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The Effect of Adding Core Stability Training to a Standard Balance Exercise Program on Sit to Stand Performance in Older Adults: A Pilot Study

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... Maintaining balance is an important factor in daily activities and is directly related to the muscular strength of the body's center of gravity muscles (18). The trunk muscles include the back, pelvis, and thigh muscles (19). ...
... The core stability muscles are the basis of all body movements, which play an essential role in the balance and better execution of body movements (20), with their weakness impairing the performance of these activities. Additionally, these muscles, as body stabilizers, have a very important effect on a person's posture, which stabilize the pelvis and spine and control postural fluctuations (18,21). ...
... The results of the study by Arnold et al. indicated that 18 sessions of exercises in the central area of the body were effective on the balance of the elderly (18). Moreover, a study by Bostani et al. confirmed that core stability exercises increased balance in the elderly with a history of falls (22). ...
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Introduction: Falling is a serious concern among the elderly which have made a lot of discussions between gerontologists and physical therapists. Falling is common, dangerous, and costly among the elderly population. Fear of falling again among elderly faller leads to decrease self-confidence, loss of life quality, and inability. The purpose of this study was to find the effects of core stability exercise on balance and functional mobility among the elderly with a history of falling. Materials and Methods: Thirty elderly people with a history of falling were randomly divided into control (n = 15) and experimental (n = 15) groups. The experimental group performed a 40-minute core stability exercise for eight weeks and three sessions per week. Before and after eight weeks of exercise program, static balance with open and closed eyes, Timed Up and Go (TUG) test for dynamic balance, and 10-meter walking were taken in both groups. The control group only have the daily activities. The two-way ANOVA test was used to compare the mean differences between groups. Results: Central stability training had a significant effect on static balance with open and closed eye, TUG, and 10-meter walking (P = 0.001). The control group did not show a significant effect on the factors of static balance with open eyes, static balance of closed eyes, TUG, and 10-meter walking. Following training period, the experimental group showed significantly better status in all variables compared to control group (0.91 ≤ η2 ≤ 0.94, P = 0.001). Conclusion: It seems that strengthening the muscles in the central area of the body leads to maintaining balance in the elderly during daily activities. Since independency is very important in people with a history of falling, it can improve their independence and active participation by performing these exercises as simple, low-cost, and appropriate activities for home exercise.
... One of Cochrane Systematic Review summarizes these exercises as effective, in enhancing balance in elderly population which includes Coordination exercises, exercises involving functional tasks, Tai Chi, Yoga therapy, General Physical activities etc. Combination of any above exercises as multiple exercise intervention has also been used widely (11) . Various components of Static Stabilization Exercises (SSE) had been utilized in different studies as part of intervention and has positive role in improvement of balance in elderly population (19)(20)(21)(22) . Different types of exteroceptives and proprioceptive stimulation techniques (Sensory Stimulation Techniques) such as vibration,joint approximation etc. have been found effective in improving static balance (23)(24)(25). ...
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Background: Balance impairment is one of the most prevalent concern with increasing age. Globally, Onein five older adult experiences balance problem. Prevalence of fall has been estimated at 14-53 %in India.Various intervention has already been use to prevent fall and improve quality of life. Static StabilizationExercises and Progressive Strength training have proven to be effective as a single intervention howeverminimal literature is available on combined effect of both. The main objective of study is to find out efficacyof combined Static Stabilization Exercises and Progressive Resistive Exercises on balance and quality of lifeof elderly population and also establishment of dose response relationship of balance training.Methods/Design: The study will be designed as experimental study. 100 participants will be selected asper inclusion and exclusion criteria and will be allocated in two groups, Combined Intervention Group (A)and Traditional Balance Intervention group (B). Both intervention include 30-45 min session which will becarried out 3-5 times in week for duration of 8 weeks structured into different components. Outcome will beBalance and Quality of Life and outcome measures will be evaluated at baseline, at midway (4th week) andat the end (8th week) of intervention period. Statistical Analysis will be done using SPSS24. Oversion andp<0.005 will be considered as level of significance.Discussion: The study protocol details two Physiotherapy Interventions to improve balance and qualityof life in elderly population. In current literatures there are minimal evidence on combined effect of StaticStabilization Exercises and Progressive Resistive Exercises on balance and quality of life. SuccessfulCompletion of trial will provide evidence for best strategy targeting balance and quality of life andrelationship of dose response and balance training.
... Nowadays, it is a significant interest in the area of postural stability exercise as important part of elite sport with aim to optimizing performance and preventing injury. The effectiveness of preventing injuries was proved by several studies (Emery, Cassidy, Klassen, Rosychuk, & Rowe, 2005; Holm et al., 2004; Arnold, Lanovaz, Oates, Craven, & Butcher, 2015). The main aim of these programmes is improving ability to control the trunk and also to stabilize the spine when the sport activity is performed. ...
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