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Does Strength Training Improve Quality of Life and Balance Related Confidence in Older Adults?


Affiliations
1 Ph.D. Scholar, Saveetha Institute of Medical and Technical Sciences, Chennai. Professor, Dept of Physiotherapy, Sri Devaraj Urs Academy of Higher Education and Research, Karnataka., India
2 Professor, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai., India
3 Professor, Oxford College of Physiotherapy, Bangalore, India
4 Director, Dept of Research and Development, Saveetha Institute of Medical and Technical Sciences, Chennai., India
5 Professor, Dept of Physiotherapy, Sri Devaraj Urs Academy of Higher Education and Research, Karnataka., India
     

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Background: Individual above the age of 60 years belong to the rapidly raising proportion in Indian population. Aging results in decline in the performance of daily activities that rely on the mobility and balance represent a solemn drip in the functional status leading to the risk of institutionalization. Adopting a regular physical activity and targeting the muscle weakness through resistance training would produce greater benefits in this population. Objective: The purpose of this study was to analyze the effects of progressive strength training on balance related confidence and health related quality of life. Study design – Quasi experimental study. Method: This study was conducted in elderly between 60 to 75 years from residential care homes. Nearly 23 participants received progressive strengthening exercises for 8 weeks. The effect of strength training on balance confidence and quality of life were analysed using activity specific balance confidence (ABC) scale and Euro quality of life questionnaire (EQL-5D-5L) respectively. Result: Progressive strength training showed significant improvements in quality of life and balance related self confidence measure in elderly with impaired balance. Conclusion: Engagement of older adults in strengthening activities involving major muscle groups are essential component in elderly rehabilitation to maintain and control the age related wane in physical activity.

Keywords

Resisted exercises, Elderly, Aging, Fear of falls, Functional independence.
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  • Hart PD, Buck DJ. The effect of resistance training on health-related quality of life in older adults: Systematic review and meta-analysis. Heal Promot Perspect. 2019;9(1):1-12. doi:10.15171/hpp.2019.01

  • Ahmadiahangar A, Javadian Y, Babaei M, Heidari B, Hosseini S, Aminzadeh M. The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study. Chiropr Man Ther. 2018;26(1). doi:10.1186/s12998-018-0195-x

  • Van Ancum JM, Pijnappels M, Jonkman NH, et al. Muscle mass and muscle strength are associated with pre- and post-hospitalization falls in older male inpatients: A longitudinal cohort study. BMC Geriatr. 2018;18(1):116. doi:10.1186/s12877-018-0812-5

  • Burns E, Kakara R. Deaths from Falls Among Persons Aged ≥65 Years — United States, 2007–2016. MMWR Morb Mortal Wkly Rep. 2018;67(18):509-514. doi:10.15585/mmwr.mm6718a1

  • W. Jack Rejeski1, Abby C. King2, Jeffrey A. Katula1, Stephen Kritchevsky3, Michael E. Miller3, Michael P. Walkup3, Nancy W. Glynn4, Marco Pahor5 and the LI. Physical Activity in Prefrail Older Adults: Confidence and Satisfaction Related to Physical Function. J Gerontol B Psychol Sci Soc Sci. 2008;63(1):19-26. doi:10.1016/j.physbeh.2017.03.040

  • Moriarty DG, Zack MM, Kobau R. The Centers for Disease Control and Prevention’s Healthy Days Measures - Population tracking of perceived physical and mental health over time. Health Qual Life Outcomes. 2003;1(1):37. doi:10.1186/1477-7525-1-37

  • Malar SK, Xavier CB, Rupinder D. Levels of fall risk among Hospitalized elderly. Asian J Manag. 2019;10(4):343. doi:10.5958/2321-5763.2019.00051.9

  • Kaur M, Kaur S, Kaur R. Correlation of Depression and Quality of life among rural elderly. Int J Adv Nurs Manag. 2016;4(4):323. doi:10.5958/2454-2652.2016.00072.x

  • Kaur S. Cognitive Impairment among Elderly: A Descriptive Survey. Res J Humanit Soc Sci. 2017;8(3):273. doi:10.5958/2321-5828.2017.00040.7

  • Tripathi N. Quality of life among elderly people in selected area at Bhilai, Durg, C.G. Asian J Nurs Educ Res. 2019;9(3):341. doi:10.5958/2349-2996.2019.00073.9

  • George D, Kachappillil AJ. The level of Memory Impairment among elderly in a rural community of Ernakulam District. Asian J Nurs Educ Res. 2020;10(1):107. doi:10.5958/2349-2996.2020.00024.5

  • Newman AB, Simonsick EM, Naydeck BL, et al. Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. J Am Med Assoc. 2006;295(17):2018-2026. doi:10.1001/jama.295.17.2018

  • Raj NB, Lee WZ, Eswaramoorthi V, Razali H, Othman NYH, Mahadeva Rao US. Exercise programmes for reducing the risk of falls in elderly: A review. Res J Pharm Technol. 2020;13(6):2961- 2968. doi:10.5958/0974-360X.2020.00527.2

  • Cumming RG, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. Journals Gerontol - Ser A Biol Sci Med Sci. 2000;55(5). doi:10.1093/gerona/55.5.M299

  • Friedman SM, Munoz B, West SK, Rubin GS, Fried LP. Falls and fear of falling: Which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc. 2002;50(8):1329-1335. doi:10.1046/j.1532-5415.2002.50352.x

  • Hewston P, Deshpande N. Falls and Balance Impairments in Older Adults with Type 2 Diabetes: Thinking Beyond Diabetic Peripheral Neuropathy. Can J Diabetes. 2016;40(1):6-9. doi:10.1016/j.jcjd.2015.08.005

  • Y P Nkodo Mekongo 1 SDBNDTP. [Fear of falling in older people] . Rev Med Brux . 2007;28(1):27-31.

  • Liu-Ambrose T, Khan KM, Eng JJ, Lord SR, McKay HA. Balance confidence improves with resistance or agility training: Increase is not correlated with objective changes in fall risk and physical abilities. Gerontology. 2004;50(6):373-382. doi:10.1159/000080175

  • Bassi MA, Lopez MA, Confalone L, Gaudio RM, Lombardo L, Lauritano D. A core set of outcome measure for adults with neurological conditions under going rehabilitation. JNPT. 2018;42(july):174-220.

  • Orr R, Raymond J, Fiatarone Singh M. Efficacy of Progressive Resistance Training on Balance Performance in Older Adults. Sport Med. 2008;38(4):317-343. doi:10.2165/00007256-200838040-00004

  • Cadore EL, Rodríguez-Mañas L, Sinclair A, Izquierdo M. Effects of Different Exercise Interventions on Risk of Falls, Gait Ability, and Balance in Physically Frail Older Adults: A Systematic Review. Rejuvenation Res. 2013;16(2):105-114. doi:10.1089/rej.2012.1397

  • Talley KMC, Wyman JF, Gross CR. Psychometric properties of the activities-specific balance confidence scale and the survey of activities and fear of falling in older women. J Am Geriatr Soc. 2008;56(2):328-333. doi:10.1111/j.1532-5415.2007.01550.x

  • Beninato M, Portney LG, Sullivan PE. Using the International Classification of Functioning, Disability and Health as a Framework to Examine the Association Between Falls and Clinical Assessment Tools in People With Stroke. Phys Ther. 2009;89(8):816-825.

  • Huang TT, Wang WS. Comparison of three established measures of fear of falling in community-dwelling older adults: Psychometric testing. Int J Nurs Stud. 2009;46(10):1313-1319. doi:10.1016/j.ijnurstu.2009.03.010

  • Moiz JA, Bansal V, Noohu MM, et al. Activities-specific balance confidence scale for predicting future falls in Indian older adults. Clin Interv Aging. 2017;12:645-651. doi:10.2147/CIA.S133523

  • Shiny VS, Chellappan S. Dual Task Exercise: Outcome on Gait and Balance of Elders. Asian J Nurs Educ Res. 2019;9(2):243. doi:10.5958/2349-2996.2019.00051.x

  • Reelick MF, Van Iersel MB, Kessels RPC, Olde Rikkert MGM. The influence of fear of falling on gait and balance in older people. Age Ageing. 2009;38:435-440. doi:10.1093/ageing/afp066

  • Hoang Nguyen L, Thu Vu G, Hai Ha G, et al. Fear of Falling among Older Patients Admitted to Hospital after Falls in Vietnam: Prevalence, Associated Factors and Correlation with Impaired Health-Related Quality of Life. Int J Environ Res Public Heal. 2020;17:2493. doi:10.3390/ijerph17072493

  • Ramamurthy G, Danasu, Tamilselvi P. A study to assess the prevalence of depression among elderly residing in selected old age home, Kancheepuram District, Tamil Nadu, 2015. Asian J Nurs Educ Res. 2015;5(3):381. doi:10.5958/2349-2996.2015.00076.2

  • Shafrin J, Sullivan J, Goldman DP, Gill TM. The association between observed mobility and quality of life in the near elderly. Published online 2017. doi:10.1371/journal.pone.0182920

  • Yates SM, Dunnagan TA. Evaluating the effectiveness of a home-based fall risk reduction program for rural community-dwelling older adults. Journals Gerontol - Ser A Biol Sci Med Sci. 2001;56(4):M226-M230. doi:10.1093/gerona/56.4.M226

  • Kressig RW, Wolf SL, Sattin RW, et al. Associations of demographic, functional, and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty. J Am Geriatr Soc. 2001;49(11):1456-1462. doi:10.1046/j.1532-5415.2001.4911237.x

  • Chakraborty G, Kumaresan A, Kiruthika S, Abraham M. Effectiveness of balance exercise circuit (BEC) on improving gait parameters and functional performance in older adults. Res J Pharm Technol. 2018;11(1):165-169. doi:10.5958/0974-360X.2018.00030.6

  • Divya J, Kiruthika, Kumaresan. Influence of ankle exercise on balance among community dwelling older adults. Res J Pharm Technol. 2018;11(7):2935-2939. doi:10.5958/0974-360X.2018.00542.5


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  • Does Strength Training Improve Quality of Life and Balance Related Confidence in Older Adults?

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Authors

Sarulatha Haridass
Ph.D. Scholar, Saveetha Institute of Medical and Technical Sciences, Chennai. Professor, Dept of Physiotherapy, Sri Devaraj Urs Academy of Higher Education and Research, Karnataka., India
M. Manikumar
Professor, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai., India
Vasanthan Rajagopalan
Professor, Oxford College of Physiotherapy, Bangalore, India
R. Vijayaraghavan
Director, Dept of Research and Development, Saveetha Institute of Medical and Technical Sciences, Chennai., India
Ramesh Kumar Jeyaraman
Professor, Dept of Physiotherapy, Sri Devaraj Urs Academy of Higher Education and Research, Karnataka., India

Abstract


Background: Individual above the age of 60 years belong to the rapidly raising proportion in Indian population. Aging results in decline in the performance of daily activities that rely on the mobility and balance represent a solemn drip in the functional status leading to the risk of institutionalization. Adopting a regular physical activity and targeting the muscle weakness through resistance training would produce greater benefits in this population. Objective: The purpose of this study was to analyze the effects of progressive strength training on balance related confidence and health related quality of life. Study design – Quasi experimental study. Method: This study was conducted in elderly between 60 to 75 years from residential care homes. Nearly 23 participants received progressive strengthening exercises for 8 weeks. The effect of strength training on balance confidence and quality of life were analysed using activity specific balance confidence (ABC) scale and Euro quality of life questionnaire (EQL-5D-5L) respectively. Result: Progressive strength training showed significant improvements in quality of life and balance related self confidence measure in elderly with impaired balance. Conclusion: Engagement of older adults in strengthening activities involving major muscle groups are essential component in elderly rehabilitation to maintain and control the age related wane in physical activity.

Keywords


Resisted exercises, Elderly, Aging, Fear of falls, Functional independence.

References