Acute exercise effects on balance outcome measures in healthy older adults: Preliminary results

Casandra Merrill
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Abstract

Approximately one third of Canadian seniors experience a fall each year and one quarter suffer serious injuries as a result. Preventative exercise programs are commonly recommended; however, the current methods used to assess the risk associated with these programs do not include the effects of exercise on fall risk. The purpose of this study was to determine the effects of acute exercise on balance in elderly individuals. We hypothesized that acute exercise in healthy seniors would negatively affect balance outcome measures in those seniors who had a prior history of at least one fall in the past year. During the study participants were separated into two groups: those who had experienced a fall in the last year (fallers) and those who had not (non-fallers). All participants underwent static and dynamic tests to determine balance outcome measures under fatigued and control (non-fatigued) conditions. To represent the fatigued condition, the Naughton treadmill protocol was used to safely increase heart rate to 60-69% HRmax. Although it was expected that performance in the balance outcome measures would be adversely affected by the acute exercise bout in patients at a high risk of falling, conclusive results could not be drawn as the data collected were all from participants who had not experienced a fall within the past year. However, preliminary results are presented for data collected from six participants classified as non-fallers. Keywords: acute exercise; balance; fall risk; older adults
急性运动对健康老年人平衡结果测量的影响:初步结果
大约三分之一的加拿大老年人每年都会跌倒,四分之一的人因此受到严重伤害。通常推荐预防性锻炼计划;然而,目前用于评估与这些项目相关的风险的方法并不包括运动对跌倒风险的影响。本研究的目的是确定急性运动对老年人平衡能力的影响。我们假设,健康老年人的急性运动对那些在过去一年中至少有一次跌倒史的老年人的平衡结果测量产生负面影响。在研究过程中,参与者被分为两组:一组在过去一年中跌倒过(跌倒者),另一组没有跌倒过(未跌倒者)。所有参与者都进行了静态和动态测试,以确定疲劳和对照(非疲劳)条件下的平衡结果测量。为了表示疲劳状态,采用诺顿跑步机方案将心率安全地提高到60-69% HRmax。虽然预期在平衡结果测量中的表现会受到高风险患者急性运动发作的不利影响,但由于收集的数据均来自过去一年内未经历跌倒的参与者,因此无法得出结论性结果。然而,初步结果显示了从6名被归类为非跌倒者的参与者中收集的数据。关键词:急性运动;平衡;下跌风险;老年人
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