• Title/Summary/Keyword: Exercise in elderly

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Responsiveness of Gait Speed to Physical Exercise Interventions in At-risk Older Adults: A Systematic Review and Meta-Analysis

  • Lim, Jaehyun;Lim, Jae Young
    • Annals of Geriatric Medicine and Research
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    • v.21 no.1
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    • pp.17-23
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    • 2017
  • Background: In at-risk older adults, gait speed is an important factor associated with quality of life and falling risk. In this study, we assessed whether therapeutic exercise could improve gait speed. Methods: We conducted a meta-analysis to evaluate the 'best' therapeutic exercise method by analyzing each exercise in terms of intensity, type, and several gait speed indices. For the analysis, we gathered 122 papers through a database search and selected 9 (n=627) that were appropriate for the meta-analysis. Results: In 8 of the 9 included papers, gait speed improved with therapeutic exercise. Usual gait speed (n=246) improved more than maximal gait speed (n=574). A resistance program was more effective than a nonresistance program for improving maximal, but not usual, gait speed. We also found that the effects of therapeutic exercise were greater in noncommunity than in community-dwelling elderly people. Conclusion: In conclusion, therapeutic exercise was effective in improving gait speed.

The Effects of the Meditation Music and Lumbar Stabilization Exercise on Concentration, Balance and Muscle Activity in Elderly

  • Lee, Sang-Bin
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.1
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    • pp.260-266
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    • 2011
  • The purpose of this study was to investigate the effects of meditation music with lumbar stabilization exercise on balance, concentration and muscle activation. Participants are divided into Group A and Group B. Group A listened to meditation music while doing 4 sets of lumbar stabilization exercise. Group B did not listen to meditation music while doing 4 sets of lumbar stabilization exercise. Surface EMG data was obtained rectus abdominis, external oblique, erector spinae, multifidus muscle during lumbar stabilization exercise. To examine the effect of before-after experiment for concentration and balance, paired t-test was adopted. Changes in EMG data of each muscles were analyzed by independence t-test. There were statistically significant increasing at concentration level and balance level in Group A. But significant difference was not shown in muscle activation. The clinical effect of the meditation music with lumbar stabilization exercise was investigated in this study with more excellent results in concentration and balance. In conclusion, these results suggest that meditation music and lumbar stabilization exercise may be useful in elderly people.

Comparison of The Effects of Respiratory Exercise between Smokers and Non-smokers on Pulmonary Function and Muscle Activity of Rectus Abdominis with The Elderly People

  • Jun, Hyun Ju;Kim, Ki Jong
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.2
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    • pp.1146-1151
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    • 2017
  • The purpose of this study was to compare the effects of respiratory exercise on cardiopulmonary function and muscle activity of rectus abdominis in smokers and non-smokers with elderly people. All the participants were older than 65 years, and twenty non-smokers, and twenty smokers participated. Non-smokers and smokers were randomly divined into 10 feedback breathing exercises (FBE) and a balloon-blowing exercise (BBE) group. The FBE and the BBE were performed three times a week for four weeks. Forced vital capacity (FVC), forced expiratory volume at one second (FEV1), forced expiratory volume at one second/forced vital capacity (FEV1/FVC), peak expiratory flow (PEF), and vital capacity (VC) were measured as pulmonary function. EMG was used to measure the activity of the rectus abdominis. In the FBE and BBE groups, $FEV_1$ was significantly lower in non-smokers compared to smokers at two and four weeks (p<.05), $FEV_1/FVC$, PEF and VC were significantly lower in non-smokers compared to smokers to pre-test, two weeks, four weeks and six weeks (p<.05). Muscle activity of rectus abdominis was significantly difference in the BBE group at pre-test, two weeks, four weeks, and six weeks (p<.05). These results suggest that respiratory exercise was effective in improving pulmonary function and rectus muscle activity.

Effect of Elastic Band Exercise Based of PNF L/E pattern on the Balance in the Elderly people (PNF 하지 패턴에 기초한 탄력밴드 훈련이 노인의 균형에 미치는 영향)

  • Lee Hyoung-Soo;An Yun-Hee;Kang Hyun-Jin;Kim Ha-Lim;Kim Hyun-Jung;Lee Young-Min;Choi Jun-Hwa;Yang Hoi-song;Jeong Chan-Ju
    • The Journal of Korean Physical Therapy
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    • v.17 no.1
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    • pp.69-79
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    • 2005
  • The purpose of study were to determine the effect of Elastic Band Exercise Based of PNF L/E pattern(EBEBP) on the balance in the elderly people. 24 health elderly women aged 65 to 85 years participated who live in Sun-cheon city Jeon-nam. Participants were divided into exercise(12) and control(12) group to randomized. Exercise participants received strengthening exercise for 30minutes in two times a week for 4weeks while control group continued their normal activities. Exercise used to yellow elastic band which 4 patterns of PNF by 1) hip extension - adduction - external rotation with knee extension, 2) hip extension-abduction-internal rotation with knee extension. 3) hip flexion - adduction - external rotation with knee flexion, 4) hip flexion - abduction - internal rotation with knee flexion. All subjects participated in 3 tests Berg Balance Test(BBT), One-Leg Standing Test(OLST), Functional Reaching Test(FRT). Exercise and control group were tested before and at the end of the test. This collected date were analysed by using paired t-test and independent t-test. The results of this study are as follows; 1. The experimental group was statistically significant difference in balance performance clinical test of BBT(p<0.01), OLST(p<0.01), FRT(p<0.001). 2. The control group was no significant difference in balance performance clinical test of BBT, OLST, FRT(p>0.05). 3. After the exercise, there was significant difference in the BBT(P<0.01), OLST(P<0.05), FRT(P<0.001) between the experimental group and control group in EBEBP. Thus, elastic band exercise based of PNF L/E pattern can result in improved muscle strength and balance in the elderly people. Further studies are required to show long-term effects of exercise training on the elderly people.

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The Analysis of Literature : Prevention of Depression through Exercise Program for the Elderly (우울증 예방을 위한 노인 운동프로그램 문헌 고찰)

  • Kim, Dae-Hoon;Seo, Dong-Nyeuck
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.848-859
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    • 2020
  • This study selected 42 domestic preceded literatures that applied exercise programs to the elderly for the past 10 years from 2010 to the first half of 2020 to analyze the characteristics of preceded research, applied period of exercise programs, configuration of exercise programs, and effectiveness of exercise programs on elderly depression, and the conclusion is as follows. First, the majority of the subjects were female and male/female elderly people in the preceding literature, and it appeared that there were no male subjects alone for any of the studies showed. The majority of the ages were over 65 years old, and the number of subjects was 50 or less. In the group, preceded research with exercise/control groups was mostly predominant, and the participated institutions and regions accounted for the majority of the residential area/public institutions and sanatorium. Second, the period of the exercise program was mostly applied for more than 12 weeks, and the frequency of exercise per week was 1-2 times and 3-4 times. Most of the preceding literature was applied with a 60-minute exercise program during the one-time exercise period. Third, most of the contents of the exercise program consisted of a aerobic exercise alone and combination of aerobic·anaerobic exercise. Fourth, it was confirmed that the effects of exercise programs were effective in physical fitness factors as well as in depression and cognitive function.

Effects of 4 Weeks Bridging Stabilization Exercise Using Swiss Ball and Whole Body Vibration on Balance and Gait Function in Elderly Women (4주간의 스위스 볼과 전신진동기를 이용한 교각안정화 운동이 노인 여성의 균형과 보행에 미치는 효과)

  • Kim, Tack-Hoon;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.49-58
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    • 2011
  • The purpose of this study was to evaluate the effects of bridging stabilization exercise on balance ability and gait performance in elderly women. The subjects of this study were thirty-one elderly women over 65 years old in HongSung-Gun Senior Citizen Welfare Hall. The subjects were randomly assigned into one of three groups (trunk stabilization exercise on the mat, whole body vibration, and Swiss ball) and participated in each exercise program three times a week for 4 weeks. Each exercise began in the bridging position. The dynamic balance and gait were measured by limit of stability area using force plate, Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). The results were as follows: 1) The limit of stability in three groups increased significantly in anterior-posterior and medial-lateral lean after 4-weeks intervention (p<.05). 2) There were no significant differences in the limit of stability among three groups after 4-weeks intervention (p>.05). 3) The BBS and TUG in three groups increased significantly after 4-weeks intervention (p<.05). 4) There were significant differences among three groups in BBS. Post-hoc test showed that Swiss ball exercise group was significantly higher than the mat and whole body vibration groups. 5) There were no significant differences TUG among three groups after 4-weeks intervention (p>.05). In conclusion, this study suggested that 4 weeks of the bridging stabilization exercises were effective on balance and gait in all three groups. Particularly Swiss ball exercise group showed higher improvement than two other exercise groups (mat, whole body vibration group).

Effects of Trunk-Stabilization Exercise Program on Static and Dynamic Balance of Elderly With History of Leprosy Patients According to Sole Sensory Conditions (체간안정화 운동프로그램이 한센병력노인의 발바닥 감각상태에 따른 정적·동적 균형에 미치는 영향)

  • Jung, Soon-Mi
    • Physical Therapy Korea
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    • v.18 no.1
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    • pp.18-27
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    • 2011
  • This study was to investigate the positive effects of specially designed trunk-stabilization exercise program on lower extremity balance of elderly with history of leprosy. In this participants, lower extremity functions has been undermined by the development of damage in peripheral nerves. A total of 40 elderly with history of leprosy were divided into 2 groups of equal size ($n_{1,\;2}=20$): a group that participated in the exercise program, and a control group that did not exercise but did continue to engage in normal daily activities (including walking). The exercise group exercised for 60 minutes 2 days a week for 12 weeks. Static balance ability was measured by asking study participants to a one leg standing test: dynamic balancing ability was measured with a tandem walking test and a timed up-and-go test. The participants in the exercise program and the control group were tested before and after completion of the exercise program for comparison, and then divided according to their ability to feel sensory in the soles of their feet into the categories of normal sensory group: group with sensory loss in one foot: and group with sensory loss in both feet. The participants in the exercise program showed a positive, statistically significant difference in static balance compared with the control group (p<.05) as measured using the one leg standing test. Similarly, the participants in dynamic balance (p<.05) as measured using the tandem walking and timed up-and-go tests. Finally, these improvements were related to the severity of sensory loss in the soles of the feet for all study participants.

The Metabolic Syndrome and Associated Lifestyle Factors among Older Adults (서울시내 일개 복지관에 내원하는 노인의 대사증후군 발생양상과 관련요인에 대한 연구)

  • Choi, Seung-Hye;ChoiKwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.13 no.1
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    • pp.53-60
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    • 2011
  • Purpose: The purpose of the present study was to investigate the prevalence and lifestyle factors related to the metabolic syndrome in Korean elderly. Methods: A total number of 122 elderly over 60 yr were recruited from a community elderly center. Elderly were classified into young old (60-74 yr) and old (75-84 yr). Metabolic syndrome was defined by third report of the national cholesterol education program (NCEP) expert panel on Adult Treatment Panel III (ATP III). Abdominal obesity was determined by Korean society for the study of Obesity criteria. The nutritional status was measured by mini nutritional assessment (MNA). Results: The prevalence of the metabolic syndrome was significantly higher in the old than young old elderly (p<0.05, respectively). Abdominal obesity and hypertension were the most common risk factors. The related factors to metabolic syndrome were high Body mass Index (BMI) and currently not participating in exercise. Abdominal obesity, low HDL cholesterol and hypertension were associated with specific nutrient intakes. Conclusion: A strategy to decrease the metabolic syndrome in the elderly is urgently needed particularly so for the old elderly. A nutritional and exercise program for young old elders may be helpful reducing the prevalence of metabolic syndrome in later stage.

Effect of Exercise Program on Grip Strength, Balance and Bone Mineral Density of the Elderly Women in Rural Community (운동프로그램이 농촌여성노인의 악력, 균형 그리고 골밀도에 미치는 영향)

  • Jang, See-Hee;Hwang, Byung-Deog;Yoon, Hee-Jung;Lee, Sung-Kook
    • The Journal of the Korea Contents Association
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    • v.9 no.5
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    • pp.214-223
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    • 2009
  • In this study we investigated the impact of exercise program through the grip strength, the balance and the bone mineral density of elderly women in rural community. A total of number 56 elderly women were divided into two groups, the experimental group(n=33) and the control group(n=23). The experimental group participated exercise program during 13 weeks from 3 Oct to 29 Decem in 2005, twice a week 60 minutes per session. Among the experimental group, 33 people who participated over 20 times exercise program were chosen as the subjects of analysis. The results of this study were as follows: The grip strength was significantly increased in the experimental group compared with the control group(p<0.05). The Timed up and go test and Bone Mineral Density were significantly increased in the experimental group compared with the control group(p<0.01). In conclusion, there has been a substantial improvement in 13 weeks by exercise program is recommended to elderly women in aspect of increasing the grip strength, the balance and the bone mineral density.

The Effect of Multisensory Exercise on Foot Pressure Sensitivity, Balance for the Elderly (다감각 운동이 여성노인의 발 바닥 압력감각, 균형에 미치는 영향)

  • Kang, Ji-Eun;Yi, Kyung-Ock;Lee, Tae-Yong
    • Korean Journal of Applied Biomechanics
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    • v.25 no.1
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    • pp.95-101
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    • 2015
  • Objective : The purpose of this study was to analyze the effects of multisensory exercise on foot pressure sensitivity and balance for the elderly. Method : The subjects were 17 elderly women (11 for the experimental group and 6 for the control group) with a mean age of 83. The subjects all lived in senior residence centers in Seoul. Multisensory exercise was done twice a week for 40 minutes during a 12 week period. Exercise programs were changed every 3 weeks according to the principal of gradual progress of the exercise. In order to train the vision system subjects were asked to open and close their eyes during exercise. When it came to training the vestibular system, subjects stood and walked on high elastic mats with their bare feet. For the somatasensory system subjects always stood and walked with their bare feet. The sub-Metatarsal Pad Elasticity Acquisition Instrument (MPEAI) was used to measure foot pressure sensitivity. MFT Balance test (V1.7) was used to measure anterior / posterior and medial / lateral directional balance. For the statistical analysis the IBM SPSS 21.0 was used to perform Repeatde measured ANOVA and Wilcoxon ranked test. Results : For the multisensory exercise group Hallux (after 6 weeks, 12 weeks), heel (after 6 weeks) and 2nd Metartarsal $40^{\circ}$ (after 6 weeks) pressure sensitivity increased statistically, but the control group didn't change. Also, balance didn't change for the experimental and control group statistically. Conclusion : Exercise with bare feet on a high elastic mat had a partially positive effect on foot sensitivity.