Youssef Enas Fawzy, Shanb Alsayed Abd Elhameed
Physical Therapy Department, College of Applied Medical Sciences, University of Dammam, Alkhobar, Dammam City, Kingdom of Saudi Arabia.
Malays J Med Sci. 2016 Nov;23(6):83-93. doi: 10.21315/mjms2016.23.6.9. Epub 2016 Dec 7.
Aging is associated with a progressive decline in physical capabilities and a disturbance of both postural control and daily living activities. The aim of this study was to evaluate the effects of supervised versus home exercise programs on muscle strength, balance and functional activities in older participants.
Forty older participants were equally assigned to a supervised exercise program (group-I) or a home exercise program (group-II). Each participant performed the exercise program for 35-45 minutes, two times per week for four months. Balance indices and isometric muscle strength were measured with the Biodex Balance System and Hand-Held Dynamometer. Functional activities were evaluated by the Berg Balance Scale (BBS) and the timed get-up-and-go test (TUG).
The mean values of the Biodex balance indices and the BBS improved significantly after both the supervised and home exercise programs ( < 0.05). However, the mean values of the TUG and muscle strength at the ankle, knee and hip improved significantly only after the supervised program. A comparison between the supervised and home exercise programs revealed there were only significant differences in the BBS, TUG and muscle strength.
Both the supervised and home exercise training programs significantly increased balance performance. The supervised program was superior to the home program in restoring functional activities and isometric muscle strength in older participants.
衰老与身体能力的逐渐下降以及姿势控制和日常生活活动的紊乱有关。本研究的目的是评估监督式运动计划与家庭运动计划对老年参与者肌肉力量、平衡能力和功能活动的影响。
40名老年参与者被平均分配到监督式运动计划组（第一组）或家庭运动计划组（第二组）。每位参与者每周进行两次运动计划，每次35 - 45分钟，共持续四个月。使用Biodex平衡系统和手持测力计测量平衡指标和等长肌肉力量。通过伯格平衡量表（BBS）和定时起立行走测试（TUG）评估功能活动。
在监督式运动计划和家庭运动计划后，Biodex平衡指标和BBS的平均值均有显著改善（<0.05）。然而，仅在监督式运动计划后，TUG以及踝关节、膝关节和髋关节的肌肉力量平均值有显著改善。监督式运动计划与家庭运动计划之间的比较显示，仅在BBS、TUG和肌肉力量方面存在显著差异。
监督式运动训练计划和家庭运动训练计划均显著提高了平衡能力。在恢复老年参与者的功能活动和等长肌肉力量方面，监督式运动计划优于家庭运动计划。
