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Eccentric versus traditional resistance exercise for older adult fallers in the community: a randomized trial within a multi-component fall reduction program
- Source :
- BMC Geriatrics, Vol 17, Iss 1, Pp 1-11 (2017), BMC Geriatrics
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- Addressing muscle deficits within a multi-component exercise fall reduction program is a priority, especially for the highest risk older adults, i.e., those who have fallen previously. Eccentric resistance exercise with its high-force producing potential, at a low energetic cost, may be ideally-suited to address muscle impairments in this population. The purpose of this study was to compare the effects of resistance exercise via negative, eccentrically-induced, work (RENEW) versus traditional (TRAD) resistance exercise on mobility, balance confidence, muscle power and cross sectional area, as well as the number of days high fall risk older adults survived without a fall event over a 1 year period. Randomized, two group, four time point (over 1 year) clinical trial testing RENEW versus TRAD as part of a 3 month multi-component exercise fall reduction program (MCEFRP). Primary outcomes of mobility, balance confidence, muscle power output and cross sectional area were analyzed using mixed effects modeling. The secondary outcomes of days to fall and days to near-fall were analyzed using survival analysis. The MCEFRP did have an effect on fall risk factors considered reversible with exercise interventions though there was no differential effect of RENEW versus TRAD (p = 0.896) on mobility, balance confidence, muscle power and cross sectional area. There were also no group differences in the number of days survived without a fall (p = 0.565) or near-fall (p = 0.678). Despite 100% of participants having at least one fall in the year prior to the MCEFRP, however, after 3 months of exercise and 9 months of follow-up
- Subjects :
- Male
medicine.medical_specialty
Aging
medicine.medical_treatment
Population
Poison control
lcsh:Geriatrics
law.invention
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Randomized controlled trial
law
Risk Factors
Injury prevention
medicine
Eccentric
Humans
030212 general & internal medicine
education
Postural Balance
Exercise
Survival analysis
Balance (ability)
Aged
Aged, 80 and over
education.field_of_study
Rehabilitation
business.industry
Prevention
Resistance Training
Exercise Therapy
lcsh:RC952-954.6
Physical therapy
Exercise Test
Accidental Falls
Female
Falls
Independent Living
Geriatrics and Gerontology
business
030217 neurology & neurosurgery
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712318
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Geriatrics
- Accession number :
- edsair.doi.dedup.....c007af0635a6c5376f3018b36c2aec93