Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial

Sakamoto, Keizo; Nakamura, Toshio; Hagino, Hiroshi; Endo, Naoto; Mori, Satoshi; Muto, Yoshiteru; Harada, Atsushi; Nakano, Tetsuo; Itoi, Eiji; Yoshimura, Mitsuo; Norimatsu, Hiromichi; Yamamoto, Hiroshi; Ochi, Takahiro

doi:10.1007/s00776-006-1057-2

Cited by 74 publications

(55 citation statements)

References 22 publications

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“…Any activity that requires a person to maintain a static position for a period on one leg will challenge balance control. One-legged standing, for as little as 60 s three times a day, has been found to reduce fall rates in older adults in residential care (Sakamoto et al, 2006). Although balance and agility differ between community-dwelling and residential-care-dwelling adults, training by this method may be useful in altering balance mechanisms, which are reflected in the forceplatform parameters.…”

Section: Discussionmentioning

confidence: 99%

Effects of Resistance- and Flexibility-Exercise Interventions on Balance and Related Measures in Older Adults

Bird¹,

Hill²,

Ball³

et al. 2009

Journal of Aging and Physical Activity

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This research explored the balance benefits to untrained older adults of participating in community-based resistance and flexibility programs. In a blinded randomized crossover trial, 32 older adults (M = 66.9 yr) participated in a resistance-exercise program and a flexibility-exercise program for 16 weeks each. Sway velocity and mediolateral sway range were recorded. Timed up-and-go, 10 times sit-to-stand, and step test were also assessed, and lower limb strength was measured. Significant improvements in sway velocity, as well as timed up-and-go, 10 times sit-to-stand, and step test, were seen with both interventions, with no significant differences between the 2 groups. Resistance training resulted in significant increases in strength that were not evident in the flexibility intervention. Balance performance was significantly improved after both resistance training and standing flexibility training; however, further investigation is required to determine the mechanisms responsible for the improvement.

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Section: Discussionmentioning

confidence: 99%

Effects of Resistance- and Flexibility-Exercise Interventions on Balance and Related Measures in Older Adults

Bird¹,

Hill²,

Ball³

et al. 2009

Journal of Aging and Physical Activity

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“…These findings partly coincide with our own results. Increased self-awareness of a decline in physical function may also induce people to perform "loco-training" exercises [16], such as standing on one leg or half squats, which previously have been reported to be effective [18,[21][22][23].…”

Section: Open Accessmentioning

confidence: 99%

Utility of “loco-check,” self-checklist for “locomotive syndrome” as a tool for estimating the physical dysfunction of elderly people

Matsui¹,

Takemura²,

Harada³

et al. 2013

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Aim: A new concept of locomotive syndrome has been proposed by the Japanese Orthopaedic Association. The aim of this study is to clarify the utility of its self-checklist, "loco-check," as a tool for estimating the physical dysfunction of elderly people. Methods: Subjects were 1124 community-dwelling Japanese people, 557 men and 567 women, aged 40 -89 years. Information about the seven "loco-check" items was obtained from present inquiry sheets. Physical functions were examined by grip strength, knee extension strength, walking speed and one-leg standing time with open eyes. The averages of these test values, controlled for age and BMI, were compared between the "loco-check" (+) group and the "loco-check" (−) group. Also we examined about the trend of decline of physical function, together with SF36 physical function subscale score, as the number of the items chosen increased. Results: Adjusted average values of all four physical function examinations in the "lococheck" (+) group were significantly lower than those of the "loco-check" (−) group (all, p < 0.001). Also the adjusted average values of the majority of four tests were significantly lower in those who checked each of the "lococheck" items than those who did not, for most of the items. It was also revealed that the more items subjects checked, the lower the adjusted average values were, except for one-leg standing time. It was also the case with SF36 physical function subscale score. Conclusion: We showed the utility of "loco-check" as a simple tool not only for noticing the physical dysfunction of elderly people, but also for estimating the extent of it, except for balancing ability, particularly by counting the number of checked items.

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“…On the other hand, Appleby et al [5], in a prospective study of women and the incidence of bone fracture, reported that exercise increased the relative risk of bone fracture. In contrast, dynamic flamingo therapy (DFT), which has been proposed as a safe and simple method, has been suggested to improve both the mechanical stress on the lower limbs and balancing ability [6][7][8]. However, the mechanism by which DFT leads to bone improvement is unclear, and its impact on bone metabolism remains undetermined.…”

Section: Introductionmentioning

confidence: 99%

Concentrated Bovine-Milk Whey Active Protein (CBP) Supplement-Combined Dynamic Flamingo Therapy (DFT) Activates Bone Metabolism and Bone-Related Factors

Lee¹

2013

J Diabetes Metab

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Aims: In this study, we analyzed the effect of concentrated bovine-milk whey active protein (CBP) supplementcombined dynamic flamingo therapy (DFT) on bone metabolism and bone-related factors.Methods: Subjects were menopausal women over 65 years of age, and they were divided into 3 groups C, DFT, and CBP-combined DFT (DFT-CBP) and analyzed for 2 months. Results:The deoxypyridinoline (DPD) bone marker showed only a 27.7% decreased value in the DFT-CBP group after 2 months of treatment initiation, in comparison with the value before treatment (p<0.01). However, the calcitonin was found with significant changes in all groups, but the DFT and DFT-CBP groups demonstrated a similar pattern of changes. The DFT-CBP group showed a 30.1% increased value after 1 month of treatment initiation, in comparison with the value before treatment, and a 37.1% decreased value after 2 months of treatment initiation (p<0.001, in each).Discussion: This study demonstrated the synergistic effect of CBP supplement and an exercise load such as DFT. On the basis of these results, with the presence of a synergistic effect of a lightly loaded exercise and supplementation, bone improvement in menopausal women can be expected. [18][19][20]. Accordingly, at present, no consensus has been reached [15,21]. In contrast, bone improvement has been reported when nutritional intake is combined with exercise, in which the combined use of CBP supplement and DFT results in a safer, positive, and synergistic effect on bone improvement. ConcentratedThis study examined the impact of DFT combined with CBP supplement on bone metabolism and bone-related factors among menopausal women. The present study also aimed to clarify the manner in which the synergistic effect of DFT and CBP supplements causes changes in bone metabolism. Materials and Methods SubjectsSubjects were 35 menopausal women more than 65 years of age (71.9 ± 6.3 yr), who did not have any major illness or a history of illness

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Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial

Cited by 74 publications

References 22 publications

Effects of Resistance- and Flexibility-Exercise Interventions on Balance and Related Measures in Older Adults

Effects of Resistance- and Flexibility-Exercise Interventions on Balance and Related Measures in Older Adults

Utility of “loco-check,” self-checklist for “locomotive syndrome” as a tool for estimating the physical dysfunction of elderly people

Concentrated Bovine-Milk Whey Active Protein (CBP) Supplement-Combined Dynamic Flamingo Therapy (DFT) Activates Bone Metabolism and Bone-Related Factors

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