Proprioceptive Training to Improve Static and Dynamic Balance in Elderly
DOI:
https://doi.org/10.6000/1929-6029.2021.10.18Keywords:
Falls, Physical activity, Aging, Perceptions, InstabilityAbstract
Background: The risk of falls is a major cause of disability in older adults. A single fall, for the elderly, increases the risk of frequent falls and often causes an increased fear of falling again, which can become debilitating.
Objectives: The purpose of the present study was to test the effects of 12 weeks of proprioceptive training on the static and dynamic balance of older adults who have experienced at least one fall without compromising consequences.
Method: The sample consisted of older adults, aged 60 to 80 years, randomly divided into two groups: an experimental group, which followed a proprioceptive training protocol at a physiotherapy studio, and a control group, which did not observe any treatment. Static and dynamic balance assessment was performed pre-and post-intervention. The tests administered were the Berg Balance Test for the evaluation of static balance, and the Four-Square Step Test, for dynamic balance. A questionnaire to assess confidence and fear of falling was administered at the end of the protocol. Independent sample t-test was performed to analyze differences between groups and two-way ANOVA to test the null hypothesis of no change different over time between groups (interaction intervention × time). A Chi-Square was performed to analyze perceptions.
Conclusions: The results showed that 12 weeks of proprioceptive training effectively improved dynamic and static balance in older adults. The perceptions of the experimental group were more positive than the other one, in terms of the importance of physical activity to prevent the risk of falls, fear of falling again, and experience of falls during the last 12 weeks.
References
The prevention of falls in later life. A report of the Kellogg International Work Group on the Prevention of Falls by the Elderly. Danish medical bulletin 1987; 34 Suppl 4: 1–24.
Istituto Superiore di Sanità. Le cadute negli anziani. Epicentro ISS. Consulted on 22 November 2021. https://www.epicentro.iss.it/incidenti-domestici/rischi-cadute-anziani
Istat. Le Condizioni di Salute Della Popolazione Anziana in Italia. 2019. Consulted on 22 November 2021. Available at https://www.istat.it/it/files//2021/07/Report-anziani-2019.pdf
Karlsson MK, Magnusson H, von Schewelov T, Rosengren BE. Prevention of falls in the elderly--a review. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA 2013; 24(3): 747–762. https://doi.org/10.1007/s00198-012-2256-7 DOI: https://doi.org/10.1007/s00198-012-2256-7
Boushon B, Nielsen G, Quigley P, Rutherford P, Taylor J, Shannon D, Rita S. How-to Guide: Reducing Patient, Injuries from Falls, Cambridge, in MA: Institute for Healthcare Improvement 2012. Available at www.ihi.org
WHO. Physical Activity Strategy for the WHO European Region 2016–2025; WHO Regional Office for Europe: Vilnus, Lithuania 2015. Consulted in 22 November 2021. https://www.euro.who.int/__data/assets/pdf_file/0010/282961/65wd09e_PhysicalActivityStrategy_150474.pdf
Aliberti S, Invernizzi PL, Scurati R, D'Isanto T. Posture and skeletal muscle disorders of the neck due to the use of smartphones. Journal of Human Sport and Exercise 2020; 15(3proc): S586-S598. https://doi.org/10.14198/jhse.2020.15.Proc3.11 DOI: https://doi.org/10.14198/jhse.2020.15.Proc3.11
Berg K, Wood-Dauphine SL, Williams JL, Gayton D. Measuring balance in the elderly: validation of an instrument Canadian Journal of Public Health 1992; S2: s7-s11.
Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Archives of physical medicine and rehabilitation 2002; 83(11): 1566–1571. https://doi.org/10.1053/apmr.2002.35469 DOI: https://doi.org/10.1053/apmr.2002.35469
Martínez-Amat A, Hita-Contreras F, Lomas-Vega R, Caballero-Martínez I, Alvarez PJ, Martínez-López E. Effects of 12-week proprioception training program on postural stability, gait, and balance in older adults: a controlled clinical trial. Journal of strength and conditioning research 2013; 27(8): 2180–2188. https://doi.org/10.1519/JSC.0b013e31827da35f DOI: https://doi.org/10.1519/JSC.0b013e31827da35f
Espejo-Antúnez L, Pérez-Mármol JM, Cardero-Durán M, Toledo-Marhuenda JV, Albornoz-Cabello M. The Effect of Proprioceptive Exercises on Balance and Physical Function in Institutionalized Older Adults: A Randomized Controlled Trial. Archives of physical medicine and rehabilitation 2020; 101(10): 1780–1788. https://doi.org/10.1016/j.apmr.2020.06.010 DOI: https://doi.org/10.1016/j.apmr.2020.06.010
Ferlinc A, Fabiani E, Velnar T, Gradisnik L. The Importance and Role of Proprioception in the Elderly: a Short Review. Materia socio-medica 2019; 31(3): 219–221. https://doi.org/10.5455/msm.2019.31.219-221 DOI: https://doi.org/10.5455/msm.2019.31.219-221
Picone AD, Iona T, Rigon M, Aliberti S. The importance of balance with the prescriptive teaching in kickboxing. Journal of Human Sport and Exercise 2021; 16(4proc): S2023-S2030. https://doi.org/10.14198/jhse.2021.16.Proc4.49 DOI: https://doi.org/10.14198/jhse.2021.16.Proc4.49
Cilento MDBR. Avaliação da eficácia de protocolos de treinamento da atividade sentado-para-de-pé em mulheres idosas. Fisioterapia Brasil 2005; 6(6): 412-418. https://doi.org/10.33233/fb.v6i6.2032 DOI: https://doi.org/10.33233/fb.v6i6.2032
Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. New South Wales public health bulletin 2011; 22(3-4): 78–83. https://doi.org/10.1071/NB10056 DOI: https://doi.org/10.1071/NB10056
Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb SE. Exercise for preventing falls in older people living in the community. The Cochrane database of systematic reviews 2019; 54(15): 885-891. https://doi.org/10.1002/14651858.CD012424.pub2 DOI: https://doi.org/10.1136/bjsports-2019-101512
Lanzara I, Aliberti S, Cereda F. Self-perception on physical activity of elderly people. Journal of Human Sport and Exercise 2021; 16(4proc): S1705-S1712. https://doi.org/10.14198/jhse.2021.16.Proc4.17 DOI: https://doi.org/10.14198/jhse.2021.16.Proc4.17
Aliberti S, Raiola G. Effects of Line Dancing on Mental Health in Seniors after COVID-19 Pandemic. Educ. Sci. 2021; 11: 677. https://doi.org/10.3390/educsci11110677 DOI: https://doi.org/10.3390/educsci11110677
Sannicandro I, Cofano G, Rosa AR, Raiola G. Sedentary conditions during the lockdown and movement opportunities for the Italian elderly. MOJ Sports Med. 2020; 4(3):87?90. http://hdl.handle.net/11369/388156 DOI: https://doi.org/10.15406/mojsm.2020.04.00100
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