Use of clinical tests for verification of postural control in healthy elderly submitted to physical exercise programs
DOI:
https://doi.org/10.11606/issn.2317-0190.v17i4a103382Keywords:
Aging, Exercise, Postural Balance, EvaluationAbstract
With aging, postural control diminishes, but the practice of physical exercises can improve this important function. Various tests can be used to measure these possible improvements. The objective of this study is to analyze the use of clinical tests of indirect measurements to verify the alterations in the postural control of healthy elderly submitted to physical exercise programs. The study's design is a randomized, simple-blind clinical test with the subjects' arms parallel. In the research there were 46 elderly divided randomly into two groups of exercises: multi-sensorial (MSG, n=23, 68.8±5.9 years) and strengthening (resistance training) (RTG, n=23, 70.18±4.8). Both groups performed 12 weeks (2 days/week, 50minutes/day) of exercises. To evaluate their postural control the following tests were utilized: Timed up and go (TUG), unipodal support test, battery of Guralnik tests, and the Berg functional balance scale. The MSG individuals showed significant improvement in the TUG tests and Guralnik battery of tests, and the RTG individuals did not show improvement in any of the tests. The improvement in the time of execution of the TUG test of the MSG group was 9.1±8.04 to 8.0±1.0 seconds after intervention, and it was statistically higher than the RTG group result. We believe the TUG test and the Guralnik battery of tests are good options to evaluate the postural control of the elderly submitted to the intervention programs. Although the TUG cannot have its time diminished indefinitely, it allows the verification, even within a normalcy time, of alterations brought on by physical exercises.
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Amiridis IG, Hatzitaki V, Arabatzi F. Age-induced modifications of static postural control in humans. Neurosci Lett. 2003;350(3):137-40.
Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly person living in the community. N Engl J Med. 1988; 319(26):701-7.
Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials. BMJ. 2004;328(7441):680.
King MB, Tinetti MG. Falls in community dwelling older persons. J Am Geriatr Soc. 1995;43(10):1146-54.
Bij AKVD, Laurant MGH, Wensing M. Effectiveness of physical activity interventions for older adults. Am J Prev Med. 2002;22(2):120-33.
Skelton DA. Effects of physical activity on postural stability. Age Ageing. 2001;30(54):33-9.
Howe TE, Rochester L, Jackson A, Banks PMH, Blair VA. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2007;(4):CD004963.
Nitz JC, Choy NL. The efficacy of a specific balance- strategy training programme for preventing falls among older people: a pilot randomized controlled trial. Age Ageing. 2004;33(1):52-8.
Bulat T, Hart-Hughes S, Ahmed A, Quigley P, Palacios P, Werner DC, et al. Effect of a group-based exercise program on balance in elderly. Clin Interv Aging. 2007:2(4):655-60.
Rogers ME, Rogers NL, Takeshima N, Islam MM. Methods to asses and improve the physical parameters associated with fall risk in older adults. Prev Med. 2003;36(3):255-64.
Alfieri FM, Guirro RRJ, Teodori RM. Postural stability of elderly submitted to multisensorial physical therapy intervention. Electromyogr Clin Neurophysiol. 2010;50(2):113-9.
Winett RA, Carpinelli ED. Potential health-related benefits of resistance training. Prev Med. 2001;33(5):503-13.
Kraemer WJ. Progression models in resistance training for healthy adults. ACSM Position Stand. Med Sci Sports Exerc. 2002;24(2):364-80.
Santarém JM. Treinamento de força e potência. In: Ghorayeb N, Barros TL. O exercício. São Paulo: Atheneu; 1999. p. 35-50.
Podsiadlo D, Richardson S. The timed Üp & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
Figueiredo KMOB, Lima KC, Guerra RO. Instrumentos de avaliação do equilíbrio corporal em idosos. Rev Bras Cineantropom Desempenho Hum. 2007;9(4):408-13.
Gustafson AS, Noaksson ACG, Kronhed ACG, Moler M, Moler C. Changes in balance performance in physically active elderly people aged 73-80. Scand J Reab Med. 2000;32(4):168-72.
Berg KO, Woo-Dauphinee SL. Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83(Suppl 2):S7-11.
Miyamoto ST, Lombardi Junior I, Berg KO, Natour J, Ramos LR. Brazilian Version of Berg Balance scale. Braz J Med Biol Res. 2004;37(8):1411-21.
Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol Med Sci. 1994;49(2):M85-M94.
Nakano MM. Versão brasileira da Short-Physical Performance Battery - SPPB [dissertação]. Campinas: Universidade Estadual de Campinas; 2007.
Okuno E, Fratin L. Desvendando a física do corpo humano. Barueri: Manole; 2003.
Islam MM, Nasu E, Rogers ME, Koizumi D, Rogers Nl, Takeshima N. Effects of combined sensory and muscular training on balance in Japanese older adults. Prev Med. 2004;39(6):1148-55.
Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther. 2000;80(9):896-903.
Nagy E, Feher-Kiss A, Márnai B, Domján-Preszner A, Angyan L, Horvath G. Postural control in elderly subjects participating in balance training. Eur J Appl Physiol. 2007;100(1):97-104.
Alfieri FM, Teodori RM, Montebelo MIL. Mobilidade funcional de idosos submetidos à intervenção fisioterapêutica. Saúde Rev. 2004;6(14):45-50.
Ramsbottom R, Ambler A, Potter J, Jordan B, Nevill A, Williams C. The effect of 6 months training on leg power, balance, and functional mobility of independently living adults over 70 years old. J Aging Phys Act. 2004;12(4):497-510.
Bohannon R. Reference values for the Timed Up and Go test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29(2):64-8.
Nascimento FA, Vareschi AP, Alfieri FM. Prevalência de quedas, fatores associados e mobilidade funcional em idosos institucionalizados. Arq Cat Med. 2008;37(2):7-12.
Alfieri FM, Carreres MAA, Figuera RG, Battistella LR. Comparación El tiempo de ejecución del test timed up and go (TUG) en ancianos con y sin antecedentes de caídas. Rev Esp Geriatr Gerontol. 2010;45(3):174-5.
Mian OS, Baltzopoulos VU, Mintetti AE, Narici MV. The impact of physical training on locomotor function in older people. Sports Med. 2007;37(8)663-701.
Mazzeo RS, Cavanagh P, Evans WJ, Fiatore MA, Hagberg J, McAuley E, et al. Exercício e atividade física para pessoas idosas. Rev Bras Ativ Fís & Saúde. 1998;3(1):48-68.
Hamada T, Sale DG, MacDougall JD, Tarnopolsky MA. Postactivation potentiation,fiber type, and twich contraction time in human knee extensor muscles. J Appl Physiol. 2000;88(6):2131-7.
Izquierdo M, Hakkinen K, Ibañez J, Garrues M, Antón A, Zúniga A, et al. Effects of strength training on muscle power and hormones in middle-aged and older men. J Appl Physiol. 2001;90(4):1497-507.
Rodini C, Ferreira LTD, Alfieri FM, Riberto M, Moreira MCS. Estudo entre a Escala de equilíbrio de Berg, o Teste Timed Up & Go e o índice de marcha dinâmico aplicadas em idosos hígidos. Acta Fisiatr. 2008;15(4):267-8.
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