A water-based training program that include perturbation exercises to improve stepping responses in older adults: study protocol for a randomized controlled cross-over trial.

BMC Geriatrics
Itshak MelzerLars Ie Oddsson

Abstract

Gait and balance impairments may increase the risk of falls, the leading cause of accidental death in the elderly population. Fall-related injuries constitute a serious public health problem associated with high costs for society as well as human suffering. A rapid step is the most important protective postural strategy, acting to recover equilibrium and prevent a fall from initiating. It can arise from large perturbations, but also frequently as a consequence of volitional movements. We propose to use a novel water-based training program which includes specific perturbation exercises that will target the stepping responses that could potentially have a profound effect in reducing risk of falling. We describe the water-based balance training program and a study protocol to evaluate its efficacy (Trial registration number #NCT00708136). The proposed water-based training program involves use of unpredictable, multi-directional perturbations in a group setting to evoke compensatory and volitional stepping responses. Perturbations are made by pushing slightly the subjects and by water turbulence, in 24 training sessions conducted over 12 weeks. Concurrent cognitive tasks during movement tasks are included. Principles of physical tr...Continue Reading

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Aug 1, 1992·The Gerontologist·S ReinschJ S Tobis
Dec 11, 1992·American Journal of Physical Medicine & Rehabilitation·L R SauvageD Rudman
Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Dec 29, 1988·The New England Journal of Medicine·M E TinettiS F Ginter
Jan 1, 1995·Experimental Brain Research·J J CollinsL A Lipsitz
Dec 28, 1994·JAMA : the Journal of the American Medical Association·M E NelsonW J Evans
Sep 29, 1994·The New England Journal of Medicine·M E TinettiR I Horwitz
Jan 1, 1994·European Neurology·D J YenH H Hu
May 1, 1994·Journal of the American Geriatrics Society·C W LuchiesJ Ashton-Miller
Mar 1, 1993·Journal of the American Geriatrics Society·M C HornbrookD J Wingfield
May 1, 1996·Journal of the American Geriatrics Society·L WolfsonD Smyers
Jan 1, 1996·Bone·P KannusM Järvinen
Sep 1, 1996·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·V Simmons, P D Hansen
Nov 1, 1996·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·W E McIlroy, B E Maki
Jul 1, 1997·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·D M BuchnerE H Wagner
Jan 9, 1998·IEEE Transactions on Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·P O RileyR A Popat
Apr 1, 1998·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·B K KayaP O Riley
Apr 28, 1999·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·L A BrownM H Woollacott
Sep 2, 1999·Gait & Posture·D Moxley ScarboroughB A Harris
May 5, 2000·The Cochrane Database of Systematic Reviews·L D GillespieB H Rowe
May 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·B E MakiW E McIlroy
Jun 16, 2001·Gerontology·I MelzerJ Kaplanski
Jan 5, 2002·Age and Ageing·T Masud, R O Morris
Mar 23, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Alan M JetteJacqueline Ashba
Mar 23, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Stephen M HaleyJacqueline Ashba
Jul 20, 2002·Gait & Posture·Marjorie Woollacott, Anne Shumway-Cook
Feb 1, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Mark W RogersLois D Hedman
Mar 8, 2003·Experimental Aging Research·Susan M BindaBrenda Brouwer

❮ Previous
Next ❯

Citations

Feb 28, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Shiro ImagamaYukiharu Hasegawa
Sep 23, 2014·Archives of Gerontology and Geriatrics·Marcio R de OliveiraDenilson C Teixeira
Jan 28, 2010·Archives of Physical Medicine and Rehabilitation·Taeyou JungKonstantinos Vrongistinos
Jul 3, 2013·Foot & Ankle Specialist·Gioftsidou AsimeniaGodolias Georgios
Mar 6, 2018·Aging Clinical and Experimental Research·P L BernardS Ramdani
Feb 18, 2016·Journal of Geriatric Physical Therapy·Eadric BresselDennis G Dolny
Feb 24, 2019·BMC Geriatrics·Eduardo Martínez-Carbonell GuillamónThomas W Wainwright
May 16, 2020·Current Gerontology and Geriatrics Research·Fernando Alves ValeFátima Aparecida Caromano

❮ Previous
Next ❯

Clinical Trials Mentioned

NCT00708136

Software Mentioned

MatLab
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.