Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia

To provide and make accessible the benefits of the resistance exercises for older people, development of a low-cost and also useful alternative equipment are essential. So, this study examined the effects of a 12-week progressive elastic resistance training on lower-extremity muscle strength, static...

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Main Author:	Motalebi, Seyedeh Ameneh
Format:	Thesis
Language:	English
Published:	2015
Subjects:	Exercise for older people - Physiological aspects Exercise tests Physical fitness for older people
Online Access:	http://psasir.upm.edu.my/id/eprint/92659/1/IPPM%202015%202%20IR.pdf
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spelling	my-upm-ir.926592022-04-12T01:36:52Z Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia 2015-04 Motalebi, Seyedeh Ameneh To provide and make accessible the benefits of the resistance exercises for older people, development of a low-cost and also useful alternative equipment are essential. So, this study examined the effects of a 12-week progressive elastic resistance training on lower-extremity muscle strength, static and dynamic balance and functional mobility of older adults residing in a governmental welfare home (Rumah Seri Kenangan), in Cheras, Selangor, Malaysia. Fifty one subjects were qualified to participate in this quasi-experimental designed study. They were allocated to either the 12-week progressive elastic resistance training (N= 26) or in the control group (N = 25). Forty-five of them (male = 26 and female = 19) with mean age 70.7 ± 6.6 years successfully completed the program. The majority of the subjects were Malay ethnicity (73.3%). The exercise group was trained twice per week, performing 1-3 sets of 8-10 repetitions for each of nine lower-extremities elastic resistance exercises. Exercises were performed in both sitting and standing positions at moderate intensity (5 or 6 of OMNI perceived exertion scale) using elastic bands in different resistances. The dependent variables consisted of lower extremity muscle strength [sit-to-stand test (STS)], dynamic balance [forward functional reach test (FFRT), lateral reach test (LRT) for right and left hands, four square step test (FSST), and step test for right and left leg], static balance performance [tandem stand Test (TST), one leg stand (OLS) test with the eyes opened and closed], functional mobility [timed- up-and-go (TUG) test and 6-minute walking Test (6MWT)] were measured before and after 6 and 12 weeks intervention. There were no significant differences in the distributions of all tests scores for the dependent variables between the exercise and control groups prior to the intervention. The post-intervention measurements showed significant improvements in lower-extremity muscle strength (22.60%, p < 0.001) and functional mobility (18.71% in TUG test and 12.09% in 6MWT, p < 0.001). There was also a significant increase in the dynamic balance ability by FFRT (18.51 %, P < 0.001), LRT for right hand (19.98%, p < 0.001) and for left hand (17.69%, p < 0.001), FSST (14.67%,p < 0.001), and step test for right leg (18.36%, p < 0.001) and for left leg (18.80%, p < 0.001). No significant improvements were observed in the static balance measured by tandem stand test (3.25%, p > 0.05), OLS with eyes opened (9.58%,p > 0.05) and with eyes closed (-0.61 %,p > 0.05). The findings support the feasibility and efficacy of a simple and inexpensive resistance training program for improving lower-extremity muscle strength, dynamic balance and mobility in the institutionalized older adults. This training can be considered as an effective public health strategy for improvement of daily acti vity performance and reducing the risk of falling in the growing older population. Exercise for older people - Physiological aspects Exercise tests Physical fitness for older people 2015-04 Thesis http://psasir.upm.edu.my/id/eprint/92659/ http://psasir.upm.edu.my/id/eprint/92659/1/IPPM%202015%202%20IR.pdf text en public doctoral Universiti Putra Malaysia Exercise for older people - Physiological aspects Exercise tests Physical fitness for older people Loke, Seng Cheong
institution	Universiti Putra Malaysia
collection	PSAS Institutional Repository
language	English
advisor	Loke, Seng Cheong
topic	Exercise for older people - Physiological aspects Exercise tests Physical fitness for older people
spellingShingle	Exercise for older people - Physiological aspects Exercise tests Physical fitness for older people Motalebi, Seyedeh Ameneh Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia
description	To provide and make accessible the benefits of the resistance exercises for older people, development of a low-cost and also useful alternative equipment are essential. So, this study examined the effects of a 12-week progressive elastic resistance training on lower-extremity muscle strength, static and dynamic balance and functional mobility of older adults residing in a governmental welfare home (Rumah Seri Kenangan), in Cheras, Selangor, Malaysia. Fifty one subjects were qualified to participate in this quasi-experimental designed study. They were allocated to either the 12-week progressive elastic resistance training (N= 26) or in the control group (N = 25). Forty-five of them (male = 26 and female = 19) with mean age 70.7 ± 6.6 years successfully completed the program. The majority of the subjects were Malay ethnicity (73.3%). The exercise group was trained twice per week, performing 1-3 sets of 8-10 repetitions for each of nine lower-extremities elastic resistance exercises. Exercises were performed in both sitting and standing positions at moderate intensity (5 or 6 of OMNI perceived exertion scale) using elastic bands in different resistances. The dependent variables consisted of lower extremity muscle strength [sit-to-stand test (STS)], dynamic balance [forward functional reach test (FFRT), lateral reach test (LRT) for right and left hands, four square step test (FSST), and step test for right and left leg], static balance performance [tandem stand Test (TST), one leg stand (OLS) test with the eyes opened and closed], functional mobility [timed- up-and-go (TUG) test and 6-minute walking Test (6MWT)] were measured before and after 6 and 12 weeks intervention. There were no significant differences in the distributions of all tests scores for the dependent variables between the exercise and control groups prior to the intervention. The post-intervention measurements showed significant improvements in lower-extremity muscle strength (22.60%, p < 0.001) and functional mobility (18.71% in TUG test and 12.09% in 6MWT, p < 0.001). There was also a significant increase in the dynamic balance ability by FFRT (18.51 %, P < 0.001), LRT for right hand (19.98%, p < 0.001) and for left hand (17.69%, p < 0.001), FSST (14.67%,p < 0.001), and step test for right leg (18.36%, p < 0.001) and for left leg (18.80%, p < 0.001). No significant improvements were observed in the static balance measured by tandem stand test (3.25%, p > 0.05), OLS with eyes opened (9.58%,p > 0.05) and with eyes closed (-0.61 %,p > 0.05). The findings support the feasibility and efficacy of a simple and inexpensive resistance training program for improving lower-extremity muscle strength, dynamic balance and mobility in the institutionalized older adults. This training can be considered as an effective public health strategy for improvement of daily acti vity performance and reducing the risk of falling in the growing older population.
format	Thesis
qualification_level	Doctorate
author	Motalebi, Seyedeh Ameneh
author_facet	Motalebi, Seyedeh Ameneh
author_sort	Motalebi, Seyedeh Ameneh
title	Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia
title_short	Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia
title_full	Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia
title_fullStr	Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia
title_full_unstemmed	Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia
title_sort	effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in malaysia
granting_institution	Universiti Putra Malaysia
publishDate	2015
url	http://psasir.upm.edu.my/id/eprint/92659/1/IPPM%202015%202%20IR.pdf
_version_	1747813749815771136

Effects of elastic resistance training on lower extremity muscle strength, balance and functional mobility among institutionalized elderly in Malaysia

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