Effects of physical exercise on fall risk factors in elderly at home in intervention trial
- 111 Downloads
In this study, we used an intervention approach to examine the effects of physical exercise on elderly people living at home in a rural area.
Two regions in a village were randomly assigned as the control and intervention regions. The subjects were 60 years of age or older and were able to carry out their activities of daily living independently. The numbers of subjects were 56 and 81 for the control and intervention regions, respectively. In the control region, lectures on health were provided twice. In the intervention region, instructions on ten types of physical exercise were provided six times during this three-month study. In addition, the subjects in the intervention region were instructed to do, exercises by themselves at home three days per week. The effects were compared by evaluating motor functions in maximum step length, 10-m full-power walking parameters, right knee extension torque, right hip flexion torque, and stepping time on a 40-cm staircase; data were obtained before and after the intervention.
Analysis of covariance (ANCOVA) showed significant improvements in right maximum step length, the mean of the right and left maximum step lengths, and right hip flexion torque in the intervention region.
The three-month physical exercise program improves the motor functions of the elderly.
Key wordscontrol region intervention region fall prevention muscle strength balance exercises
- (1).The Ministry of Health, Labour and Welfare of Japan. The Nation Life Basics Investigation Report in 2001. Health and Welfare Statistics Association; 2003. p 200–203. (Article in Japanese)Google Scholar
- (2).Rubenstein LZ, Josephson KR, Robbins AS. Falls in the nursing home. Ann Inter Med. 1994;121:442–451.Google Scholar
- (4).Kaneshiro Y, Yasumura S. A review of intervention studies for prevention of falls in older people. J J Public Health. 2002;49:287–304. (Article in Japanese)Google Scholar
- (5).Otaka Y, Liu M, Uzawa M, Chino N. The effectiveness of fall prevention program: a review—1. fall prevention in the narrow sense—. Jap Rehabil Med. 2003;40:374–388. (Article in Japanese)Google Scholar
- (6).Otaka Y, Liu M, Uzawa M, Chino N. The effectiveness of fall prevention program: a review—2. fall-related issue and future perspectives on fall related research—. Jap Rehabil Med. 2003;40:389–397 (Article in Japanese)Google Scholar
- (7).Haga H, Ueki S, Shimanuki H, Ito T, Kasai T, Takato J, Sakamoto Y, Yasumura S, Niino N, Nakagawa Y. Practice and evaluation of a fall prevention program in elderly people at home-based. Kousei no Shihyou. 2003;50:20–26. (Article in Japanese)Google Scholar
- (9).Kobayashi R, Ishigami K, Tukano M, Anezaki S, Nakadaira H. Effects of fall prevention program on physical abilities of elderly people living in a rural region: an intervention trial. The Niigata J Health and Welfare. 2006;5:18–26. (Article in Japanese)Google Scholar
- (10).Niigata Prefecture Shibata Regional Promotion Bureau. A Guidebook of Fall Prevention Program for Instructor. Niigata Prefecture Shibata Department of Health, Welfare and Environment. 2004. p. 22–25. (Article in Japanese)Google Scholar
- (11).Kobayashi R. Enforcement of physical training to supportive health in the aged period. Syokuseikatu. 2004; 98:26–32. (Article in Japanese)Google Scholar
- (12).Ofuti S, Satake K. Kaigo-Yobou General Geriatric Training. Sogo Igaku Co.; 2004. p. 28–41. (Article in Japanese)Google Scholar
- (14).Wayne LW, Thomas RB, Komuro F, Takada K. Strength Training for Senior, an Instructor Guide for Developing Safe and Effective Program (First Japanese Edition). NAP Ltd.: 2001. p. 13–26. (Article in Japanese)Google Scholar
- (16).Arai T, Obuchi S, Shimada H, Shiba Y, Futami T, Obuku S. The effects of high-intensity resistance training for the frail elderly and the evaluation of the relationship between initial physical characteristics and improvements of functional performance measurements. J Jpn Phys Ther Assoc. 2003;30: 377–385. (Article in Japanese)Google Scholar
- (18).Suzuki T, Obuchi S. An Instructor Guide for Preventing Long-Term Care. Tokyo Metropolitan Elderly Person’s Research and Welfare Promotion Foundation. 2004 p. 128–135. (Article in Japanese)Google Scholar
- (19).Kato M, Yamazaki H, Hiiragi Y, Nakajima K. Measurement of isometric knee extension force, with a hand-held dynamometer-effect for interrater reliability using fixing-belt. Sogo Rehabil. 2001;29:1047–1050. (Article in Japanese)Google Scholar
- (20).Gillespie LD, Gillespie WJ, Robertson MC, et al. Intervention for preventing falls in elderly people. Cochrane Review Issue 4. 2004.Google Scholar