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Comparison of Lower Limb and Trunk Muscle Strength Training on Balance in Elderly Population


Affiliations
1 Department of Physiotherapy, Lovely Professional University, Jalandhar, Punjab, India
     

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Objective

To compare the effect of lower limb strengthening with trunk muscle strengthening on balance in elderly.

Design

Quasi experimental design.

Setting

Prayas old age home, Jalandhar.

Population&sampling

24 Elderly subjects of both sexes in age group of 60-80 years and having functional reach less than 10 were selected by convenient sampling method and assigned in to two groups.

Intervention

Trunk muscle strengthening was given to Group A and lower limb muscle strengthening was given to Group B, for 30 minutes/ 4 days a week/ one month.

Main outcome measure

Subjects muscle strength and functional reach were assessed on day 0 and then on 30th day in the same environmental condition.

Results and conclusions

The Analysis reveals that there is significant effect in trunk and lower limb muscle strengthening on functional reach and muscle strength in elderly population. However the improvement in functional reach between Group A and Group B fail to achieve the significance.


Keywords

Elderly, Balance, Trunk Muscle Strength Training, Lower Limb Strength Training
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  • Bengtson VL, Putney NM, Johnson ML (2005). The problem of theory in gerontology today. Cambridge hand book of age and aging. Page no.5. Cambridge University Press
  • Nevitt MC, Cummings SR, Hudes ES (1991). Risk factors for injurious falls: a prospective study. J Gerontology 46: M 164-M 170
  • Murray PM, Kory RC, Clarkson BH (1969). Walking patterns in healthy old men. J Gerontology 24:169-178.
  • Kelsey JL, Browner WS, Seeley DG (1992). Risk factors for fractures of the distal forearm and proximal humerus. Am J Epiderniol. 135: 477-489.
  • Wolfson L, Whipple RH, Derby CA (1992). A dynamic posturographic study of balance in healthy elderly. Neurology 42:2069-2075.
  • Howland J, Lachman ME, Peterson EW(1998). Covariates of fear of falling and associated activity curtailment. Gerontologist. 38: 549–555.
  • Duncan PW, Weiner DK, Chandler J, Studenski S (1990). Functional reach: a new clinical measure of balance. J Gerontol. 45:M192–M197
  • Kaufmann T (1990). Impact of aging-related musculoskeletal and postural changes on falls. Topics in Geriatric Rehabilitation. 5:34–43.
  • Lord SR, Clark RD, Webster IW (1991). Physiological factors associated with falls in an elderly population. J Am Geriatr Soc.39:1194 –1200.
  • Robbins AS, Rubenstein LZ, Josephson KR (1989). Predictors of falls among elderly people: results of two population-based studies. Arch Intern Med.149:1628–1633.
  • King MB, Judge JO, Wolfson L. Functional base of support decreases with age. J Gerontol. 1994;49:M258–M263.
  • Aniansson A, Zetterberg C, Hedberg M, Henriksson KG. Impaired muscle function with aging: a background factor in the incidence of Fractures. 1984 Dec;(191):193-201.
  • Lajoie Y, Gallagher S. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriat 2004;38: 11–26.
  • Hall A, Hendrie D. A prospective study of the costs of falls in older adults living in the community. Aust NZ J Publ Health 2003;27: 343–51.
  • Menz H, Lord S, Fitzpatrick R. Age-related differences in walking stability. Age Ageing 2003; 32:137–42.
  • Goldberg A (2005). Trunk repositioning errors are increased in balance impaired older adults. J Gerontology: A Bio sci Med science. 60:1310-1314 (2005).
  • Daubney ME (1999). Lower extremity muscle force and balance performance in adults aged 65 years and older. Physical therapy 79; 12:1177-1185.
  • Cook A, Shumway, Wollacot MH; Motor control: Theory and practical application. Williams & Wilkins 1995.
  • Devito CA(2003). Physical performance effects of low intensity exercise among clinically defined high risk elders/ Gerontology 2003 May.
  • Bryant C (2001). Muscular strength and endurance. ACSM resource manual for guidelines for exercise testing and prescription. P 448-455
  • Binder EF (2002). Effects of exercise training on frailty in community dwelling older adults: results of a randomized control trial. J AM Geriatric Soc.2002 December.
  • Bohannon RW (1984). Decreased in timed balance test score with ageing. Physical therapy. 64; 7:1067-1070.
  • Bombois S, Pardessus V: dementia and falls: two related syndromes in old age: Psychol Neuropsychiatry vieil, 2005 Dec: 3.
  • Carter ND, Khan KM, Mallinson A, Janssen PA,Heinonen A, Petit MA, McKay HA; Fall-Free BC Research Group (2002). Knee extension strength is a significant determinant of static and dynamic balance as well as quality of life in older community-dwelling women with osteoporosis. Gerontology. Nov-Dec; 48(6): 360-8.
  • Bohannon RW (1986). Test-Retest Reliability of Hand-Held Dynamometry during a Single Session of Strength Assessment. Phys Therapy. Feb; 66(2): 206-9.
  • Carter ND (2002). Community based exercise program reduces risk factors for falls in 65-75 year old women with osteoporosis: randomized control trial. CMA Journal. Oct 29; 167(9):997-1004.
  • Resnick HE (2002). Independent effects of peripheral nerve dysfunction on lower extremity physical function in old age: the women health and Ageing Study. Diabetes care 2002
  • Hakkinen K (1996). Neuromuscular adaptation during bilateral versus unilateral strength training in middle aged and elderly men and women. Acta physiologi. Scand. 1996.
  • Laidlaw DH (1999). Strength training improves the steadiness of slow lengthening contractions performed by older adults. J Appl Physiology. Vol. 87, Issue 5, 1786-1795, November.
  • Frontera WR (1988). Strength conditioning in older men: skeletal muscle hypertrophy and improved function. J Applied physiology. Vol 64, Issue 3 1038-1044.
  • Daubney ME (1999). Lower extremity muscle force and balance performance in adults aged 65 years and older. Physical therapy. Vol. 79, No. 12, December 1999, pp. 1177-1185
  • Jerrold S. Petrofsky (2005). Core Strengthening and Balance in the Geriatric Population. J. of applied research vol 5, no 3.
  • Deepak Kumar (2007). Lower extremity muscle strength and balance performance in indian community dwelling elderly men aged 50 years and above. Indian journal of PT and OT.April-June: Page.No.15-25.
  • Nelson ME et al; The effect of multidimensional home based exercise on physical performance in elderly people. J Gerotology.A Bio sci Med sci. 2004 Feb.
  • Donat H, Ozcan A; comparison of the effectiveness of two programmes on older adult at risk of falling: unsupervised and supervised group exercises Clin rehab,2007 Mar; 21(3).
  • Brown M (1995). The relationship of strength to function in the older adults. J of gerontology. A bio sci med sci. 1995 Nov;50 Spec No:55-9.

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  • Comparison of Lower Limb and Trunk Muscle Strength Training on Balance in Elderly Population

Abstract Views: 487  |  PDF Views: 0

Authors

Sunil Bhatia
Department of Physiotherapy, Lovely Professional University, Jalandhar, Punjab, India
R. Venkadesan
Department of Physiotherapy, Lovely Professional University, Jalandhar, Punjab, India
Mamta Shankar
Department of Physiotherapy, Lovely Professional University, Jalandhar, Punjab, India

Abstract


Objective

To compare the effect of lower limb strengthening with trunk muscle strengthening on balance in elderly.

Design

Quasi experimental design.

Setting

Prayas old age home, Jalandhar.

Population&sampling

24 Elderly subjects of both sexes in age group of 60-80 years and having functional reach less than 10 were selected by convenient sampling method and assigned in to two groups.

Intervention

Trunk muscle strengthening was given to Group A and lower limb muscle strengthening was given to Group B, for 30 minutes/ 4 days a week/ one month.

Main outcome measure

Subjects muscle strength and functional reach were assessed on day 0 and then on 30th day in the same environmental condition.

Results and conclusions

The Analysis reveals that there is significant effect in trunk and lower limb muscle strengthening on functional reach and muscle strength in elderly population. However the improvement in functional reach between Group A and Group B fail to achieve the significance.


Keywords


Elderly, Balance, Trunk Muscle Strength Training, Lower Limb Strength Training

References