The functional movement circle for older adults: feasibility and effects on physical performance

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• 作者：Tobias Morat ; Heinz Mechling
• 关键词：Randomised controlled trial ; Strength ; Balance ; Mobility ; Older persons ; Fall prevention
• 刊名：Aging Clinical and Experimental Research
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：26
• 期：5
• 页码：529-537
• 全文大小：297 KB
• 参考文献：1. Barry BK, Carson RG (2004) The consequences of resistance training for movement control in older adults. J Gerontol A Biol Sci Med Sci 59(7):730-54 CrossRef
  2. Aagaard P, Suetta C, Caserotti P, Magnusson SP, Kjaer M (2010) Role of the nervous system in sarcopenia and muscle atrophy with aging: strength training as a countermeasure. Scand J Med Sci Sports 20(1):49-4 CrossRef
  3. Jones TE, Stephenson KW, King JG, Knight KR, Marshall TL, Scott WB (2009) Sarcopenia––mechanisms and treatments. J Geriatr Phys Ther 32(2):39-5 CrossRef
  4. Roos PE, McGuigan MP, Trewartha G (2010) The role of strategy selection, limb force capacity and limb positioning in successful trip recovery. Clin Biomech 25(9):873-78 CrossRef
  5. Buccello-Stout RR, Bloomberg JJ, Cohen HS, Whorton EB, Weaver GD, Cromwell RL (2008) Effects of sensorimotor adaptation training on functional mobility in older adults. J Gerontol B Psychol Sci Soc Sci 63(5):295-00 CrossRef
  6. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JCT (2008) Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc 56(12):2234-243 CrossRef
  7. Tiedemann A, Sherrington C, Close JCT, Lord SR (2011) Exercise and sports science Australia position statement on exercise and falls prevention in older people. J Sci Med Sport 14(6):489-95 CrossRef
  8. Becker C, Rapp K (2011) Stürze in der Geriatrie. Diagnostik und Therapie (Falling in geriatrics. Diagnosis and treatment). Der Internist 52:939-45 CrossRef
  9. Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society (2011) Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc 59(1):148-57 CrossRef
  10. Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, Rowe BH (2009) Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 15(2):CD007146. doi:10.1002/14651858.CD007146.pub2
  11. Granacher U, Wick C, Rueck N, Esposito C, Roth R, Zahner L (2011) Promoting balance and strength in the middle-aged workforce. Int J Sports Med 32(1):35-4 CrossRef
  12. Pizzigalli L, Filippini A, Ahmaidi S, Jullien H, Rainoldi A (2011) Prevention of falling risk in elderly people: the relevance of muscular strength and symmetry of lower limbs in postural stability. J Strength Cond Res 25(2):567-74 CrossRef
  13. Bottaro M, Machado SN, Nogueira W, Scales R, Veloso J (2007) Effect of high versus low-velocity resistance training on muscular fitness and functional performance in older men. Eur J Appl Physiol 99:257-64 CrossRef
  14. Manini T, Marko M, VanArnam T, Cook S, Fernhall B, Burke J, Ploutz-Snyder L (2007) Efficacy of resistance and task-specific exercise in older adults who modify tasks of everyday life. J Gerontol A Biol Sci Med Sci 62:616-23 CrossRef
  15. Gardner MM, Buchner DM, Robertson MC, Campbell AJ (2001) Practical implementation of an exercise-based falls prevention programme. Age Ageing 30(1):77-3 CrossRef
  16. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH (2003) Interventions for preventing falls in elderly people. Cochrane Database Syst Rev 4:CD000340
  17. Skelton DA, McLaughlin AW (1996) Training functional ability in old age. Physiotherapy 82:159-67 CrossRef
  18. Means KM, Rodell DE, O’Sullivan PS (2005) Balance, mobility, and falls among community-dwelling elderly persons: effects of a rehabilitation exercise program. Am J Phys Med Rehabil 84(4):238-50 CrossRef
  19. Granacher U, Gollhofer A, Hortobágyi T, Kressig RW, Muehlbauer T (2013) The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: a systematic review. Sports Med 43:627-41 CrossRef
  20. Morat T, Kroeger D, Mechling H (2013) The Multisurface Obstacle test for older adults (MSOT): development and reliability of a novel test for older adults. Eur Rev Aging Phys Act 10(2):117-25 CrossRef
  21. Goldberg A, Chavis M, Watkins J, Wilson T (2012) The five-times-sit-to-stand test: validity, reliability and detectable change in older females. Aging Clin Exp Res 24(4):339-44 CrossRef
  22. Podsiadlo D, Richardson S (1991) The Timed “Up & Go- a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39(2):142-48
  23. Medell JL, Alexander NB (2000) A clinical measure of maximal and rapid stepping in older women. J Gerontol A Biol Sci Med Sci 55(8):429-33 CrossRef
  24. Peters DM, Fritz SL, Krotish DE (2013) Assessing the reliability and validity of a shorter walk test compared with the 10-Meter walk test for measurements of gait speed in healthy, older adults. J Geriatr Phys Ther 36(1):24-0 CrossRef
  25. Freiberger E, Schoene D (2010) Sturzprophylaxe im Alter (Fall prevention in old age). Deutscher Aerzte-Verlag, Cologne
  26. Goldberg A, Schepens S, Wallace M (2010) Concurrent validity and reliability of the maximum step length test in older adults. J Geriatr Phys Ther 33(3):122-27
  27. Ford-Smith CD, Wyman JF, Elswick RK Jr, Fernandez T (2001) Reliability of a stationary dynamometer muscle strength testing in community-dwelling older adults. Arch Phys Med Rehabil 82(8):1128-132 CrossRef
  28. Stoll T (2002) Isometric muscle strength measurement. Thieme, Stuttgart
  29. Viitasalo JT, Saukkonen S, Komi PV (1980) Reproducibility of measurements of selected neuromuscular performance variables. Electromyogr Clin Neurophysiol 20(6):487-01
  30. Bemben MG, Massey BH, Bemben DA, Misner JE, Boileau RA (1991) Isometric muscle force production as a function of age in healthy 20- to 74-year-old men. Med Sci Sports Exerc 23(11):1302-310 CrossRef
  31. Earle RW (2006) Weight training exercise prescription. In: Essentials of personal training symposium workbook. NSCA Certification Commission, Lincoln, NE
  32. Levinger I, Goodman C, Hare DL, Jerums G, Toia D, Selig S (2009) The reliability of the 1RM strength test for untrained middle-aged individuals. J Sci Med Sport 12(2):310-16 CrossRef
  33. Robertson RJ, Goss FL, Rutkowski J, Lenz B, Dixon C, Timmer J, Frazee K, Dube J, Andreacci J (2003) Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Med Sci Sports Exerc 35(2):333-41 CrossRef
  34. Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39(2):175-91 CrossRef
  35. Hue OA, Seynnes O, Ledrole D, Colson SS, Bernard PL (2004) Effects of a physical activity program on postural stability in older people. Aging Clin Exp Res 16(5):356-62 CrossRef
  36. Granacher U, Muehlbauer T, Zahner L, Gollhofer A, Kressig RW (2011) Comparison of traditional and recent approaches in the promotion of balance and strength in older adults. Sports Med 41(5):377-00 CrossRef
  37. Costello E, Edelstein JE (2008) Update on falls prevention for community-dwelling older adults: review of single and multifactorial intervention programs. J Rehabil Res Dev 45(8):1135-152 CrossRef
  38. Sherrington C, Tiedemann A, Fairhall N, Close JCT, Lord SR (2011) Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. N S W Public Health Bull 22(3-):78-3 CrossRef
  
• 作者单位：Tobias Morat (1)
  Heinz Mechling (1)
  
  1. Institute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Cologne, Germany
  
• ISSN：1720-8319

文摘

Background To facilitate the transfer of exercise effects to older adults-everyday life, essential daily life movements (stair climbing and walking on different surfaces) were embedded into the functional movement circle for older adults (FuMoC) –-a systematic balance and resistance training programme supplemented by functional movements. Aims This study’s aim was to consider the feasibility of the FuMoC and to evaluate the effects of this new training programme in a randomised controlled pilot study. Methods Twenty-one adults aged 60?years and older were randomised into one of two groups. The intervention group (IG; n?=?11) trained for 12?weeks in the FuMoC, while the control group (CG; n?=?10) maintained their usual activities. The evaluation of feasibility comprised training attendance, realised intensity of load, and perceived exertion. Outcome variables included measures of strength and performance-based tests of mobility-related activities. Results Training attendance was 86?% and the prescribed intensity of load was realised by the participants in the IG. Physical performance showed significant improvements in the IG in comparison to the CG: an increase of 24?% in the One-Repetition Maximum test in the chest press (p?p?p? Discussion and conclusion In conclusion, the FuMoC study was feasible in terms of compliance (training attendance) and the planned exercise regimen (suitable exercises, intensity, and exertion) and showed positive effects on physical performance.