Exercise Leads to Faster Postural Reflexes, Improved Balance and Mobility, and Fewer Falls in Older Persons with Chronic Stroke
Objectives: To determine the effect of two different community‐based group exercise programs on functional balance, mobility, postural reflexes, and falls in older adults with chronic stroke. Design: A randomized, clinical trial. Setting: Community center. Participants: Sixty‐one community‐dwelling...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2005-03, Vol.53 (3), p.416-423 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
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| creator | Marigold, Daniel S. Eng, Janice J. Dawson, Andrew S. Inglis, J. Timothy Harris, Jocelyn E. Gylfadóttir, Sif |
| description | Objectives: To determine the effect of two different community‐based group exercise programs on functional balance, mobility, postural reflexes, and falls in older adults with chronic stroke.
Design: A randomized, clinical trial.
Setting: Community center.
Participants: Sixty‐one community‐dwelling older adults with chronic stroke.
Intervention: Participants were randomly assigned to an agility (n=30) or stretching/weight‐shifting (n=31) exercise group. Both groups exercised three times a week for 10 weeks.
Measurements: Participants were assessed before, immediately after, and 1 month after the intervention for Berg Balance, Timed Up and Go, step reaction time, Activities‐specific Balance Confidence, and Nottingham Health Profile. Testing of standing postural reflexes and induced falls evoked by a translating platform was also performed. In addition, falls in the community were tracked for 1 year from the start of the interventions.
Results: Although exercise led to improvements in all clinical outcome measures for both groups, the agility group demonstrated greater improvement in step reaction time and paretic rectus femoris postural reflex onset latency than the stretching/weight‐shifting group. In addition, the agility group experienced fewer induced falls on the platform.
Conclusion: Group exercise programs that include agility or stretching/weight shifting exercises improve postural reflexes, functional balance, and mobility and may lead to a reduction of falls in older adults with stroke. |
| doi_str_mv | 10.1111/j.1532-5415.2005.53158.x |
| format | Article |
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Design: A randomized, clinical trial.
Setting: Community center.
Participants: Sixty‐one community‐dwelling older adults with chronic stroke.
Intervention: Participants were randomly assigned to an agility (n=30) or stretching/weight‐shifting (n=31) exercise group. Both groups exercised three times a week for 10 weeks.
Measurements: Participants were assessed before, immediately after, and 1 month after the intervention for Berg Balance, Timed Up and Go, step reaction time, Activities‐specific Balance Confidence, and Nottingham Health Profile. Testing of standing postural reflexes and induced falls evoked by a translating platform was also performed. In addition, falls in the community were tracked for 1 year from the start of the interventions.
Results: Although exercise led to improvements in all clinical outcome measures for both groups, the agility group demonstrated greater improvement in step reaction time and paretic rectus femoris postural reflex onset latency than the stretching/weight‐shifting group. In addition, the agility group experienced fewer induced falls on the platform.
Conclusion: Group exercise programs that include agility or stretching/weight shifting exercises improve postural reflexes, functional balance, and mobility and may lead to a reduction of falls in older adults with stroke.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2005.53158.x</identifier><identifier>PMID: 15743283</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Inc</publisher><subject>Accidental Falls - prevention & control ; Aged ; Balance ; Biological and medical sciences ; cerebrovascular accident ; Chronic Disease ; clinical trial ; Community based programmes ; Community Health Services ; Comorbidity ; Elderly people ; Exercise ; Exercise Therapy ; Falls ; Female ; General aspects ; Humans ; Male ; Medical sciences ; Middle Aged ; Mobility ; Motor ability ; Neurology ; Older people ; Physical Fitness ; Postural Balance ; Posture ; Prevention ; Randomized controlled trials ; Reflex ; Reflexes ; Rehabilitation ; Stroke ; Stroke - classification ; Stroke Rehabilitation ; Strokes ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2005-03, Vol.53 (3), p.416-423</ispartof><rights>2005 INIST-CNRS</rights><rights>2005 by the American Geriatrics Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5758-b3b2970e4174ab18a21723cdc6263bc2b56b27464bbe85cbeee41bf4d4bd009a3</citedby><cites>FETCH-LOGICAL-c5758-b3b2970e4174ab18a21723cdc6263bc2b56b27464bbe85cbeee41bf4d4bd009a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.2005.53158.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.2005.53158.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,31000,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16622135$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15743283$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marigold, Daniel S.</creatorcontrib><creatorcontrib>Eng, Janice J.</creatorcontrib><creatorcontrib>Dawson, Andrew S.</creatorcontrib><creatorcontrib>Inglis, J. Timothy</creatorcontrib><creatorcontrib>Harris, Jocelyn E.</creatorcontrib><creatorcontrib>Gylfadóttir, Sif</creatorcontrib><title>Exercise Leads to Faster Postural Reflexes, Improved Balance and Mobility, and Fewer Falls in Older Persons with Chronic Stroke</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives: To determine the effect of two different community‐based group exercise programs on functional balance, mobility, postural reflexes, and falls in older adults with chronic stroke.
Design: A randomized, clinical trial.
Setting: Community center.
Participants: Sixty‐one community‐dwelling older adults with chronic stroke.
Intervention: Participants were randomly assigned to an agility (n=30) or stretching/weight‐shifting (n=31) exercise group. Both groups exercised three times a week for 10 weeks.
Measurements: Participants were assessed before, immediately after, and 1 month after the intervention for Berg Balance, Timed Up and Go, step reaction time, Activities‐specific Balance Confidence, and Nottingham Health Profile. Testing of standing postural reflexes and induced falls evoked by a translating platform was also performed. In addition, falls in the community were tracked for 1 year from the start of the interventions.
Results: Although exercise led to improvements in all clinical outcome measures for both groups, the agility group demonstrated greater improvement in step reaction time and paretic rectus femoris postural reflex onset latency than the stretching/weight‐shifting group. In addition, the agility group experienced fewer induced falls on the platform.
Conclusion: Group exercise programs that include agility or stretching/weight shifting exercises improve postural reflexes, functional balance, and mobility and may lead to a reduction of falls in older adults with stroke.</description><subject>Accidental Falls - prevention & control</subject><subject>Aged</subject><subject>Balance</subject><subject>Biological and medical sciences</subject><subject>cerebrovascular accident</subject><subject>Chronic Disease</subject><subject>clinical trial</subject><subject>Community based programmes</subject><subject>Community Health Services</subject><subject>Comorbidity</subject><subject>Elderly people</subject><subject>Exercise</subject><subject>Exercise Therapy</subject><subject>Falls</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mobility</subject><subject>Motor ability</subject><subject>Neurology</subject><subject>Older people</subject><subject>Physical Fitness</subject><subject>Postural Balance</subject><subject>Posture</subject><subject>Prevention</subject><subject>Randomized controlled trials</subject><subject>Reflex</subject><subject>Reflexes</subject><subject>Rehabilitation</subject><subject>Stroke</subject><subject>Stroke - classification</subject><subject>Stroke Rehabilitation</subject><subject>Strokes</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNks1uEzEUhUcIRNPCKyALCVad4N_xZINUQicUUoooCMTGsj03qlNnptiTJlnx6niSqJXYFG_sK3_36B4fZxkieEjSejMfEsFoLjgRQ4qxGApGRDlcP8oGdxePswHGmOZlQfhBdhjjHGNCcVk-zQ6IkJzRkg2yP6drCNZFQFPQdURdiyodOwjoSxu7ZdAefYWZhzXEY3S2uAntLdTonfa6sYB0U6Pz1jjvus3xtqpglXor7X1ErkEXvu6lIMS2iWjluis0vgpt4yy67EJ7Dc-yJzPtIzzf70fZ9-r02_hDPr2YnI1PprkVUpS5YYaOJAZOJNeGlJoSSZmtbUELZiw1ojBU8oIbA6WwBiChZsZrbmqMR5odZa93usnB7yXETi1ctOCTD2iXURWSS1FQ-iAoJOGYc_IgSEacUC6LBL78B5y3y9Akt4oSzCQpRiJB5Q6yoY0xwEzdBLfQYaMIVn3maq76aFUfreozV9vM1Tq1vtjrL80C6vvGfcgJeLUHdLTaz0LKzsV7rki-CetneLvjVs7D5r8HUB8nl9tjEsh3Ai79oPWdgA7X6X2ZFOrH54n69Ou8-snfM0XZX8061bI</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>Marigold, Daniel S.</creator><creator>Eng, Janice J.</creator><creator>Dawson, Andrew S.</creator><creator>Inglis, J. Timothy</creator><creator>Harris, Jocelyn E.</creator><creator>Gylfadóttir, Sif</creator><general>Blackwell Science Inc</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7TS</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200503</creationdate><title>Exercise Leads to Faster Postural Reflexes, Improved Balance and Mobility, and Fewer Falls in Older Persons with Chronic Stroke</title><author>Marigold, Daniel S. ; Eng, Janice J. ; Dawson, Andrew S. ; Inglis, J. Timothy ; Harris, Jocelyn E. ; Gylfadóttir, Sif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5758-b3b2970e4174ab18a21723cdc6263bc2b56b27464bbe85cbeee41bf4d4bd009a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Aged</topic><topic>Balance</topic><topic>Biological and medical sciences</topic><topic>cerebrovascular accident</topic><topic>Chronic Disease</topic><topic>clinical trial</topic><topic>Community based programmes</topic><topic>Community Health Services</topic><topic>Comorbidity</topic><topic>Elderly people</topic><topic>Exercise</topic><topic>Exercise Therapy</topic><topic>Falls</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mobility</topic><topic>Motor ability</topic><topic>Neurology</topic><topic>Older people</topic><topic>Physical Fitness</topic><topic>Postural Balance</topic><topic>Posture</topic><topic>Prevention</topic><topic>Randomized controlled trials</topic><topic>Reflex</topic><topic>Reflexes</topic><topic>Rehabilitation</topic><topic>Stroke</topic><topic>Stroke - classification</topic><topic>Stroke Rehabilitation</topic><topic>Strokes</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marigold, Daniel S.</creatorcontrib><creatorcontrib>Eng, Janice J.</creatorcontrib><creatorcontrib>Dawson, Andrew S.</creatorcontrib><creatorcontrib>Inglis, J. Timothy</creatorcontrib><creatorcontrib>Harris, Jocelyn E.</creatorcontrib><creatorcontrib>Gylfadóttir, Sif</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Physical Education Index</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marigold, Daniel S.</au><au>Eng, Janice J.</au><au>Dawson, Andrew S.</au><au>Inglis, J. Timothy</au><au>Harris, Jocelyn E.</au><au>Gylfadóttir, Sif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise Leads to Faster Postural Reflexes, Improved Balance and Mobility, and Fewer Falls in Older Persons with Chronic Stroke</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2005-03</date><risdate>2005</risdate><volume>53</volume><issue>3</issue><spage>416</spage><epage>423</epage><pages>416-423</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Objectives: To determine the effect of two different community‐based group exercise programs on functional balance, mobility, postural reflexes, and falls in older adults with chronic stroke.
Design: A randomized, clinical trial.
Setting: Community center.
Participants: Sixty‐one community‐dwelling older adults with chronic stroke.
Intervention: Participants were randomly assigned to an agility (n=30) or stretching/weight‐shifting (n=31) exercise group. Both groups exercised three times a week for 10 weeks.
Measurements: Participants were assessed before, immediately after, and 1 month after the intervention for Berg Balance, Timed Up and Go, step reaction time, Activities‐specific Balance Confidence, and Nottingham Health Profile. Testing of standing postural reflexes and induced falls evoked by a translating platform was also performed. In addition, falls in the community were tracked for 1 year from the start of the interventions.
Results: Although exercise led to improvements in all clinical outcome measures for both groups, the agility group demonstrated greater improvement in step reaction time and paretic rectus femoris postural reflex onset latency than the stretching/weight‐shifting group. In addition, the agility group experienced fewer induced falls on the platform.
Conclusion: Group exercise programs that include agility or stretching/weight shifting exercises improve postural reflexes, functional balance, and mobility and may lead to a reduction of falls in older adults with stroke.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>15743283</pmid><doi>10.1111/j.1532-5415.2005.53158.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2005-03, Vol.53 (3), p.416-423 |
| issn | 0002-8614 1532-5415 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Accidental Falls - prevention & control Aged Balance Biological and medical sciences cerebrovascular accident Chronic Disease clinical trial Community based programmes Community Health Services Comorbidity Elderly people Exercise Exercise Therapy Falls Female General aspects Humans Male Medical sciences Middle Aged Mobility Motor ability Neurology Older people Physical Fitness Postural Balance Posture Prevention Randomized controlled trials Reflex Reflexes Rehabilitation Stroke Stroke - classification Stroke Rehabilitation Strokes Vascular diseases and vascular malformations of the nervous system |
| title | Exercise Leads to Faster Postural Reflexes, Improved Balance and Mobility, and Fewer Falls in Older Persons with Chronic Stroke |
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