scholarly journals Effects of Balance-based Training on Blood Pressure and Postural Control Capacity in Older Elderly

2017 ◽  
Vol 23 (1) ◽  
pp. 29-35
Author(s):  
Yi Fang LEE ◽  
Cheng Sze FU ◽  
Shu Lin LEE

LANGUAGE NOTE | Document text in English; abstract also in Chinese. Objective: The purpose of this study was to evaluate the effects of Wii Fit balance training or Pilates-based training intervention for 10-weeks on blood pressure levels and the postural control system in older elderly. Method: Sixty older subjects volunteered to participate in a Wii-Fit exercise group (n=18), Pilates-based training group (n=22), and control group (n=20). The Wii-Fit and Pilates-based groups have training intervention program 3 times per week for 10 weeks. Postural control capacity and resting blood pressure were measured before and after training program. Results: The results showed that there were no significantly changes on blood pressure and MAP data neither after in the Wii-Fit training nor in the Pilates-based training. The Sensory Organization Test (SOT) composite scores tend to increase after Wii-Fit and Pilates-based training intervention. Conclusion: The results illustrated that balance exercise intervention change the postural control, but there are no effects on resting blood pressure. 目的:本研究目的在探討進行10週以Wii-Fit電子平衡遊戲訓練或是皮拉提斯平衡訓練模式對老年人血壓調控以及姿勢控制能 力之影響。方法:共有60位受試者完成試驗 (Wii-Fit組18人、皮拉提斯組22人、控制組20人),其中Wii-Fit組與皮拉提斯組需進行 為期10週、每週3次之平衡模式訓練,控制組則不做任何訓練介入,在10週前後所有受試者皆需進行血壓檢測,並以感覺統合測 試進行平衡能力之評估;結果:在10週平衡運動介入前後,三組受試者的血壓(收縮壓、舒張壓)以及平均動脈壓都沒有顯著性差 異;在平衡能力結果上,Wii-Fit組與皮拉提斯組內比較其平衡能力有提升的趨勢,其中Wii-Fit組的平衡能力得分量又高於皮拉提斯組。結論:本研究顯示單純平衡訓練對老年人的血壓狀況並不影響,但卻可以提升其身體姿勢性的平衡能力。

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rodrigo Ferrari ◽  
◽  
Leandro de Oliveira Carpes ◽  
Lucas Betti Domingues ◽  
Alexandre Jacobsen ◽  
...  

Abstract Background Different physical activities are widely recommended as non-pharmacological therapies to reduce blood pressure. However, the effectiveness of exercise programs is associated with its continuity and regularity, and the long-term adherence to traditional exercise interventions is often low. Recreational sports emerge as an alternative, being more captivating and able to retain individuals for longer periods. Besides, sport interventions have demonstrated improvements in physical fitness components that are associated with a lower incidence of hypertension. However, no studies have investigated the effects of recreational sports on 24 h ambulatory blood pressure. The aim of the present study is to evaluate the effect of beach tennis training on ambulatory blood pressure and physical fitness in individuals with hypertension. Methods This study will be a randomized, single-blinded, two-arm, parallel, and superiority trial. Forty-two participants aged 35–65 years with previous diagnosis of hypertension will be randomized to 12 weeks of beach tennis training group (two sessions per week lasting 45–60 min) or a non-exercising control group. Ambulatory (primary outcome) and office blood pressures, cardiorespiratory fitness, muscle strength/power and quality of life will be assessed at baseline and after the intervention period. Discussion Our conceptual hypothesis is that beach tennis training will reduce ambulatory blood pressure and improve fitness parameters in middle-aged individuals with hypertension. The results of this trial are expected to provide evidences of efficacy of recreational beach tennis practice on blood pressure management and to support sport recommendations for clinical scenario in higher risk populations. Trial registration ClinicalTrials.gov, NCT03909321. Registered on April 10, 2019.


2020 ◽  
Vol 35 (1) ◽  
pp. 58-67
Author(s):  
Gabriel Felipe Moretto ◽  
Felipe Balistieri Santinelli ◽  
Tiago Penedo ◽  
Luis Mochizuki ◽  
Natalia Madalena Rinaldi ◽  
...  

Background Studies on short-term upright quiet standing tasks have presented contradictory findings about postural control in people with Parkinson’s disease (pwPD). Prolonged trial durations might better depict body sway and discriminate pwPD and controls. Objective The aim of this study was to investigate postural control in pwPD during a prolonged standing task. Methods A total of 26 pwPD and 25 neurologically healthy individuals performed 3 quiet standing trials (60 s) before completing a constrained prolonged standing task for 15 minutes. Motion capture was used to record body sway (Vicon, 100 Hz). To investigate the body sway behavior during the 15 minutes of standing, the analysis was divided into three 5-minute-long phases: early, middle, and late. The following body sway parameters were calculated for the anterior-posterior (AP) and medial-lateral (ML) directions: velocity, root-mean-square, and detrended fluctuations analysis (DFA). The body sway area was also calculated. Two-way ANOVAs (group and phases) and 1-way ANOVA (group) were used to compare these parameters for the prolonged standing and quiet standing, respectively. Results pwPD presented smaller sway area ( P < .001), less complexity (DFA; AP: P < .009; ML: P < .01), and faster velocity (AP: P < .002; ML: P < .001) of body sway compared with the control group during the prolonged standing task. Although the groups swayed similarly (no difference for sway area) during quiet standing, they presented differences in sway area during the prolonged standing task ( P < .001). Conclusions Prolonged standing task reduced adaptability of the postural control system in pwPD. In addition, the prolonged standing task may better analyze the adaptability of the postural control system in pwPD.


2003 ◽  
Vol 11 (4) ◽  
pp. 487-501 ◽  
Author(s):  
Fuzhong Li ◽  
Peter Harmer ◽  
Nicole L. Wilson ◽  
K. John Fisher

This study examined the effect of cobblestone-mat walking on health-related outcomes in older adults. Participants (mean age 72.6,N=40) were randomized into either an 8-week cobblestone-mat walking activity (n= 22) or a control group (n= 18). Cobblestone-mat walking entailed three 45-min sessions per week. Primary outcomes included SF-12 (mental, physical), instrumental activities of daily living (IADLs), psychophysical well-being, daytime sleepiness, and pain. Secondary outcomes included resting blood pressure and perceived control of falls. The walkers experienced significantly improved SF-12 scores, IADLs, and psychophysical well-being and significantly reduced daytime sleepiness and pain. They also reported significantly improved perceptions of control over falls. A significant between-groups difference in resting diastolic blood pressure was observed, with reductions in the walkers. A significant within-group reduction in systolic blood pressure was observed in the walkers only. The data indicate that cobblestone-mat walking can significantly improve health-related outcomes in older adults.


2018 ◽  
Vol 1 (5) ◽  
Author(s):  
Derun Gao

Objective In recent years, a large number of experimental studies have shown that the proliferation and migration of VSMC are the pathological basis of various vascular diseases, including AS, hypertension, and restenosis after angioplasty. It’s rather remarkable that Phenotypic Modulation of VSMC plays an important role in their proliferation and migration. Myocardin is a key transcription factor for the differentiation of VSMC by far, which can effectively activate the differentiation process of SMC. Many studies have shown that endurance training is an effective way to improve glucose and lipid metabolism. This study attempted to explore the effects of long-term external stress (endurance training) on arterial smooth muscle phenotype modulation and myocardin through secondary vascular disease, in order to provide theoretical support and practical basis for sports therapy in T2DM secondary diseases. Methods Male SD rats were randomly divided into the general feed group (pC) and the high-sugar and high-fat feed group (pD). After 7 weeks, rats in pD were injected a small doses of streptozotocin through abdominal cavity. Those Non-fasting Blood Glucose (NFBG) ≥16.7mmol/L after 72h and with insulin resistance were diagnosed as diabetes. Thereafter, the pC group was randomly divided into a blank control group (C), an endurance training group (E), a diabetes model group (D), and a diabetic+endurance training group (DE). No load platform training was conducted in E&DE group, 5 days per week for 8 weeks. 8 weeks after, BP was measured through left common carotid artery intubation, blood sugar was test by enzyme chemical assay, α-SM-actin, SM-MHC , SM22α,Myocardin and KLF4 were measured through ELISA.  Results 1. Compared with C, MCP (carotid blood pressure) of D increased significantly, FBG and FINS decreased significantly, expression of α-SM-actin, SM-MHC, SM22α and Myocardin Significantly dropped, KLF4 rose significantly. Compared with D, the expression of FBG in E was significantly down-regulated, FINS was significantly up-regulated, and the expression of α-SM-actin, SM22α and Myocardin was significantly up-regulated. Conclusions 8 weeks of endurance training significantly increased the expression level of contractile protein in the aorta smooth muscle of diabetic rats, making the smooth muscle phenotype changed from synthetic to contractile type, which effectively inhibited the excessive proliferation and migration of smooth muscle cells.Myocardin is one of the hot spots in the study of vascular differentiation in recent years. This study shows that the role of endurance training in improving plaque formation and lowering blood pressure may be produced by regulating myocardin.


2020 ◽  
Vol 100 (6) ◽  
pp. 108-113
Author(s):  
A.B. Miroshnikov ◽  
A.D. Formenov ◽  
A.B. Smolensky

Athletes of power sports, often appear to us as a model of a beautiful and healthy body, but the health of the cardiovascular system ofthese athletes has long falls under the gaze of cardiologists and sport physicians. Purpose of the study. A comparative analysis of the influence of a uniform and high-intensity aerobic exercise on blood pressure lowering power sports athletes with hypertension. Research Methods. The study involved 83 representatives of power sports (bodybuilding) with arterial hypertension. The average age of male athletes was 31.2 ± 4.5 years, and the body mass index was 32.4 ± 2.8 kg/m 2. To achieve this goal, the following methods were used: examination, interrogation, triple measurement of blood pressure, ergospirometry and methods of mathematical statistics. Athletes were randomized into three groups: interval training group (n = 33), uniform training (n = 30) and control group (n = 20). For 120 days (3 times a week), the athletes of the main groups performed various aerobic work programs, and the control group athletes trained according to their traditional strength protocol. Results. After 120 days of physical rehabilitation, a similar, significant decrease in systolic and diastolic blood pressure occurred in themain intervention groups. A decrease in blood pressure in the control group was not statistically significant. Conclusions. Despite the similar benefits in cardio-rehabilitation interval work required 38% less time, which can significantly affect adherence to a non-specific for this sport activity and screening of participant’s lengthy rehabilitation.


2021 ◽  
Vol 6 (2) ◽  
pp. 1-9
Author(s):  
Offodile Humphrey ◽  
Charles Ogu

Purpose: 12 week- brisk walking exercise intervention at 50%-70% intensity was carried out in the study to examine the mean reduction on systolic and diastolic blood pressures of middle-aged mild-hypertensive population in Asaba, Nigeria. Methodology: The study comprised of 42 male and female middle-aged (36-45years) individuals who recorded mild-hypertension. A control group-pre-test and post-test experimental design was used to randomly assign the individuals into treatment and control groups. Whereas, arithmetic mean and standard deviation were used to analyze the data according to the difference in mean scores. Conclusion: In conclusion, 12-week brisk walking intervention showed a mean reduction on systolic blood pressure (SBP) and diastolic blood pressure (DBP) of middle-aged mild-hypertensive population. Precisely, the experiment indicated that those who did not partake in the exercise intervention (control group) showed an increase on SBP and a decrease on DBP and thereby indicating a relatively higher mean reduction of 12-week brisk-walking exercise on SBP of middle-aged mild-hypertensive population. Recommendations: The study recommended that 50% -70% intensity of 12-week brisk-walking exercise may likely present a therapeutic intervention for people with mild-hypertension.


Retos ◽  
2015 ◽  
pp. 32-37 ◽  
Author(s):  
Adrià Muntaner Mas ◽  
Pere Palou Sampol ◽  
Josep Vidal Conti

El nivel de condición física es un marcador de salud para las personas mayores. El objetivo del estudio fue evaluar y comparar la efectividad de un programa de ejercicio físico, administrado de forma presencial y dirigido versus la prescripción a través de una aplicación móvil. Veintitrés participantes de 55 a73 años fueron incluidos en la intervención de 10 semanas de duración. Los participantes fueron distribuidos en un grupo presencial (n=16) y en un grupo móvil (n=7). El grupo presencial recibió 20 sesiones (70-80 minutos de duración) a razón de dos semanales de actividad física centrada en ejercicio aeróbico y resistencia muscular, el grupo móvil recibió el mismo programa pero los contenidos fueron prescritos a través de una aplicación móvil. Presión arterial media, sistólica, diastólica, frecuencia cardiaca en reposo, porcentaje de masa muscular y grasa corporal, perímetro de cintura, equilibrio, fuerza y capacidad aeróbica fueron evaluados antes y después de la intervención. El grupo presencial obtuvo mejoras en la presión arterial media, sistólica y diastólica, en la frecuencia cardiaca después del test y en la capacidad aeróbica (p< .001, p< .001, p=.001, p=.003, p=.004, respectivamente). No se observaron diferencias significativas en ninguna de las variables en el grupo móvil. Los resultados sugieren que el ejercicio dirigido es más efectivo en las variables analizadas que el prescrito mediante la aplicación móvil. Futuros estudios que impliquen muestras de mayor tamaño deben confirmar o refutar estos resultados.Abstrac. Physical fitness level is a health marker in elderly people. The aim of our study was to evaluate and compare the effectiveness of a physical exercise intervention, delivered face-to-face versus prescription through a mobile application. Twenty three participants (55-73 years old) were included in the 10-week intervention. Participants were allocated to the training group (n=16) or mobile group (n=7). The training group received 20 sessions (70-80 minutes per day) of physical exercise and were assigned to aerobic and resistance training (two sessions/per week). Intervention content was the same in the mobile group; only the delivery mode differed by means of a mobile application. We measured mean arterial pressure, systolic blood pressure, diastolic blood pressure, heart rate, percentage of muscle mass and body fat, balance, waist circumference, strength and aerobic capacity before and after 10 weeks of exercise intervention. The training group obtained improvements in mean arterial pressure, systolic blood pressure, diastolic blood pressure, heart rate after exercise and aerobic capacity (p< .001, p< .001, p=.001, p=.003, p=.004, respectively). There were no significant changes in the mobile group. The results suggest that face-to-face exercise is more effective than prescribed using mobile applications. Future studies involving larger sample sizes should confirm or refute these findings.


2021 ◽  
Vol 17 (1) ◽  
pp. 106
Author(s):  
Nur Asmidar A Halim ◽  
Mazlan Ismail

Practice in Mind (PIM) training help to resolve physical and psychological problem in sport skills performance. Therefore, the present study was done to investigate the effectiveness of PIM training on netball standing shot and jump shot performances. Twenty state level netball shooters with 3 to 5 years playing experiences participated in this experimental study. Participants were randomly assigned into PIM training group and control group with 10 participants for each group. Both groups completed 18 training sessions in 3 times a week for 6 weeks intervention program. Pre, post, and retention test were conducted prior to the 10 standing and jump shooting task. The results revealed that there was significant different of PIM training group versus control group for both standing shot (p < .05) and jump shot (p<.05) after 6 weeks. However, no significant different was observed after retention (week 12) for both groups. Based on the finding, it is suggested this present study will be beneficial to the athletes in terms of educating them about the importance of systematic imagery training to increase shooting performance in netball and for further improvement on their shooting techniques. Future studies are warranted to explore potential benefits of PIM training by focusing on a larger exposure and other netball specific motor-abilities.


2020 ◽  
Vol 12 (2) ◽  
pp. 615-624
Author(s):  
Ricky Nuh Zainuddin ◽  
Paramitha Labdullah

Abstract. Background: Hypertension has a significant impact on public health and has become a major health care burden worldwide. One non-pharmacological therapy that can be given to reduce blood pressure in hypertensive patients is Isometric Handgrip Exercise exercise therapy. This therapy has been shown to reduce blood pressure which is almost the same as intense aerobic exercise. This literature review aims to analyze the effects of the application of Isometric Handgrip Exercise in reducing blood pressure in hypertensive patients. Method: This research explores quantitative evidence published in electronic databases such as Pubmed, and Google Scholar. Using a search strategy, we identified 16 articles that were potentially and relevant to the research objectives, and 4 articles were included in the final analysis. Results: We could see a significant effect on systolic and diastolic blood pressure reduction in the group given the Isometric Handgrip Exercise intervention compared with the control group. Conclusion: Research results from several articles in this review literature show that Isometric Handgrip Exercise exercises are proven to be effective in reducing blood pressure in hypertensive patients.


2014 ◽  
Vol 27 (5-6) ◽  
pp. 313-336 ◽  
Author(s):  
Bruno Diot ◽  
Petra Halavackova ◽  
Jacques Demongeot ◽  
Nicolas Vuillerme

Postural control is essential for most activities of daily living. The impairment of this function can be extremely disabling. This work was stimulated by the testimony of a bilateral partial foot amputee who describes his difficulty in maintaining balance while washing his hair in the shower. We postulated that if the postural control system could not rely on accurate and reliable somatosensory inputs from the foot and ankle, as is probably the case following bilateral foot amputation due to the loss of the foot afferents and efferents, the weight of visual and vestibular cues would increase. We therefore assessed if a vestibular-to-tactile sensory substitution device could compensate for this impairment. Two separate experiments were conducted. Experiment 1: The effect of a vestibular-to-tongue tactile biofeedback balance system on the postural stability of this amputee was tested (on a force platform) and compared with a non-amputated, matched control group. The results showed that use of the biofeedback reduced centre of foot (CoP) displacement in all subjects but more spectacularly in the amputee. Experiment 2: The effect of the biofeedback was tested in 16 young healthy adults following a protocol of ankle muscle fatigue (known to alter ankle neuromuscular function and to perturb the control of bipedal posture). The results showed a significant decrease in CoP displacement compared with the control, non-biofeedback condition and a significantly greater effect of the biofeedback in the fatigue than the non-fatigue condition. Taken together, the results of these two studies suggest that an individual with double partial foot amputation was able to improve his balance control thanks to the use of a vestibular-to-tongue tactile biofeedback balance system and that young healthy individuals were able to take advantage of it to reduce the postural destabilisation induced by plantar-flexor muscle fatigue. Further studies are however necessary to confirm this in larger numbers of impaired persons as well as to assess the effectiveness in dynamic situations.


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