Efeitos de um programa de exercício multicomponente na flexibilidade de mulheres idosas

Revista Portuguesa de Ciências do Desporto 04/2011; 11(1):457-464.

ABSTRACT RESUMO O objectivo deste trabalho foi verificar o efeito da aplicação de um programa de exercício multicomponente (EM) na amplitu-de de movimento das articulações do ombro e da anca de mulheres idosas. Sessenta e seis mulheres foram divididas aleatoriamente em grupo experimental (GE, n=26; média de idade = 70,37±3,66 anos) e grupo controlo (GC, n=24; média de idade =73,90±4,17anos). O GE participou num programa bissema-nal (50 minutos) de EM durante 6 meses. As sessões de treino incluíram exercícios aeróbios, resistência muscular, equilíbrio e alongamentos estáticos passivos e activos das principais articu-lações durante 15 minutos. Os indivíduos foram avaliados antes e depois do programa de treino utilizando os testes chair sit-and-reach, back scratch, e medição das amplitudes articulares dos movimentos de flexão, extensão, abdução e rotação do ombro e da anca utilizando um goniómetro universal. Os resultados mostraram que a mudança induzida pelo programa de EM no GE foi significativamente diferente da observada após 6 meses no GC, para todas as amplitudes articulares avaliadas por goniometria (à excepção da rotação medial activa do ombro), e nos testes chair sit-and-reach (GE, 3,44; p<0,001 vs. GC, -0,71; p≤0,001) e back scratch (GE, 3,00; p<0,001 vs. GC, -0,57; p≤0,001) no GE. Com excepção dos movimentos de rotação lateral passiva do ombro, decorri-dos 6 meses, o GC apresentou perdas de amplitude articular assim como piorou o desempenho nos testes funcionais. Os resultados deste estudo sugerem que um programa de EM parece alterar positivamente a amplitude articular de algumas articulações importantes para a manutenção da funcionalidade de mulheres idosas fisicamente independentes. Os resultados deste trabalho demonstram, também, o efeito nefasto do desu-so sobre a flexibilidade dos idosos. Palavra-chave: treino, amplitude de movimento, idosos ABSTRACT Effects of a multicomponent exercise training program on flexibility of older women The aim of this study was to evaluate the effect of a multicom-ponent exercise (ME) program on flexibility of shoulder and hip of healthy elderly women. Sixty-six women were randomly divided into experimental group (EG, n= 26, mean age = 70,37±3,66 years) and control group (CG, n= 24, mean age= 73,90±4,17 years). The experi-mental group underwent ME protocol held twice per week and each session lasted about 50 min, over a period of 6 months. The sessions included endurance, strength, balance, and flexi-bility exercises and static stretches of the major joints during 15 minutes. Before-and after-training, chair sit-and-reach and back scratch tests were applied and range of motion (ROM) was examined at shoulder and hip, using a goniometer. The results showed that the change induced with the ME training was significantly higher than the change observed after 6 months in the CG, for all ROM movements assessed by goniometry, as well as, in chair sit-and-reach (EG, 3,44; p<0,001 vs. CG, -0,71; p≤0,001) and back scratch tests (EG, 3,00; p<0,001 vs. CG, -0,57; p≤0,001) in EG. After 6 months, excluding shoulder passive lateral rotation, CG showed a loss of ROM in all the other movements. Results of the present study suggest that a ME seems to posi-tively change the flexibility of several important articulations related with functional independence of healthy community-dwelling older women. Data also demonstrate the adverse effect of disuse on the flexibility of elderly adults.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: In the World Health Organisation's supplementary classification of the consequences of disease a distinction is made between impairments, such as are related to the site and nature of joint involvement, and any disabilities in everyday activities to which these may give rise. This paper considers the application of these ideas to people with arthritis by examining the extent of graded relationship between individual impairments, reflected by limitations in the range of joint movement, and the number or type of disabilities. Ninety-five people with three different types of arthritis were studied. A 41-item disability questionnaire was completed. Most of the variation was described by only 24 of the latter items. These fell into five broad functional groups--predominantly concerned with mobility, bending down, manual dexterity, bending the arm, and reaching above the head. The constituent activities could be scaled in order of difficulty of accomplishment. Aggregated scores for each of the functional groups were correlated with observed ranges of motion in relevant joints, and the ordering of difficulty was related to decreasing ranges of movement. These findings shed light on the genesis of disability and have implications for the development of more sensitive, specific, and simple methods of assessment in rheumatology. Appreciation of how disability relates to the localisation of disease manifestations provides a means for evaluating current methods of functional assessment and exposes potential biases in such appraisals.
    Annals of the Rheumatic Diseases 09/1984; 43(4):563-9. DOI:10.1136/ard.43.4.563
  • [Show abstract] [Hide abstract]
    ABSTRACT: Musculoskeletal impairments and functional limitations are linked to disability in older adults. The purposes of this study were to identify the extremity musculoskeletal impairments that best predict functional limitations in older adults and to assess the validity of measurements obtained for the Physical Performance Test (PPT) as a predictor of disability. Eighty-one older adults residing in independent and dependent care facilities were tested for extremity muscle force, range of motion, and function. Data were analyzed using multiple regression analysis to identify extremity impairments that predicted function scores and logistic regression analysis to determine whether PPT scores predicted subjects' living situation as dependent versus independent. Subject age, lower-extremity muscle force, and lower-extremity range of motion explained 77% of the variance in function as measured by the PPT. Results differed when analysis was done by subject living situation, with a higher percentage of the variance in function scores explained by musculoskeletal measures for the dependent living group as compared with the independent living group. Extremity musculoskeletal impairments have a strong relationship to function, especially in older adults living in dependent care settings. The results of this study can be used to design interventions to address the musculoskeletal disorders most related to function in the older population.
    Physical Therapy 07/2000; 80(6):556-63.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The effects of a low intensity exercise program on strength, flexibility, balance, gait and muscular endurance were determined in sixty-two 60- to 71-year-old men and women. Subjects exercised for 1 hour daily 5 days a week for 3 months. Before and after the exercise program, each participant underwent lower extremity range of motion (ROM) determinations, isometric and dynamic strength testing (Cybex) of the knee and ankle musculature, standing balance tests, a gait examination and a fatigue test for the quadriceps. Thirteen control subjects who did not exercise also were tested at two time periods, 3 months apart. Significant improvements in strength occurred for exercise subjects, particularly at the fastest speed settings on the Cybex. ROM measures of the hip and trunk, and standing balance times improved, but no change in endurance or gait parameters was found. With the exception of muscular endurance, no changes were observed among the controls. Exercise subjects frequently reported improvements in functional capacity and activities of daily living. These results suggest that a low intensity exercise program can improve strength, balance and flexibility in sedentary healthy older people.
    Aging (Milan, Italy) 07/1991; 3(2):129-39. DOI:10.1007/BF03323989
Show more