Matheus Machado Rodrigues, Daniel Cirillo Borges Junior, Luan Veleda de Oliveira, Matheus Teixeira Cabreira, M. M. D. Silveira, V. Hentschke
{"title":"老年人内在足部强化和电刺激-随机临床试验","authors":"Matheus Machado Rodrigues, Daniel Cirillo Borges Junior, Luan Veleda de Oliveira, Matheus Teixeira Cabreira, M. M. D. Silveira, V. Hentschke","doi":"10.1590/fm.2023.36127","DOIUrl":null,"url":null,"abstract":"Abstract Introduction Aging reduces functional capacity related to reduced toe plantar flexion strength. The exercise for strengthening the foot’s intrinsic muscles can be optimized using electrostimulation. Due to the scarcity of data in the literature on these methods, further studies are necessary. Objective To evaluate and compare the effects of training to strengthen the foot’s intrinsic muscles on the risk of falls in older adults. Methods This is a randomized clinical trial with 19 older patients allocated into three groups: control (CG; n = 7), exercise (EG; n = 6), and exercise+electrostimulation (EEG; n = 6). The EG received an exercise protocol for the foot’s intrinsic muscles, the EEG received the same protocol with Neuromuscular electrical stimulation (NMES), and the CG received guidance regarding preventing falls. The individuals were evaluated before and after the intervention using the Single-Limb balance test (SLBT), Functional Reach Test (FRT), Timed Up and Go (TUG), and Paper Grip Test (PGT) tests. One and two-way ANOVA was used for the statistical analysis. Statistical significance was set at p < 0.05. Results There was a significant improvement in the TUG test (9.64 ± 1.78 vs. 8.20 ± 1.94) in relation to the EG. With the EEG, there was an improvement both in the TUG (12.68 ± 4.01 vs. 10.61 ± 3.70) and in the FRT (26.37 ± 7.66 vs. 33.14±9.73) with p < 0.05). Conclusion An exercise protocol associated with electrostimulation improves performance in func-tional and dynamic balance tests in older adults.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Intrinsic foot strengthening and electrostimulation in older adults - Randomized clinical trial\",\"authors\":\"Matheus Machado Rodrigues, Daniel Cirillo Borges Junior, Luan Veleda de Oliveira, Matheus Teixeira Cabreira, M. M. D. Silveira, V. Hentschke\",\"doi\":\"10.1590/fm.2023.36127\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract Introduction Aging reduces functional capacity related to reduced toe plantar flexion strength. The exercise for strengthening the foot’s intrinsic muscles can be optimized using electrostimulation. Due to the scarcity of data in the literature on these methods, further studies are necessary. Objective To evaluate and compare the effects of training to strengthen the foot’s intrinsic muscles on the risk of falls in older adults. Methods This is a randomized clinical trial with 19 older patients allocated into three groups: control (CG; n = 7), exercise (EG; n = 6), and exercise+electrostimulation (EEG; n = 6). The EG received an exercise protocol for the foot’s intrinsic muscles, the EEG received the same protocol with Neuromuscular electrical stimulation (NMES), and the CG received guidance regarding preventing falls. The individuals were evaluated before and after the intervention using the Single-Limb balance test (SLBT), Functional Reach Test (FRT), Timed Up and Go (TUG), and Paper Grip Test (PGT) tests. One and two-way ANOVA was used for the statistical analysis. Statistical significance was set at p < 0.05. Results There was a significant improvement in the TUG test (9.64 ± 1.78 vs. 8.20 ± 1.94) in relation to the EG. With the EEG, there was an improvement both in the TUG (12.68 ± 4.01 vs. 10.61 ± 3.70) and in the FRT (26.37 ± 7.66 vs. 33.14±9.73) with p < 0.05). Conclusion An exercise protocol associated with electrostimulation improves performance in func-tional and dynamic balance tests in older adults.\",\"PeriodicalId\":33749,\"journal\":{\"name\":\"Fisioterapia em Movimento\",\"volume\":\"1 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-08-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Fisioterapia em Movimento\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/fm.2023.36127\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Fisioterapia em Movimento","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/fm.2023.36127","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Intrinsic foot strengthening and electrostimulation in older adults - Randomized clinical trial
Abstract Introduction Aging reduces functional capacity related to reduced toe plantar flexion strength. The exercise for strengthening the foot’s intrinsic muscles can be optimized using electrostimulation. Due to the scarcity of data in the literature on these methods, further studies are necessary. Objective To evaluate and compare the effects of training to strengthen the foot’s intrinsic muscles on the risk of falls in older adults. Methods This is a randomized clinical trial with 19 older patients allocated into three groups: control (CG; n = 7), exercise (EG; n = 6), and exercise+electrostimulation (EEG; n = 6). The EG received an exercise protocol for the foot’s intrinsic muscles, the EEG received the same protocol with Neuromuscular electrical stimulation (NMES), and the CG received guidance regarding preventing falls. The individuals were evaluated before and after the intervention using the Single-Limb balance test (SLBT), Functional Reach Test (FRT), Timed Up and Go (TUG), and Paper Grip Test (PGT) tests. One and two-way ANOVA was used for the statistical analysis. Statistical significance was set at p < 0.05. Results There was a significant improvement in the TUG test (9.64 ± 1.78 vs. 8.20 ± 1.94) in relation to the EG. With the EEG, there was an improvement both in the TUG (12.68 ± 4.01 vs. 10.61 ± 3.70) and in the FRT (26.37 ± 7.66 vs. 33.14±9.73) with p < 0.05). Conclusion An exercise protocol associated with electrostimulation improves performance in func-tional and dynamic balance tests in older adults.