Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people

Cheol-Jin Kwak, You Lim Kim, Suk Min Lee, Cheol-Jin Kwak, You Lim Kim, Suk Min Lee

Abstract

[Purpose] The purpose of this study was to analyze the effects of elastic-band resistance exercise on balance, gait function, flexibility and fall efficacy in the elderly people of rural community. [Subjects and Methods] It is selected by 45 outpatients. They have come into the clinic continually to treat of physical therapy at least 1-2 times for a week. A group treated with both general physical therapy and elastic-band resistance exercise (23 patients), and the other group treated with only general physical therapy (22 patients). Elastic-band resistance exercise is composed of 8 movements of lower extremity joints. It is performed for 30 minutes during 8 weeks by 3 times for a week. It is measured and recorded at the pre and post test that sit and reach test (SRT), functional reach test (FRT), timed up and go test (TUG) for every subjects by measurement equipments. And, subjects performed for the form of performance and question as its rated scale by Berg's balance scale (BBS), dynamic gait index (DGI), activities-specific balance confidence scale (ABC). [Results] In the study, both the elastic-band exercise group and the general physical therapy group showed a significant improvement in balance, gait function, flexibility and fall efficacy. And the group with elastic-band resistance exercise showed more effectiveness than the contrast group in value of variation. [Conclusion] From this study, it was confirmed that elastic-band resistance exercise has influence on balance, gait function, flexibility and fall efficacy are working for agriculture of elderly people of rural community. Based on this result, elastic-band resistance exercise can be better instrument and easier to elderly people of rural community for the improvement in balance, gait function, flexibility and fall efficacy as it performing along with and reciprocal physical therapy.

Keywords: Balance; Elastic-band resistance exercise; Falling prevention.

References

    1. Gehlsen GM, Whaley MH: Falls in the elderly: part II, balance, strength, and flexibility. Arch Phys Med Rehabil, 1990, 71: 739–741.
    1. Lord SR, Ward JA, Williams P, et al. : Physiological factors associated with falls in older community-dwelling women. J Am Geriatr Soc, 1994, 42: 1110–1117.
    1. Park JS, Choi EY, Hwang TY: The effects of strengthening leg muscular strength on the elderly’s walking and balance ability. J Kor Soc Phys Ther, 2002, 14: 71–79.
    1. Sterling DA, O’Connor JA, Bonadies J: Geriatric falls: injury severity is high and disproportionate to mechanism. J Trauma, 2001, 50: 116–119.
    1. Pinsault N, Vuillerme N: The effects of scale display of visual feedback on postural control during quiet standing in healthy elderly subjects. Arch Phys Med Rehabil, 2008, 89: 1772–1774.
    1. Shumway-Cook A, Gruber W, Baldwin M, et al. : The effect of multidimensional exercises on balance, mobility, and fall risk in community-dwelling older adults. Phys Ther, 1997, 77: 46–57.
    1. Gallagher B, Corbett E, Freeman L, et al. : A fall prevention program for the home environment. Home Care Provid, 2001, 6: 157–163.
    1. Roberts BL: Effects of walking on balance among elders. Nurs Res, 1989, 38: 180-2.
    1. Kim OJ, Lee HS, Bae SS: Effect of balance performance in the elderly by the strengthening exercise. J Kor Soc Phys Ther, 1999, 11: 149–161.
    1. Kim G, Kim SH, Seo SK, et al. : Effects of elastic band resistance exercise on improving the balance ability in the elderly. J Kor Soc Phys Ther, 2007, 20: 1–10.
    1. Han SW, Lee BH, Lee HJ: Effects of 8 weeks of exercise station training on balance ability for the elderly women. J Kor Soc Phys Ther, 2009, 21: 27–34.
    1. Lee JW: Effect of ankle strategy exercise on improvement of balance in elderly with impaired balance. Yonsei University, 2007.
    1. Song MS: Gerontalogical nursing. Seoul National University, 1995.
    1. Bushner DM, Cress ME, DeLaterur BJ: A comparison of the effects of three types of endurance training on balance and other fall risk factors in older adults. J Gerontol A Biol Sci Med Sci, 1997, 52: 218–224.
    1. Murphy J, Isaacs B: The post-fall syndrome. A study of 36 elderly patients. Gerontogy, 1982, 28: 265–270.
    1. Yoo IN: Effects of fall prevention program applying HSEP on physical balance and gait, leg strength, fear of falling and falls efficacy of community-dwelling elderly. J Korean Gerontological Soc, 2009, 29: 259–273.
    1. Jee YS, Cha JT: The effects of regular exercise on cardiovascular function and depression in elderly. Korean Journal of Physical Education, 2004, 43: 331–340.
    1. Chen KM, Li CH, Chang YH, et al. : An elastic band exercise program for older adults using wheelchairs in Taiwan nursing homes: a cluster randomized trial. Int J Nurs Stud, 2015, 52: 30–38.
    1. Damush TM, Damush JG, Jr: The effects of strength training on strength and health-related quality of life in older adult women. Gerontologist, 1999, 39: 705–710.
    1. Moon EM: The effect of elastic band for resistance training and balance training on walking ability in elderly women. Kookmin University, 2007.
    1. Pill P, Todd SE: The scientific and clinical application of elastic resistance. Champaign: Human Kinetics Publishers, 2003.
    1. Duncan PW, Weiner DK, Chandler J, et al. : Functional reach: a new clinical measure of balance. J Gerontol, 1990, 45: M192–M197.
    1. Berg KO, Wood-Dauphinee SL, Williams JI, et al. : Measuring balance in the elderly: validation of an instrument. Can J Public Health, 1992, 83: S7–S11.
    1. Podsiadlo D, Richardson S: The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. 1991, 39: 142–148.
    1. Morris S, Morris ME, Iansek R: Reliability of measurements obtained with the Timed “Up & Go” test in people with Parkinson disease. Phys Ther, 2001, 81: 810–818.
    1. An SH, Seo HD, Chung YJ: Reliability and validity the Korean version of the dynamic gait index in patients with stroke. J Special Education & Rehabilitation Science, 2011, 50: 289–306.
    1. Jones CJ, Rikli RE, Max J, et al. : The reliability and validity of a chair sit-and-reach test as a measure of hamstring flexibility in older adults. Res Q Exerc Sport, 1998, 69: 338–343.
    1. Hatch J, Gill-Body KM, Portney LG: Determinants of balance confidence in community-dwelling elderly people. Phys Ther, 2003, 83: 1072–1079.
    1. Bassey EJ, Fiatarone MA, O’Neill EF, et al. : Leg extensor power and functional performance in very old men and women. Clin Sci (Lond), 1992, 82: 321–327.
    1. Fiatarone MA, Marks EC, Ryan ND, et al. : High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA, 1990, 263: 3029–3034.
    1. Beninato M, Portney LG, Sullivan PE: Using the International Classification of Functioning, Disability and Health as a framework to examine the association between falls and clinical assessment tools in people with stroke. Phys Ther, 2009, 89: 816–825.
    1. Lee HS, An YH, Kang HJ, et al. : Effect of elastic band exercise based of PNF L/E pattern on the balance in the elderly people. J Kor Soc Phys Ther, 2005, 17: 69–79.
    1. Lee SY, Son GS, Jeon HJ, et al. : The effects of therapeutic exercise on the balance and gait in older adults. J Kor Soc Phys Ther, 2007, 19: 1–10.
    1. Romero S, Bishop MD, Velozo CA, et al. : Minimum detectable change of the Berg Balance Scale and Dynamic Gait Index in older persons at risk for falling. J Geriatr Phys Ther, 2011, 34: 131–137.
    1. Bishop MD, Patterson TS, Romero S, et al. : Improved fall-related efficacy in older adults related to changes in dynamic gait ability. Phys Ther, 2010, 90: 1598–1606.
    1. O’Sullivan SB, Schmitz TS: Physical Rehabilitation, 4th ed. Young Mun Publishing, 2007, p 364.
    1. Fatouros IG, Taxildaris K, Tokmakidis SP, et al. : The effects of strength training, cardiovascular training and their combination on flexibility of inactive older adults. Int J Sports Med, 2002, 23: 112–119.
    1. Kim BK: Effects of the circuit exercise coaching program on physical abilities of elderly people. Korea National Sports University, 2010.
    1. Kang CK: Effects of 12 weeks combined exercise training in elderly farmer on daily living fitness and metabolic syndrome risk factor. Kyunghee University, 2008.
    1. Delshad M, Ghanbarian A, Mehrabi Y, et al. : Effect of strength training and short-term detraining on muscle mass in women aged over 50 years old. Int J Prev Med, 2013, 4: 1386–1394.
    1. Park EY, Lee JH: The effect of complex exercise program for prevention of falls on fitness in elderly. J Korean Soc Exerc Physiol, 2005, 14: 181–192.
    1. Newell AM, VanSwearingen JM, Hile E, et al. : The modified Gait Efficacy Scale: establishing the psychometric properties in older adults. Phys Ther, 2012, 92: 318–328.
    1. Kwon MS: [Effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders]. J Korean Acad Nurs, 2011, 41: 165–174.

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