Document Detail


Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review.
MedLine Citation:
PMID:  23327448     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this review was to recommend training strategies that improve the functional capacity in physically frail older adults based on scientific literature, focusing specially in supervised exercise programs that improved muscle strength, fall risk, balance, and gait ability. Scielo, Science Citation Index, MEDLINE, Scopus, Sport Discus, and ScienceDirect databases were searched from 1990 to 2012. Studies must have mentioned the effects of exercise training on at least one of the following four parameters: Incidence of falls, gait, balance, and lower-body strength. Twenty studies that investigated the effects of multi-component exercise training (10), resistance training (6), endurance training (1), and balance training (3) were included in the present revision. Ten trials investigated the effects of exercise on the incidence of falls in elderly with physical frailty. Seven of them have found a fewer falls incidence after physical training when compared with the control group. Eleven trials investigated the effects of exercise intervention on the gait ability. Six of them showed enhancements in the gait ability. Ten trials investigated the effects of exercise intervention on the balance performance and seven of them demonstrated enhanced balance. Thirteen trials investigated the effects of exercise intervention on the muscle strength and nine of them showed increases in the muscle strength. The multi-component exercise intervention composed by strength, endurance and balance training seems to be the best strategy to improve rate of falls, gait ability, balance, and strength performance in physically frail older adults.
Authors:
Eduardo Lusa Cadore; Leocadio Rodríguez-Mañas; Alan Sinclair; Mikel Izquierdo
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Rejuvenation research     Volume:  16     ISSN:  1557-8577     ISO Abbreviation:  Rejuvenation Res     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-19     Completed Date:  2014-03-21     Revised Date:  2014-04-01    
Medline Journal Info:
Nlm Unique ID:  101213381     Medline TA:  Rejuvenation Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  105-14     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / prevention & control*
Adult
Aged
Exercise Therapy*
Frail Elderly*
Gait / physiology*
Humans
Postural Balance / physiology*
Risk Factors
Comments/Corrections

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


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