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Exercise Protocols in Postural Balance Of Elderly Women

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ClinicalTrials.gov Identifier: NCT02278731
Recruitment Status : Completed
First Posted : October 30, 2014
Last Update Posted : October 30, 2014
Sponsor:
Information provided by (Responsible Party):
Laiana Sepúlveda de Andrade Mesquita, Universidade Estadual do PiauÍ

Brief Summary:
To determine and compare the effects of a training program with Pilates and Facilitation Neuromuscular Proprioceptive on balance and function in elderly women.

Condition or disease Intervention/treatment Phase
Sarcopenia Other: training program Not Applicable

Detailed Description:
Older women living in Teresina and participating in a local church project called "Pão dos Pobres" were randomly divided into three groups: Proprioceptive Neuromuscular Facilitation (PNFG), Pilates (PG) and Control(CG). Intervention: A training program (50 minutes session) was performed with the PNFG and the PG, 3 times a week, for 4 weeks. The elderly in CG suffered no intervention and continued with their daily activities. Main Outcome Measures: The stabilometric parameters, Berg Balance Scale score, functional reach test and Timed Up and Go test (TUG test) were measured before and one month after, in all participants.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 58 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: EFFECTS OF TWO EXERCISE PROTOCOLS IN POSTURAL BALANCE OF ELDERLY WOMEN
Study Start Date : May 2014
Actual Primary Completion Date : May 2014
Actual Study Completion Date : July 2014

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
No Intervention: Control Group
The elderly in Control Group suffered no intervention and continued with their daily activities.
Active Comparator: Pilates Group
Pilates group (PG), which underwent one-month (three times per week) training program with the Pilates method. This protocol consisted of Pilates exercises on the ground.Stretches were performed on upper trunk and lower limbs before the exercises. Subsequently, exercises that included the range of motion and strength of the upper limbs, trunk and lower limbs were performed, always associated with breathing and contraction of transversus abdominis muscles, in different positions, increasing repetitions and resistance in the weeks of the study, using the Swiss ball, thera-band and the magic circle.
Other: training program
Participants were randomly allocated to 1 of 3 groups: Pilates group (n=20), which underwent one-month (three times per week) training program with the Pilates method; PNF group (n=20), that underwent one-month (three times per week) training program using the PNF method; and Control group (n=18), that received no intervention during that one month and continued with their daily activities.

Active Comparator: PNF Group
PNF group that underwent one-month (three times per week) training program using the propriocptive neuromuscular facilitation method.The selected PNF diagonal patterns were chosen with all the basic procedures to the facilitation and according to three specific principles of PNF: rhythmic initiation, sustain and relax and reversal of antagonists. During the first week, one set of ten repetitions for each diagonal was performed; in the second week, two sets of ten repetitions and in the third and fourth weeks, three sets of ten repetitions were performed.
Other: training program
Participants were randomly allocated to 1 of 3 groups: Pilates group (n=20), which underwent one-month (three times per week) training program with the Pilates method; PNF group (n=20), that underwent one-month (three times per week) training program using the PNF method; and Control group (n=18), that received no intervention during that one month and continued with their daily activities.




Primary Outcome Measures :
  1. Displacement of the center of pressure of the body [ Time Frame: 1 month ]
    Displacement of the center of pressure of the body was collected using an electronic baropodometer, composed by a force platform with 1600 sensors. The subjects were oriented to be in a standing position in the platform, barefoot, bipedal support and with feet hip width apart.The kinetic variables related to body balance analyzed were: total displacement oscillation (TDO), amplitude of displacement of the center of pressure antero-posterior (ACPap), amplitude of displacement of the center of pressure medio-lateral (ACPml), displacement area (AREA), antero-posterior average speed (AAS), medio-lateral average speed (MAS) and total average speed (TAS).

  2. Functional mobility on the Timed Up & Go test [ Time Frame: 1 month ]
    The Timed Up & Go test (TUG) was applied to evaluate functional mobility involving speed, agility and dynamic balance of the elderly women, measuring the time in seconds spent by the volunteer to stand up from a chair (seat height 45 cm) without the help of arms, walk a three meters distance, turn around and return.

  3. Static and dynamic balance on the Berg Balance test [ Time Frame: 1 month ]
    The Berg Balance Scale consists in 14 tasks, on a 5-point ordinal scale, ranging from 0 (unable to perform the task) to 5 (performs the task independently). Scores of the 14 tasks are summed into a total score, ranging from 0 to 56 points, the highest score being related to better performance and values lower or equal to 45 points being related to prediction of falls.



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Ages Eligible for Study:   60 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • All the subjects were between 60 and 80 years old,
  • sedentary and healthy

Exclusion Criteria:

-Orthopedic, cardiovascular, vestibular, psychological, neurological or any other impairment that would not allow the execution of all study tasks


Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Laiana Sepúlveda de Andrade Mesquita, UESPI, Universidade Estadual do PiauÍ
ClinicalTrials.gov Identifier: NCT02278731    
Other Study ID Numbers: U1111-1162-4778
First Posted: October 30, 2014    Key Record Dates
Last Update Posted: October 30, 2014
Last Verified: October 2014
Keywords provided by Laiana Sepúlveda de Andrade Mesquita, Universidade Estadual do PiauÍ:
Physical activity
Rehabilitation
Older adults
Pilates
Proprioceptive neuromuscular facilitation
Additional relevant MeSH terms:
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Sarcopenia
Muscular Atrophy
Neuromuscular Manifestations
Neurologic Manifestations
Nervous System Diseases
Atrophy
Pathological Conditions, Anatomical
Signs and Symptoms