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水上与非水上下肢肌肉耐力训练对老年人静态和动态平衡的有效性。

Effectiveness of aquatic and non-aquatic lower limb muscle endurance training in the static and dynamic balance of elderly people.

作者信息

Avelar Núbia C P, Bastone Alessandra C, Alcântara Marcus A, Gomes Wellington Fabiano

机构信息

Departamento de Fisioterapia, Universidade Federal dos Vales dos Jequitinhonha e Mucuri (UFVJM), Diamantina, MG, Brasil.

出版信息

Rev Bras Fisioter. 2010 May-Jun;14(3):229-36.

Abstract

BACKGROUND

Aging compromises the ability of the central nervous system to maintain body balance and reduces the capacity for adaptive reactions. To prevent falls, the reception conditions for sensory information need to be improved.

OBJECTIVES

To evaluate the impact of a structured aquatic and a non-aquatic exercise program for lower-limb muscle endurance on the static and dynamic balance of elderly people.

METHODS

This was a prospective randomized clinical study in which the variables were assessed before and after the training program. Thirty-six elderly people were evaluated using four tests: the Berg Balance Scale, Dynamic Gait Index, gait speed and tandem gait. The participants were randomized into three groups: aquatic exercise group, non-aquatic exercise group and control group. The exercise groups underwent a program for lower-limb muscle endurance that consisted of 40-minute sessions twice a week for six weeks. The participants were reevaluated after six weeks. The data were analyzed statistically using the univariate ANOVA test for comparisons between the groups before and after the intervention.

RESULTS

The program for lower-limb muscle endurance significantly increased balance (p<0.05) in the evaluation tests after the training program.

CONCLUSION

The muscle endurance program provided a significant improvement in static and dynamic balance among community-dwelling elderly people. It was also possible to infer that this improvement occurred regardless of the environment, i.e. aquatic or non-aquatic. Article registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) under the number ACTRN 12609000780257.

摘要

背景

衰老会损害中枢神经系统维持身体平衡的能力,并降低适应性反应的能力。为预防跌倒,需要改善感觉信息的接收条件。

目的

评估结构化水上和非水上下肢肌肉耐力训练计划对老年人静态和动态平衡的影响。

方法

这是一项前瞻性随机临床研究,在训练计划前后对变量进行评估。36名老年人通过四项测试进行评估:伯格平衡量表、动态步态指数、步速和串联步态。参与者被随机分为三组:水上运动组、非水上运动组和对照组。运动组接受了一项下肢肌肉耐力训练计划,包括每周两次、每次40分钟、为期六周的训练课程。六周后对参与者进行重新评估。使用单因素方差分析对干预前后组间数据进行统计学分析。

结果

下肢肌肉耐力训练计划在训练计划后的评估测试中显著提高了平衡能力(p<0.05)。

结论

肌肉耐力训练计划显著改善了社区居住老年人的静态和动态平衡。还可以推断,无论环境是水上还是非水上,这种改善都会发生。该文章已在澳大利亚新西兰临床试验注册中心(ANZCTR)注册,注册号为ACTRN 12609000780257。

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