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The effect of self-directed exercise program on physical function of older adults with frailty
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Thursday 1 November Papers / Journal of Science and Medicine in Sport 15 (2013) S34–S126
muscle power (rs = 0.40, p = 0.003). Time spent in moderate intensity physical activity was significantly greater in males (Median 39.4 minutes/day) than females (Median 22.3 minutes/day), Z = 3.49, p = 0.0005. Discussion: In this group of adults with CF we identified some similar determinants for physical activity participation as those previously identified in children and adolescents with CF, including ongoing reduction in physical activity participation in females. Identifying factors that influence physical activity participation in adults with CF may be useful in developing innovative strategies targeted to improve fitness and function in this population.
practitioners is the statistical and clinical significance of the Pilates specific exercise intervention for reduction in disability, improvements in pain intensity, fear avoidance beliefs, depression and pain catastrophising.
http://dx.doi.org/10.1016/j.jsams.2012.11.191
W. Song ∗ , S. Woo, S. Oh, H. Kim, D. Kim, J. Kim, J. Kim
189 Exercise rehabilitation programs for chronic non-specific low back pain: A comparison of Pilates exercise and general aerobic exercise S. Kennedy ∗ University of Western Sydney Introduction: Low back pain is a serious global health problem, exhibiting epidemic proportions and affecting 80–85% of people over their lifetime. Exercise is a first choice treatment for chronic low back pain (CLBP). However, there is a lack of consensus as to which is the most effective type of exercise. Neither is there a complete understanding of how different exercise modalities, such as general or specific exercise, affect the broader psychological aspects of CLBP. Whether a particular modality of exercise will elicit a greater effect on improvements in mental health of CLBP patients is unknown. Whether those improvements in mental health best explain improvements in disability and pain is uncertain. Objectives: The objective of this study was to investigate the effect of Pilates (a specific exercise) compared to cycling (a general aerobic exercise) on disability for individuals with CLBP and to evaluate the effect of these exercise types on psychological factors that influence the chronicity of low back pain. Methodology: Sixty-four individuals (18–50yrs) with CLBP were randomized to Pilates (core specific) or cycling (general aerobic exercise). Disability (ODI), pain (VAS), pain catastrophising (PCS), fear avoidance beliefs (FABQ), anxiety and depression (HADS) were measured pre and post an 8-week intervention. ANCOVA was used to examine between group differences, T–tests to examine within group differences and regression models to examine relationships between changes in measured variables. Effect sizes and 95% confidence intervals were calculated. Statistical significance was set at P < 0.05. Results: Pilates specific exercise group reported statistically and clinically significant improvements in disability compared with the general aerobic exercise group (P = 0.046). Both exercise modalities showed improvements in pain (P = 0.01), pain catastrophising (P = 0.03 and 0.01) and depression (P = 0.03 and 0.02). Pilates specific exercise modality showed improvements in fear avoidance beliefs regarding physical activity (P = 0.04). The general aerobic exercise group found improvements in anxiety (P = 0.04). Improvements in disability for the Pilates specific exercise group resulted from improvements in current pain and anxiety, with improvements in depression best explaining observed improvements in current pain. Conclusions: Pilates specific exercise appears superior to general aerobic exercise for treatment of CLBP. Pilates and cycling produce different mechanisms of action on the psychological factors that influence chronicity in low back pain. Of interest to clinical
http://dx.doi.org/10.1016/j.jsams.2012.11.192 190 The effect of self-directed exercise program on physical function of older adults with frailty
Seoul National University Introduction: Frailty is a common syndrome in older adults. Frailty is associated with increase of morbidity and reduced functional ability. However, few studies have introduced an exercise intervention for frailty. The purpose of this study was i) to investigate the effect of elastic band training, and ii) to evaluate the efficacy of self-directed group exercise as a follow-up after supervised exercise on physical function of frail older adults. Methods: A total of 41 subjects were initially recruited in this study and 17 of older adults with frailty (≥65 years old) whose SPPB (Short physical performance Battery) score is below 9 were randomized into two groups; elastic band exercise group (EX, n = 8) and non-exercised control group (CON, n = 9). Exercise training was performed 1 hour twice a week for 18 weeks. For the first 8 weeks, participants exercised under the supervision. During the remaining 10 weeks, as a self-directed group exercise, participants trained themselves following the video which demonstrated examples of the same exercises instructed by the supervisor. Physical function including SPPB, grip strength, stair climbing, sit & reach, and leg isokinetic strength and physiological function including exercise self-efficacy scale were measured at baseline, after the 8-week exercise program, and upon completion of the 18-week exercise program, respectively. Body composition was also measured by DEXA (Dual Energy X-ray Absorptionmetry) before and after exercise intervention. Results: Eighteen weeks of elastic band training significantly increased the most of factors of physical function as followings: SPPB (P = .022); right knee flexion at 60◦ /s (p = .022); left knee flexion at 60◦ /s (p = .034); right knee extension at 120◦ /s (P = .022); left knee extension at 120◦ /s (p = .003); right knee flexion at 120◦ /s (P = .039) and left knee flexion at 120◦ /s (p = 0.11). Arm lean mass was also significantly increased. Despite physical function were not statistically different between EX and CON from the first 8-week supervised exercise program, after the follow-up self-directed group exercise for the remaining 10 weeks, physical functions were significantly improved in EX compared to CON in which physical functions were substantially decreased. Discussion: These results shows that 18 weeks of elastic band training significantly improved physical function of older adults with frailty and also suggest that self-directed group exercise was effective to increase physical function. http://dx.doi.org/10.1016/j.jsams.2012.11.193
Thursday 1 November Papers / Journal of Science and Medicine in Sport 15 (2013) S34–S126
muscle power (rs = 0.40, p = 0.003). Time spent in moderate intensity physical activity was significantly greater in males (Median 39.4 minutes/day) than females (Median 22.3 minutes/day), Z = 3.49, p = 0.0005. Discussion: In this group of adults with CF we identified some similar determinants for physical activity participation as those previously identified in children and adolescents with CF, including ongoing reduction in physical activity participation in females. Identifying factors that influence physical activity participation in adults with CF may be useful in developing innovative strategies targeted to improve fitness and function in this population.
practitioners is the statistical and clinical significance of the Pilates specific exercise intervention for reduction in disability, improvements in pain intensity, fear avoidance beliefs, depression and pain catastrophising.
http://dx.doi.org/10.1016/j.jsams.2012.11.191
W. Song ∗ , S. Woo, S. Oh, H. Kim, D. Kim, J. Kim, J. Kim
189 Exercise rehabilitation programs for chronic non-specific low back pain: A comparison of Pilates exercise and general aerobic exercise S. Kennedy ∗ University of Western Sydney Introduction: Low back pain is a serious global health problem, exhibiting epidemic proportions and affecting 80–85% of people over their lifetime. Exercise is a first choice treatment for chronic low back pain (CLBP). However, there is a lack of consensus as to which is the most effective type of exercise. Neither is there a complete understanding of how different exercise modalities, such as general or specific exercise, affect the broader psychological aspects of CLBP. Whether a particular modality of exercise will elicit a greater effect on improvements in mental health of CLBP patients is unknown. Whether those improvements in mental health best explain improvements in disability and pain is uncertain. Objectives: The objective of this study was to investigate the effect of Pilates (a specific exercise) compared to cycling (a general aerobic exercise) on disability for individuals with CLBP and to evaluate the effect of these exercise types on psychological factors that influence the chronicity of low back pain. Methodology: Sixty-four individuals (18–50yrs) with CLBP were randomized to Pilates (core specific) or cycling (general aerobic exercise). Disability (ODI), pain (VAS), pain catastrophising (PCS), fear avoidance beliefs (FABQ), anxiety and depression (HADS) were measured pre and post an 8-week intervention. ANCOVA was used to examine between group differences, T–tests to examine within group differences and regression models to examine relationships between changes in measured variables. Effect sizes and 95% confidence intervals were calculated. Statistical significance was set at P < 0.05. Results: Pilates specific exercise group reported statistically and clinically significant improvements in disability compared with the general aerobic exercise group (P = 0.046). Both exercise modalities showed improvements in pain (P = 0.01), pain catastrophising (P = 0.03 and 0.01) and depression (P = 0.03 and 0.02). Pilates specific exercise modality showed improvements in fear avoidance beliefs regarding physical activity (P = 0.04). The general aerobic exercise group found improvements in anxiety (P = 0.04). Improvements in disability for the Pilates specific exercise group resulted from improvements in current pain and anxiety, with improvements in depression best explaining observed improvements in current pain. Conclusions: Pilates specific exercise appears superior to general aerobic exercise for treatment of CLBP. Pilates and cycling produce different mechanisms of action on the psychological factors that influence chronicity in low back pain. Of interest to clinical
http://dx.doi.org/10.1016/j.jsams.2012.11.192 190 The effect of self-directed exercise program on physical function of older adults with frailty
Seoul National University Introduction: Frailty is a common syndrome in older adults. Frailty is associated with increase of morbidity and reduced functional ability. However, few studies have introduced an exercise intervention for frailty. The purpose of this study was i) to investigate the effect of elastic band training, and ii) to evaluate the efficacy of self-directed group exercise as a follow-up after supervised exercise on physical function of frail older adults. Methods: A total of 41 subjects were initially recruited in this study and 17 of older adults with frailty (≥65 years old) whose SPPB (Short physical performance Battery) score is below 9 were randomized into two groups; elastic band exercise group (EX, n = 8) and non-exercised control group (CON, n = 9). Exercise training was performed 1 hour twice a week for 18 weeks. For the first 8 weeks, participants exercised under the supervision. During the remaining 10 weeks, as a self-directed group exercise, participants trained themselves following the video which demonstrated examples of the same exercises instructed by the supervisor. Physical function including SPPB, grip strength, stair climbing, sit & reach, and leg isokinetic strength and physiological function including exercise self-efficacy scale were measured at baseline, after the 8-week exercise program, and upon completion of the 18-week exercise program, respectively. Body composition was also measured by DEXA (Dual Energy X-ray Absorptionmetry) before and after exercise intervention. Results: Eighteen weeks of elastic band training significantly increased the most of factors of physical function as followings: SPPB (P = .022); right knee flexion at 60◦ /s (p = .022); left knee flexion at 60◦ /s (p = .034); right knee extension at 120◦ /s (P = .022); left knee extension at 120◦ /s (p = .003); right knee flexion at 120◦ /s (P = .039) and left knee flexion at 120◦ /s (p = 0.11). Arm lean mass was also significantly increased. Despite physical function were not statistically different between EX and CON from the first 8-week supervised exercise program, after the follow-up self-directed group exercise for the remaining 10 weeks, physical functions were significantly improved in EX compared to CON in which physical functions were substantially decreased. Discussion: These results shows that 18 weeks of elastic band training significantly improved physical function of older adults with frailty and also suggest that self-directed group exercise was effective to increase physical function. http://dx.doi.org/10.1016/j.jsams.2012.11.193