frail older adults
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/06f13327dc8b4e248460db43ba2979e4
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Effectiveness of an exercise program on postural control in frail older adults

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