Impact of a muscle strengthening program for lower members on the balance and functional performance of institutionalized elderly: a controlled and randomized study

Acta Fisiátrica

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Title Impact of a muscle strengthening program for lower members on the balance and functional performance of institutionalized elderly: a controlled and randomized study
Impacto de um programa de fortalecimento muscular dos membros inferiores no equilíbrio e na performance funcional de idosos institucionalizados: um estudo controlado e randomizado
 
Creator Leopoldino, Amanda Aparecida Oliveira
Araújo, Izabella Thalita
Pires, Juliana Catarina
Brito, Taís Reis de
Polese, Janaine Cunha
Bastone, Alessandra Carvalho
Lima, Onésia Cristina de Oliveira
Schetino, Luana Pereira Leite
 
Subject Aged
Postural Balance
Muscle Strength
Exercise
Homes for the Aged
Idoso
Equilíbrio Postural
Força Muscular
Exercício Físico
Instituição de Longa Permanência para Idosos
 
Description A performance funcional é maximizada através de programas de fortalecimento muscular em idosos. Contudo, poucas intervenções foram implementadas em idosos institucionalizados para avaliar os efeitos de programas de exercícios de fortalecimento muscular em desfechos como o equilíbrio, performance funcional e força muscular. Objetivo: Avaliar o impacto de um programa de fortalecimento muscular de membros inferiores no equilíbrio, performance funcional e força muscular de idosos institucionalizados. Métodos: Ensaio clínico controlado e randomizado. O equilíbrio, a performance funcional e a força muscular foram avaliados através da Escala de Equilíbrio de Berg (EEB), Marcha Tandem (MT), Short Physical Performance Battery (SPPB) e Teste do Esfigmomanômetro (TE), respectivamente. O grupo experimental (GE, n=11) participou do programa de exercícios em grupo, três vezes semanais, durante oito semanas, enquanto o grupo controle (GC, n=8) continuou sua rotina habitual. Foram calculados os intervalos de 95% de confiança para as diferenças entre os grupos experimental e controle (experimental – controle) e entre os dois momentos de observação (pós – pré). Foi realizada análise de intenção de tratar. Resultados: O GE apresentou um ganho significativo em relação ao GC para a EEB (DM=3,7 IC95% 1,0 a 6,5), MT DM=3,5 IC95% 0,7 a 6,2), FMEJ (DM=33,2 IC95% 4,9 a 61,5) e FMD (DM=37,5 IC95% 9,6 a 65,3). Conclusão: O programa de fortalecimento muscular foi capaz de melhorar o equilíbrio, a performance funcional e a força muscular em idosos institucionalizados.
Functional performance is maximized through muscle strengthening programs in the elderly. However, few interventions have been implemented in institutionalized elderly to assess the effects of muscle strengthening exercise programs in outcomes such as balance, functional performance and muscle strength. Objective: Assess the impact of a lower limb muscle strengthening program at the balance, functional performance and muscle strength of institutionalized elderly. Methods: Controlled, randomized clinical trial. Balance, functional performance and muscle strength were assessed using the Berg Balance Scale (BSE), Tandem Gait (MT), Short Physical Performance Battery (SPPB) and Sphygmomanometer Test (TE) respectively. The experimental group (GE, n = 11) participated in the group exercise program, three times a week, for eight weeks, while the control group (CG, n = 8) continued their usual routine.The intervals of 95% confidence for the differences between the experimental and control groups (experimental - control) and between the two moments of observation (post - pre). Intent to treat analysis was performed. Results: EG showed a significant gain in relation to CG for BSE (DM = 3.7 IC95% 1.0 to 6.5), MT DM = 3.5 IC95% 0.7 to 6.2), FMEJ (DM = 33.2 95% CI 4.9 to 61.5) and FMD (DM = 37.5 95% CI 9.6 to 65.3). Conclusion: The muscle strengthening program was able to improve balance, functional performance and muscle strength in institutionalized elderly.
 
Publisher Faculdade de Medicina, Universidade de São Paulo
 
Date 2020-09-30
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://www.revistas.usp.br/actafisiatrica/article/view/174188
10.11606/issn.2317-0190.v27i3a174188
 
Source Acta Fisiátrica; v. 27 n. 3 (2020); 174-181
2317-0190
0104-7795
 
Language por
 
Relation https://www.revistas.usp.br/actafisiatrica/article/view/174188/167984
 
Rights Copyright (c) 2020 Acta Fisiátrica
https://creativecommons.org/licenses/by-nc-sa/4.0
 

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