Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial.

IF 2.1 Q1 REHABILITATION
Annals of Rehabilitation Medicine-ARM Pub Date : 2025-04-01 Epub Date: 2025-04-22 DOI:10.5535/arm.240119
Chonticha Kaewjoho, Puttipong Poncumhak, Pacharee Manoy, Suphannika Ladawan, Narongsak Khamnon
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Abstract

Objective: To investigate the effects of modified stepping exercises over six weeks on functional mobility and individual lower extremity muscle strength in community-dwelling older individuals.

Methods: This prospective randomized controlled trial design was conducted in thirty-two older adults who completed a modified stepping exercises program (n=16 for soft-surface stepping exercise; n=16 for firm-surface stepping exercise). These exercises were practiced for 50 minutes/day, three days/week, over six weeks. They were assessed for their functional mobility relating to levels of independence at baseline, after 4 weeks, after 6 weeks of intervention, and at 1 month after the last intervention sessions.

Results: Both groups showed significant improvements in functional mobility, lower extremity muscle strength, and walking speed after 4 and 6 weeks of intervention, as well as at the one-month follow-up. However, the soft-surface stepping exercise group exhibited significantly greater improvements in dynamic balance (p=0.035) and lower extremity muscle strength (p=0.015) compared to the firm-surface stepping exercise group after 6 weeks of intervention. Additionally, the soft-surface group demonstrated superior gains in hip flexor (p=0.041), hip extensor (p=0.047), hip adductor (p=0.026), and hip abductor strength (p=0.046), with these enhancements maintained at the one-month follow-up.

Conclusion: Soft-surface stepping exercise that involves whole-body movements offers a promising alternative to promote independence and safety among community-dwelling older adults. This study underscores the need for future research to evaluate the sustained impact of these benefits post-intervention, particularly during a retention period following the intervention.

软面踏步运动对社区老年人身体活动的影响:一项前瞻性随机对照试验。
目的:探讨6周改良步进运动对社区老年人功能活动能力和个体下肢肌力的影响。方法:本前瞻性随机对照试验设计在32名老年人中进行,这些老年人完成了改良的步行锻炼计划(n=16,用于软表面步行锻炼;实面踏步练习N =16)。这些练习每天50分钟,每周3天,持续6周。在基线、干预4周后、干预6周后和最后一次干预后1个月,对他们的功能活动能力进行独立水平评估。结果:两组患者在干预4周、6周及随访1个月后,功能活动能力、下肢肌肉力量、步行速度均有显著改善。然而,在干预6周后,软表面步行运动组在动态平衡(p=0.035)和下肢肌肉力量(p=0.015)方面的改善显著高于硬表面步行运动组。此外,软表面组在髋关节屈肌(p=0.041)、髋关节伸肌(p=0.047)、髋关节内收肌(p=0.026)和髋关节外展肌力量(p=0.046)方面表现出了更好的增强,这些增强在一个月的随访中保持不变。结论:软表面踏步运动包括全身运动,为促进社区老年人的独立性和安全性提供了一个有希望的选择。这项研究强调了未来研究的必要性,以评估干预后这些益处的持续影响,特别是在干预后的保留期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
32
审稿时长
30 weeks
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