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Man. Ther., Posturology Rehabil. J. 2017; 15
10.17784/mtprehabjournal.2017.15.511 doi: http://dx.doi.org/10.17784/mtprehabjournal.2017.15.511
Abstract:Introduction: The muscular strength exercises can be an effective intervention to prevent falls and to favor the functional capacity (FC) in the elderly. However, few studies have reported the benefits of power training (PT) and the subjective perception of the elderly on these activities. Objective: to evaluate the repercussions of a power training protocol on functional capacity and subjective health parameters in the elderly. Method: It was a prospective study involving 48 elderly people. Two groups were composed: a power training group (PG) with 22 participants with a mean age of 68.14 (5.46) years and the control group (CG) was composed of 32 elderly individuals aged 68.03 (4.83) years. Health-related quality of life was measured from the Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36). The FC was measured by the Berg Balance and Time Up and Go tests. The PT was performed 2x/week, with duration of 50 min/session, for 14 weeks (first two weeks of adaptation; first six weeks 3X/10-15 repetitions of 40-50% of the Subjective Perceived Exertion (SPE) / 6 following weeks 3X/6-10 repetitions of 60-70% of the SPE). The CG performed rhythm activities with the same frequency and weekly duration. Result: It was observed favorable results in FC after 14 weeks of power training. There was also a positive evaluation of most sf-36 domains, with emphasis on physical and emotional aspects. However, the perception of the elderly in relation to the pain domain presented negative results. Conclusion: The PT positively influenced the FC, the physical and the emotional aspects of the elderly; negatively affected the pain and maintained the low risk of fall after 12 weeks of intervention, without presenting intercurrences during the intervention.
Keywords:Physical Education and Training, Aged, Quality of Life, Activities of Daily Living.
1. Gomes MJ, Martinez PF, Pagan LU, Damatto RL, Cezar MDM, Lima ARR, et al. Skeletal muscle aging: influence of oxidative stress and physical exercise. Oncotarget. 2017;20428-20440.
2. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: european consensus on definition and diagnosis. Age Ageing. 2010;39:412–423.
3. World Health Organization - WHO. Global report on falls prevention in older age. Geneva:WHO;2007. Available from: http://www.who.int/ageing/projects/falls_prevention_older_age/en/.
4. Boongird C, Keesukphan P, Phiphadthakusolkul S, Rattanasiri S, Thakkinstian A. Effects of a simple home-based exercise program on fall prevention in older adults: A 12-month primary care setting, randomized controlled trial. Geriatr Gerontol Int. 2017; [doi: 10.1111/ggi.13052].
5. Lacroix A, Kressig RW, Muehlbauer T, Gschwind YJ, Pfenninger B, Bruegger O, et al. Effects of a Supervised versus an Unsupervised Combined Balance and Strength Training Program on Balance and Muscle Power in Healthy Older Adults: A Randomized Controlled Trial. Gerontology. 2016;62:275–288.
6. Stief F, Schäfer A, Vogt L, Kirchner M, Hübscher M, Thiel C, et al. Differences in Gait Performance, Quadriceps Strength, and Physical Activity Between Fallers and Nonfallers in Women with Osteoporosis. J Aging Phys Act. 2016;24:430-434.
7. van Schooten KS, Pijnappels M, Rispens SM, Elders PJ, Lips P, van Dieën JH. Ambulatory fall-risk assessment: amount and quality of daily-life gait predict falls in older adults. J Gerontol A Biol Sci Med Sci. 2015;70(5):608-615.
8. Pion CH, Barbat-Artigas S, St-Jean-Pelletier F, Chevalier S, Gaudreau P, Gouspillou G, et al. Muscle strength and force development in high-and low-functioning elderly men: Influence of muscular and neural factors. Exp Gerontol. 2017;96:19-28.
9. Byrne C, Faure C, Keene DJ, Lamb SE. Ageing, Muscle Power and Physical Function: A Systematic Review and Implications for Pragmatic Training Interventions. Sports Med. 2016;46(9):1311-1332
10. Sayers SP, Gibson K, Bryan MJ. Improvement in functional performance with high-speed power training in older adults is optimized in those with the highest training velocity. Eur J Appl Physiol. 2016;116(11-12):2327-2336.
11. Silva CRBP, Guerra RO, Fonsêca AMC, Gomes AC, Maciel ACC. Mobility, balance and muscle performance according to self-efficacy for falls in the elderly. Fisioter Mov. 2015; 28(2):231-40.
12. Bechshoft RL, Malmgaard-Clausen NM, Gliese B, Beyer N, Mackey AL, Andersen J A, et al. Improved skeletal muscle mass and strength after heavy strength training in very old individuals. Exp. Gerontol.2017;92:96-105.
13. Tiggemann CL, Dias CP, Radaelli R, Massa JC, Bortoluzzi R, Schoenell MCE, et al. Effect of traditional resistance and power training using rated perceived exertion for enhancement of muscle strength, power, and functional performance. AGE. 2016;38:42.
14. Sculthorpe NF, Herbert P, Grace F. One session of high-intensity interval training (HIIT) every 5 days, improves muscle power but not static balance in lifelong sedentary ageing men. Medicine. 2017;96:6.
15. Muehlbauer T, Gollhofer A, Granacher U. Associations between measures of balance and lower-extremity muscle strength/power in healthy individuals across the lifespan: a systematic review and meta-analysis. Sports Med. 2015;45:1671–1692.
16. Ahlqvist A, Nyfors H, Suhonen R. Factors associated with older people’s independent living from the viewpoint of health and functional capacity: a register-based study. Nurs. Open. 2015;3(2):79-89.
17. Hakestad KA, Torstveit MK, Nordsletten L, Axelsson AC, Risberg MA. Exercises including weight vests and a patient education program for women with osteopenia. A feasibility study of the OsteoACTIVE rehabilitation program. Orthop Sports Phys Ther. 2015;45(2):97-105.
18. Ramírez-Campillo R, Castillo A, Fuente CI, Campos-Jara C, Andrade DC, Álvarez C, et al. High-speed resistance training is more effective than low-speed resistance training to increase functional capacity and muscle performance in older women. Exp gerontology 2014;58,51-57
19. Wanderley FAC, Oliveira NL, Marques E, Moreira P, Oliveira J, Carvalho J. Aerobic Versus Resistance Training Effects on Health-Related Quality of Life, Body Composition and Function of Older Adults. J Appl Gerontol. 2012;34(3):NP143-NP165.
20. CICONELLI RM, FERRAZ MB, SANTOS W. Tradução para a línguaportuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev. BraReumatol. 1998;29:143-1508.
21. Schünemann H J, Akl E A, Guyatt G H. Interpreting the results of patient reported outcome measures in clinical trials: The clinician’s perspective. Health and Quality of Life Outcomes. 2006;4:62.
22. Christofoletti G, Oliani MM, Gobbi LTB, Gobbi S, Stella F. Risco De Quedas em Idosos Com Doença De Parkinson e Demência de Alzheimer: Um Estudo Transversal. Rev. bras. Fisioterapia. 2006;10(4):429-433.
23. Santos ACS, Nobre MRC, Nussbacher A, Rodrigues GHP, Gebara OCE, Serro AJBC, et al. Predictors of the risk of falls among elderly with chronic atrial fibrillation. Clinics 2012;67(4):305-311.
24. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am GeriatrSoc. 1991;39(2):142-8.
25. Bischoff HA, Stähelin HB, Monsch AU, Iversen MD, Weyh A, Von Dechend M, et al. Identifying a cut-off point for normal mobility: A Comparison Of The Timed ‘Up And Go’ Test In Community-Dwelling And Institutionalised Elderly Women. Age Ageing. 2003;32(3):315-20.
26. Row BS, Knutzen KM, Skogsberg NJ. Regulating explosive resistance training intensity using the rating of perceived exertion. J Strength Cond Res. 2012;26(3):664-671.
27. Andersson EA, Frank P, Pontén M, Ekblom B, Ekblom M, Moberg M, et al. Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People J Vis Exp. 2017;125(e55518):1-15.
28. Dedeyne L, Deschodt M, Verschueren S, Tournoy J, Gielen E. Effects of multi-domain interventions in (pre)frail elderly on frailty, functional, and cognitive status: a systematic review. Clin Interv Aging. 2017;12;873–896.
29. Granacher U, Muehlbauer T, Gollhofer A, Kressig RW, Zahner L. An Intergenerational Approach in the Promotion of Balance and Strength for Fall Prevention – A Mini-Review. Gerontology. 2011;57:304–315.
30. Van Dieën JH, Pijnappels M. Balance Control in Older Adults. In: Barbieri FA, Vitório R (Editors). Locomotion and Posture in Older Adults: The Role of Aging and Movement Disorders. Springer. 2017.
31 Lelard T, Ahmaidi S. Effects of physical training on age-related balance and postural control. Neurophysiol Clin. 2015;357-369.
32. Henwood TR, Stephan R, Taaffe DR. Strength versus muscle power-specific resistance training in community-dwelling older adults.J. Gerontol. A Biol. Sci. Med. Sci. 2008; 63(1):83-91.
33. Clemson L, Singh MAF, Bundy A, Cumming RG, Manollaras K, O’Loughlin P, et al. Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. BMJ. 2012;345:e4547
34. Pereira DS, Nogueira JAD, Silva CAB. Qualidade de vida e situação de saúde de idosos: um estudo de base populacional no Sertão Central do Ceará. Rev. Bras. Geriatr. Gerontol. 2015;18(4):893-908
35. Schepsis AA, Busconi BD. Sports Medicine. Orthopaedic surgery essentials. Philadelphia: Lippincott Williams & Wilkins; 2006.
36. Stengel SV, Kemmler W, Pintag R, Beeskow C, Weineck J, Lauber D, Kalender WA, Engelke K. Power training is more effective than strength training for maintaining bone mineral density in postmenopausal women. J Appl Physiol. 2005;99(1):181-188.
37. Stubbs B, West E, Patchay S, Schofield P. Is there a relationship between pain and psychological concerns related to falling in community dwelling older adults? A systematic review. Disabil Rehabil. 2014;36(23):1931–1942.
38. Fukumoto Y, Tateuchi H, Tsukagoshi R, Okita Y, Akiyama H, So K, et al. Effects of High- and Low-Velocity Resistance Training on Gait Kinematics and Kinetics in Individuals with Hip Osteoarthritis. A Randomized Controlled Trial. Am J Phys Med Rehabil. 2017;96(6): 417–423.
39. Gianoudis J, Bailey C, Ebeling P, Nowson C, Sanders K, Hill K, et al., Effects of a Targeted Multimodal Exercise Program Incorporating High-Speed Power Training on Falls and Fracture Risk Factors in Older Adults: A CommunityBased Randomized Controlled Trial. J Bone Miner Res. 2014;29:182–191.