Authors :
Surya C.K; Shilpa Chandran.K; Praveena.D
Volume/Issue :
Volume 9 - 2024, Issue 7 - July
Google Scholar :
https://tinyurl.com/4mzcapsp
Scribd :
https://tinyurl.com/yvwfxzkx
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24JUL606
Abstract :
Background
General fitness establishes the quality of life, but it
often decreases with age. Therefore, it becomes vital to
find out a method of evaluation of individual fitness level
and to design a targeted exercise programme,ie SSE..
Fallsin the elderly are common and associated with major
morbidity and mortality. Fall in the elderly is considered
as a geriatric syndrome ,decreased physical functioning
and autonomy and is associated with other geriatric
syndromes.
Objective
To find the effectiveness of square stepping exercise
and strength and balance to reduce the risk of falls among
elderly people.
Method
30elderly subjects are selected from the population
who fulfill inclusion and exclusion criteria . These subjects
randomly divide in to two groups[15 each Group ]. ABC
Scale and Tinneti performance oriented mobility
assessment score checked as pre and post test. The SSE
group participate sessions 5 days in a week ,each session
comprise 15 minutes of warm-up activities such as
stretching and free walking ,30 minutes of SSE and 15
minutes of cool-down activities. Each step pattern repeat
4–10 times. The group B performs 30 minute of
strengthening and balance exercise instead of SSE.
Result and Discussion
SSE is as equally effective as SB training in
improving lower-extremity functional fitness. SSE may
also be recommended for older adults, due to its low cost
and effectiveness. The findings suggest that SSE is safe
and acceptable, and it improves the functional fitness of
the lower extremities, which is a fall risk factor, in older
adults.
Conclusion
low-cost and feasible alternative to practice physical
activity with good impact on improvement of functional
mobility and maintenance of mood states, preventing
depressive symptoms In older people and reduce the risk
of fall in elderly.
Keywords :
Fall, Balance, Square Stepping Exercise ,Tinneti Performance Oriented Mobility Assessment, ABC Scale.
References :
- Anderson KE. Falls in the elderly. JOURNAL-ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH. 2008 Jan 1;38(2):138.
- Alshammari SA, Alhassan AM, Aldawsari MA, Bazuhair FO, Alotaibi FK, Aldakhil AA, Abdulfattah FW. Falls among elderly and its relation with their health problems and surrounding environmental factors in Riyadh. Journal of family & community medicine. 2018 Jan;25(1):29.
- Rosen T, Mack KA, Noonan RK. Slipping and tripping: fall injuries in adults associated with rugs and carpets. Journal of injury and violence research. 2013 Jan;5(1):61.
- Berg RL, Cassells JS. The second fifty years: Promoting health and preventing disability.
- Krishnaswamy B, Usha G. Falls in older people: national/regional review India. Chennai: Madras Medical College and Government. 2006:1-9.
- Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, Bellafiore M. Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine. 2019 Jul;98(27).
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- Salzman B. Gait and balance disorders in older adults. American family physician. 2010 Jul 1;82(1):61-8.
- Winter DA, Patla AE, Frank JS, Walt SE. Biomechanical walking pattern changes in the fit and healthy elderly. Physical therapy. 1990 Jun 1;70(6):340-7.
- Snijders AH, Van De Warrenburg BP, Giladi N, Bloem BR. Neurological gait disorders in elderly people: clinical approach and classification. The Lancet Neurology. 2007 Jan 1;6(1):63-74.
- Leipzig RM, Cumming RG, Tinetti ME. Drugs and falls in older people: a systematic review and meta analysis: I. Psychotropic drugs. Journal of the American Geriatrics Society. 1999 Jan;47(1):30-9.
- Shigematsu R, Okura T. A novel exercise for improving lower-extremity functional fitness in the elderly. Aging clinical and experimental research. 2006 Jun;18(3):242-8.
- Shigematsu R, Okura T, Nakagaichi M, Tanaka K, Sakai T, Kitazumi S, Rantanen T. Square-stepping exercise and fall risk factors in older adults: a single-blind, randomized controlled trial. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2008 Jan 1;63(1):76-82.
- Bhanusali H, Vardhan V, Palekar T, Khandare S. Comparative study on the effect of square stepping exercises versus balance training exercises on fear of fall and balance in elderly population. Int J Physiother Res. 2016;4(1):1352-59.
- Shigematsu R, Okura T, Nakagaichi M, Nakata Y. Adherence to and effects of multidirectional stepping exercise in the elderly: a long-term observational study following a randomized controlled trial. The Journal of Physical Fitness and Sports Medicine. 2013 Mar 25;2(1):127-34.
- Pereira JR, Gobbi S, Teixeira CV, Nascimento CM, Corazza DI, Vital TM, Hernandez SS, Stella F, Shigematsu R. Effects of Square-Stepping Exercise on balance and depressive symptoms in older adults. Motriz: Revista de Educação Física. 2014 Dec;20(4):454-60
- . Luchies CW, Alexander NB, Schultz AB, Ashton Miller J. Stepping responses of young and old adults to postural disturbances: kinematics. Journal of the American Geriatrics Society. 1994 May;42(5):506-12.
- Lord SR, Fitzpatrick RC. Choice stepping reaction time: a composite measure of falls risk in older people. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001 Oct 1;56(10):M627-32.
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- Okubo Y, Schoene D, Lord SR. Step training improves reaction time, gait and balance and reduces falls in older people: a systematic review and meta-analysis. British journal of sports medicine. 2017 Apr 1;51(7):586-93.
Background
General fitness establishes the quality of life, but it
often decreases with age. Therefore, it becomes vital to
find out a method of evaluation of individual fitness level
and to design a targeted exercise programme,ie SSE..
Fallsin the elderly are common and associated with major
morbidity and mortality. Fall in the elderly is considered
as a geriatric syndrome ,decreased physical functioning
and autonomy and is associated with other geriatric
syndromes.
Objective
To find the effectiveness of square stepping exercise
and strength and balance to reduce the risk of falls among
elderly people.
Method
30elderly subjects are selected from the population
who fulfill inclusion and exclusion criteria . These subjects
randomly divide in to two groups[15 each Group ]. ABC
Scale and Tinneti performance oriented mobility
assessment score checked as pre and post test. The SSE
group participate sessions 5 days in a week ,each session
comprise 15 minutes of warm-up activities such as
stretching and free walking ,30 minutes of SSE and 15
minutes of cool-down activities. Each step pattern repeat
4–10 times. The group B performs 30 minute of
strengthening and balance exercise instead of SSE.
Result and Discussion
SSE is as equally effective as SB training in
improving lower-extremity functional fitness. SSE may
also be recommended for older adults, due to its low cost
and effectiveness. The findings suggest that SSE is safe
and acceptable, and it improves the functional fitness of
the lower extremities, which is a fall risk factor, in older
adults.
Conclusion
low-cost and feasible alternative to practice physical
activity with good impact on improvement of functional
mobility and maintenance of mood states, preventing
depressive symptoms In older people and reduce the risk
of fall in elderly.
Keywords :
Fall, Balance, Square Stepping Exercise ,Tinneti Performance Oriented Mobility Assessment, ABC Scale.