Document Detail


Aotake: a modified stepping exercise as a useful means of improving lower-extremity functional fitness in older adults.
MedLine Citation:
PMID:  20345434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Poor functional fitness of the lower extremities is a potentially modifiable risk factor for falls. This study compared the Aotake stepping exercise, a unique indoor program, to walking and examined improvements in lower-extremity functional fitness. METHODS: We non-randomly assigned 36 community-dwelling older adults (age 67.3 +/- 3.7 years) to either an Aotake stepping exercise group (group A, n = 19) or a walking group (group W, n = 17). During the 10-week regimen, the members of each group participated in either a 45-min Aotake or walking exercise session twice a week. Each session for group A consisted mainly of stepping activities on Aotake equipment (L42 x W10 x H3 cm); the equipment was made of plastic and had a bumpy surface to stimulate the soles of the feet. RESULTS: Attendance rates were 91.1 +/- 5.6% for group A and 89.7 +/- 9.4% for group W. anova revealed improvements in leg strength and power (measured by isometric leg extension and chair stands), motor processing (measured by stepping with both feet and whole-body reaction time) and locomotion (measured by walking around two cones and a 10-m walk); the analysis revealed no group-by-time interactions. There was particular improvement (effect size = 1.18) in the chair stand measure in group A. However, the balance measures remained unchanged. CONCLUSION: Aotake stepping exercise may be just as effective as walking for improving lower-extremity functional fitness. The current study, however, was a non-randomized trial with a small sample size; further investigations would be warranted.
Authors:
Hiroyuki Sasai; Tomoaki Matsuo; Shigeharu Numao; Tomoaki Sakai; Misao Mochizuki; Kazuyoshi Kuroda; Masakazu Okamoto; Kiyoji Tanaka
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-23
Journal Detail:
Title:  Geriatrics & gerontology international     Volume:  10     ISSN:  1447-0594     ISO Abbreviation:  Geriatr Gerontol Int     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-15     Completed Date:  2010-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101135738     Medline TA:  Geriatr Gerontol Int     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  244-50     Citation Subset:  IM    
Affiliation:
Division of Sports Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan. sasai@stat.taiiku.tsukuba.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / prevention & control*
Aged
Exercise Therapy / methods*
Female
Humans
Lower Extremity*
Male
Middle Aged
Mobility Limitation*
Muscle Strength
Physical Fitness*
Postural Balance
Reaction Time
Walking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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