Functional vs. Strength Training in Disabled Elderly Outpatients

Krebs, David E.; Scarborough, Donna Moxley; McGibbon, Chris A.

doi:10.1097/phm.0b013e31802ede64

Cited by 98 publications

(75 citation statements)

References 39 publications

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“…Cress et al used a twogroup nonrandomization design [9]. Six trials applied a two-group randomized controlled trial design: three trials compared functional training to an attention placebo control group [17,31,18]; one trial compared functional training to a control group who engaged in flexibility exercises [1]; one trial compared two programs that differed in functional training dosage, home exercise versus combined home and group exercise [21]; and one trial compared functional training to strength training [28]. Among three trials that applied a three-group randomized controlled trial design, in addition to a functional training group: two trials included a strength training group [35,11]; two trials included a control group [11,8]; one trial included a strength plus functional training group [35]; and one trial included a strength plus balance training group [8].…”

Section: Cohort Characteristicsmentioning

confidence: 99%

Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults

Liu

Shiroy

Jones

et al. 2014

Eur Rev Aging Phys Act

160

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Exercise programs are often recommended for preventing or delaying late-life disability. Programs that incorporate functional training, which uses movements similar to performing activities of daily living, may be suitable for such recommendation. The purpose of this systematic review was to examine the effects of functional training on muscle strength, physical functioning, and activities of daily living in older adults. Studies in three electronic databases (MEDLINE, CINAHL, and SPORTDiscus) were searched, screened, and appraised. Thirteen studies were included in the review. These studies vary greatly in participant recruitment criteria, functional training content, and selection of comparison groups. Mobility exercises were the most common element in functional training across studies. Results show beneficial effects on muscle strength, balance, mobility, and activities of daily living, particularly when the training content was specific to that outcome. Functional training may be used to improve functional performance in older adults.

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Section: Cohort Characteristicsmentioning

confidence: 99%

Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults

Liu

Shiroy

Jones

et al. 2014

Eur Rev Aging Phys Act

160

View full text Add to dashboard Cite

show abstract

“…This addition may be especially important for shorter subjects and those with greater BMI or BW levels such as group 1 subjects in this study. In a randomized, blinded, prospective clinical trial evaluating 15 subjects (aged 62-85) who had at least one lower-limb impairment, Krebs et al reported that subjects (n = 9) who participated in a functional training program demonstrated a more effective anterior-to-vertical momentum transfer strategy by displaying greater internal knee extensor torque during chair-rise performance compared with subjects (n = 6) who trained using conventional strength-training exercises [35]. Groups 1 and 2 that did not perform as well in our study had a greater percentage of women, had a greater BMI or BW, were shorter, and had weaker quadriceps femoris muscle group strength at both the involved and noninvolved lower limb.…”

Section: Figurementioning

confidence: 99%

Self-reported chair-rise ability relates to stair-climbing readiness of total knee arthroplasty patients: A pilot study

Nyland

Frost²,

Quesada³

et al. 2007

JRRD

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Abstract-Following total knee arthroplasty (TKA), physical therapists must evaluate patient readiness to safely begin stairclimbing. Physical therapists might find self-reported chair-rise ability useful in determining stair-climbing readiness of patients. We grouped 31 subjects who were at approximately 3.6 weeks post-TKA by chair-rise ability (group 1 = "Because of my knee, I can only rise from a chair if I use my hands and arms to assist," group 2 = "I have pain when rising from the seated position, but it does not affect my ability to rise from the seated position," and group 3 = "My knee does not affect my ability to rise from a chair"). Next, we determined time of stair-climbing ascent and descent, number of chair rises in 30 seconds, isokinetic quadriceps femoris and hamstring muscle group strength, and self-reported knee function survey scores. Groups 3 and 2 descended stairs more quickly than group 1; group 3 displayed greater involved and noninvolved knee extensor torque per body weight than group 1 or 2 and had superior self-reported knee function scores than group 1. Patient perception of chair-rise ability at approximately 3.6 weeks post-TKA is useful in helping physical therapists determine patient readiness to safely begin stair-climbing.

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“…Studies comparing different neuromuscular training protocols have shown that the benefits of exercises depend on tasks performed during training, and greater gains in functional capacity require specific movements for daily tasks, so as to prevent the onset of physical disabilities. [5][6][7] In this context, functional training (FT) arises with the basic premise of training the psychobiological system in an integral way. This new method is based on the application of a systematized program of integrated, multi-articular and multi-planar exercises aimed at improving movement ability, the strength of the CORE region, and neuromuscular efficiency for the specific needs of each individual.…”

Section: Introductionmentioning

confidence: 99%

Effects of Different Neuromuscular Training Protocols on the Functional Capacity of Elderly Women

Resende–Neto

Santos

Silva

et al. 2018

Rev Bras Med Esporte

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Introduction: Several strength training protocols have been tested in the search for systemic adaptations to improve functionality in the elderly. For this purpose, integrated exercises aimed at improving essential movements can be an interesting strategy to improve the performance of activities of the daily living. Objective: To compare the effects of eight weeks of functional training with traditional strength training on the physical fitness of sedentary elderly women. Methods: Thirty-two elderly women were divided into functional training group (FT, n=16) and traditional training group (TT, n=16). For the verification of functional responses, the Senior Fitness Test battery was used, as well as complementary tests of strength and muscular power. The data were analyzed using a 2x2 ANOVA with post hoc Sidak test to verify the differences between the groups. Results: At the end of eight weeks, when compared to TT group, the FT group showed significant increases in balance/ agility variables (p=0.01; +7.6%), lower limbs strength (p=0.04; +15.3%), upper limbs strength (p=0.05; +11.7%), and cardiorespiratory power (p=0.05; +10.7%). However, in relation to flexibility tests and conventional tests of maximum dynamic force and muscular strength, there were no statistically significant differences between the groups. Conclusions: Both interventions are efficient to improve physical fitness of sedentary elderly women; however, functional training induces better adaptive responses to functionality when compared with traditional training. Level of Evidence I; Randomized clinical trial.

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Functional vs. Strength Training in Disabled Elderly Outpatients

Abstract: These data suggest that an intensive FT intervention results in strength improvements of comparable magnitude as those attained from ST and that FT also confers greater improvements in dynamic balance control and coordination while performing daily life tasks.

Cited by 98 publications

References 39 publications

Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults

Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults

Self-reported chair-rise ability relates to stair-climbing readiness of total knee arthroplasty patients: A pilot study

Effects of Different Neuromuscular Training Protocols on the Functional Capacity of Elderly Women

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