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Similar a Is Strength Training Incorporating the use of gym equipment useful in improving functional balance in the elderly
Similar a Is Strength Training Incorporating the use of gym equipment useful in improving functional balance in the elderly (20)
Is Strength Training Incorporating the use of gym equipment useful in improving functional balance in the elderly
- 1. Is Strength Training Incorporating The Use Of Gym Equipment Useful In Improving Functional Balance In The Elderly? Toylyn Lee Candace Ong Zhi Yi Lim Emily Lim Amanda Soh & Ellen Ho
- 7. Methodology N = 65 selected by centres N = 24 included according to selection criteria N = 41excluded 14 gymers 10 non-gymers 2 dropped out 1 dropped out 21 left at end of study
- 10. Statistical Results 0.05 Components T/Z values p values Sig (2 tailed) Post Ankle Dorsiflexion 1.278 (T) 0.217 Post Reaction Timed 1.863 (T) 0.78 Post SF-36 2.003 (T) 0.06 Fullerton Advanced Balance Diff 0.561 (Z) 0.581 Knee Extension Diff -0.107 (Z) 0.915 Timed Up and Go Diff -0.853 (Z) 0.394
- 11. Correlation Ankle Dorsiflexion Fullerton Advanced Balance Reaction Time SF-36 Timed Up & Go Knee Extension R (Correlation Coefficient) 0.097 -0.266 -0.016 0.061 -0.221 ρ (2 tailed sig) 0.675 0.245 0.944 0.792 0.336 SF-36 R (Correlation Coefficient) 0.085 0.553 ρ (2 tailed sig) 0.713 0.009 Ankle Dorsiflexion R (Correlation Coefficient) 0.630 ρ (2 tailed sig) 0.002
- 12. Correlation Ankle Dorsiflexion Fullerton Advanced Balance Reaction Time SF-36 Timed Up & Go Knee Extension r (Correlation Coefficient) 0.097 -0.266 -0.016 0.061 -0.221 ρ (2 tailed sig) 0.675 0.245 0.944 0.792 0.336 SF-36 r (Correlation Coefficient) 0.085 0.553 ρ (2 tailed sig) 0.713 0.009 Ankle Dorsiflexion r (Correlation Coefficient) 0.630 ρ (2 tailed sig) 0.002
- 13. In our study, the strength training program using gym equipment does not improve functional balance in elderly.
- 15. Discussion Ankle DF strength FAB r = 0.63 p < 0.05 Shehab et al (2004): STRONG DIRECT correlation between improvement of ankle dorsiflexors muscle strength and balance tests R values of BBS/ FRT/ GUG: 0.94/ 0.95/ -0.88 respectively
- 17. Discussion ↑ SF-36 Gym FAB t/p values (2.003; 0.06) r values: 0.553 The post Mean values between gymers and non-gymers
- 18. Summary ↑ SF-36 Ankle DF Gym FAB FAB ACSM Guidelines
- 20. Gym Discussion ACSM Guidelines 2007 Time 1 Set
Notas del editor
- Hi our group is on strength training with gym equipment improving functional balance in the elderly. For our study, we don’t have any intervention, as our subjects have their own gym sessions. So then what we did is to take 2 measurements, one as baseline and another is after 6 months. Our measurements for functional balance and Fullerton advanced balance scale (FAB), TUG, Reaction timed test. Strength was measured through ADF, and KE. We also did a quality of life assessment using SF36.
- Elderly persons (defined as aged 65 years and older) made up 7.2% of its population in year 2000. This proportion has been projected to increase to 8% in 2010, 13% in 2020 and 18.4% in 2030 (Ministry of Health, Singapore, 2000).
- An aging population posts new challenges to healthcare and social services. One serious challenge is falls prevention. A fall can mark the beginning of a decline in function and independence. It can result in a range of adverse outcomes, from minor bruises to fractures, disability, dependence and even death (Tinetti et al 1997). In economic terms, the direct and indirect costs associated with falls are large and will grow as proportion of older people increases. In consideration of this growing problem, the government has been increasing the number of elderly daycare centres to help senior citizens lead meaningful lives by providing physical activities, rehabilitation and social activities. These activities aim to improve mobility, balance and functional strength thus reducing risk of falls.
- amanda
- 65 community dwelling elderly who attended NTUC Eldercare Day Care Centres were recruited for the study. Those eligible were considered based on age, that they must be > 65 years old. They must also be community ambulant with or without walking aid, have functional Range Of Movement (ROM) and be independent in Activities of Daily Living (ADL). They were excluded if they had severe visual/vestibular impairments, Parkinson’s disease, dementia, cognitive impairment, major cardiac and/or organ failure, cancer or a recent fracture. Hence, out of the 65, we excluded 40 and only took in 25 subjects. Amongst these 25, 3 dropped out halfway and 1 declined to particpate, leaving us with 21 subjects. These subjects participated in a similar 3-6 month training programme of strengthening exercises using hydraulic machines for leg extensions, leg curls, hip adductor/abductors, biceps curl, shoulder press, arm extension.
- (TOY) For our outcome measures, we measured functional balance using the Fullerton Advanced Balance scale and Timed up and go test. For strength, we used a spring gauge to measure ADF and KE. Lastly we used an online reaction timed test, and SF36 assessment for quality of life measurement.
- Talk through measurements – no music lol
- Although other studies have shown that strength training does help in functional balance in elderly, however for our study which was based on the two wellness center’s programme, it showed no significant difference despite having some form of moderate correlation between adf and fab and fab and sf36. Therefore, we have to accept null hypothesis. (TOY) Hence based on our statistics, we conclude that the null hypothesis is accepted – that strength training does not improve in functional balance in the elderly. Now will hand over to zy to continue with the discussion of the data collected.
- Talk about article
- SF-36 scores (wad you feel gd bout ur own health) -> Gym-> Better strength->better self-perception ->able to ambulate more in community and better QOL
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- Specificity etc (progress chart) Gym ADF strength training Discussion on benefits of gym Since there is a moderate correlation between FAB and SF36, there may be a need to incorporate balance exercises to increase confidence/QOL/ Increase FAB score-> decrease fall risks -> Increase ADL independence-> better QOL -> thus better SF36 Increase FAB, decrease falls => same as toy’s slides??? In addition to this, the strengthening programme should fulfil the ACSM criteria for better and more efficient results.
- More physiotherapy involvement – assessments, evaluation, education
- Strong evidence => from literature As mentioned earlier, Our study indicated that the centre program could be adjusted to incorporate Facilities are well equipped and has the capacity to conduct such programs. but the program implemented did not result in significant improvements over a period 6 months. The centre’s program was ineffective in improving strength and functional balance Wellness centre to work with hospital : ( screening for continuity of exercise prescription) Program according to ACSM guidelines: ( FITT, SORV )