Interventions to Improve Walking in Older Adults

Brach, Jennifer S.; VanSwearingen, Jessie M.

doi:10.1007/s13670-013-0059-0

Cited by 85 publications

(65 citation statements)

References 79 publications

(85 reference statements)

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“…8 The standard impairment-based exercise program aims to increase the physiologic capacity in body systems that contribute to walking, but does not include the task specific exercise necessary to make use of the capacities for the walking. The result is a bigger engine for walking – the ability to use the excess capacity to tolerate the age-related gait abnormalities and high energy cost of poor walking.…”

Section: Discussionmentioning

confidence: 99%

Improving Motor Control in Walking: A Randomized Clinical Trial in Older Adults With Subclinical Walking Difficulty

Brach

Lowry

Perera

et al. 2015

Archives of Physical Medicine and Rehabilitation

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Objective The objective was to test the proposed mechanism of action of a task-specific motor learning intervention by examining its effect on measures of the motor control of gait. Design Single blinded randomized clinical trial. Setting University research laboratory. Participants Forty older adults 65 years of age and older, with gait speed >1.0 m/s and impaired motor skill (Figure of 8 walk time > 8 secs). Interventions The two interventions included a task-oriented motor learning and a standard exercise program. Both interventions lasted 12 weeks, with twice weekly one hour physical therapist supervised sessions. Main Outcome Measures Two measure of the motor control of gait, gait variability and smoothness of walking, were assessed pre and post intervention by assessors masked to treatment arm. Results Of 40 randomized subjects; 38 completed the trial (mean age 77.1±6.0 years). Motor control group improved more than standard group in double support time variability (0.13 vs. 0.05 m/s; adjusted difference, AD=0.006, p=0.03). Smoothness of walking in the anterior/posterior direction improved more in motor control than standard for all conditions (usual: AD=0.53, p=0.05; narrow: AD=0.56, p=0.01; dual task: AD=0.57, p=0.04). Conclusions Among older adults with subclinical walking difficulty, there is initial evidence that task-oriented motor learning exercise results in gains in the motor control of walking, while standard exercise does not. Task-oriented motor learning exercise is a promising intervention for improving timing and coordination deficits related to mobility difficulties in older adults, and needs to be evaluated in a definitive larger trial.

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Section: Discussionmentioning

confidence: 99%

Improving Motor Control in Walking: A Randomized Clinical Trial in Older Adults With Subclinical Walking Difficulty

Brach

Lowry

Perera

et al. 2015

Archives of Physical Medicine and Rehabilitation

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“…Dancing and the execution of rapid and welldirected steps has been shown to improve balance, coordinative skills, endurance and cognitive functions [48][49][50][51][52][53]. Both, Tai Chi and dancing are "holistic" and taskoriented physical activities [54,55]. The exercises were accentuated with background music [56].…”

Section: Exergame Interventionmentioning

confidence: 99%

A usability study of a multicomponent video game-based training for older adults

Adcock

Sonder

Schättin

et al. 2020

Eur Rev Aging Phys Act

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Background: Aging is often accompanied by a decline in sensory, motor and cognitive functions. These age-and lifestyle-related impairments may lead to reduced daily life functioning including gait disturbances, falling and injuries. Most daily life activities, e.g. walking, are tasks which require the concurrent interplay of physical and cognitive functions. Promising options for combined physical-cognitive training are video game-based physical exercises, so-called exergames. This study aimed to [i] determine the usability of a newly developed multicomponent exergame and [ii] explore its effects on physical functions, cognition and cortical activity. Methods: Twenty-one healthy and independently living older adults were included (10 female, 71.4 ± 5.8 years, range: 65-91) and performed 21 training sessions (each 40 min) over seven weeks. The multicomponent exergame included strength and balance training with Tai Chi-inspired and dance exercises. Participants rated the usability of the exergame (System Usability Scale) and reported on their emotional experience (Game Experience Questionnaire). Attendance and attrition rates were calculated to determine training compliance. Before and after the intervention, physical and cognitive functions as well as resting state electroencephalography (EEG) were assessed. Results: Results showed a high training attendance rate (87.1%, 18/21 training sessions on average) and a low attrition rate (9.5%, 2 drop-outs). System usability was rated high with a mean score of 75/100. Affective game experience was rated favorable. Gait speed under dual-task condition, lower extremity muscle strength and reaction times in a cognitive task (divided attention) showed significant improvements (p < .05). No significant pre-post differences were found for resting state EEG. Conclusions: The newly developed exergame seems usable for healthy older adults. Nevertheless, some aspects of the exergame prototype can and should be improved. The training showed to positively influence physical and cognitive functions in a small convenience sample. Future trials are warranted which evaluate the feasibility and usability of the exergame training in a more "real-life" in-home setting and assess the behavioral and neuroplastic changes in a larger population after a longer training period with comparison to a control group.

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“…En relación al medio de entrenamiento, son conocidos los beneficios del trabajo en cicloergómetro (Bouaziz, Schmitt, Kaltenbach, Geny, & Vogel, 2015) o en cinta/tapiz de andar/correr (Brach & Vanswearingen, 2013) para los adultos. Esto, unido a la facilidad que presentan estos aparatos para controlar la intensidad del trabajo, podría ser el motivo por el cual la mayoría de las intervenciones de HIIT en adultos son realizadas con cicloergómetro o con cinta de andar.…”

Section: Discussionunclassified

Entrenamiento De Intervalos De Alta Intensidad (Hiit) en Adultos Mayores: Una Revisión Sistemática

Piqueras

González

2019

PensarMov.

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RESUMEN:Trasfondo: Durante los últimos años el entrenamiento interválico de alta intensidad (HIIT) ha aparecido como una alternativa saludable a nivel cardiaco, muscular y adiposo en diferentes colectivos. Pese a ser un tema frecuentemente tratado en la actualidad, no existe a día de hoy un consenso claro sobre su utilidad y aplicación en el colectivo de los adultos mayores. Objetivos: Examinar la literatura científica acerca del entrenamiento interválico de alta intensidad como medio de entrenamiento en personas adultas mayores (>60 años) y determinar su utilidad desde un punto de vista saludable.Metodología: Los estudios fueron incluidos en esta revisión si: (1) estudiaron el colectivo de los adultos mayores (>60años), (2) incluyeron en su intervención al entrenamiento HIIT y (3) se centraron en la relación de este entrenamiento con la salud. Resultados: 16 estudios fueron incluidos al cumplir con todos los criterios.Conclusión: El HIIT es un entrenamiento válido y seguro para el colectivo de los adultos mayores (>60 años). Sus beneficios están relacionados con mejoras a nivel cardiovascular, pulmonar, hemodinámico, lipídico, muscular y cognitivo. ABSTRACT:Background: In recent years, high intensity interval training (HIIT) has appeared as a healthy alternative at cardiac, muscle and adipose levels in different groups. Despite being a frequently discussed issue today, there is currently no clear consensus on its usefulness and application in the group of older adults. Objectives: To examine the high intensity interval training as a training medium in older adults (>60 years) and determine its usefulness from a healthy point of view. Methodology: The studies were included in this review if: (1) they studied the group of older adults (> 60 years), (2) included HIIT training in their intervention and (3) the studies focused on the relationship of this training with health. Results: 16 studies were included when meeting all the criteria. Conclusion: HIIT is a valid and safe training for the group of PENSAR EN MOVIMIENTO. Artículo descargado de www.revistas.ucr.ac.cr/index.php/pem/ para uso personal únicamente. Este manuscrito Recién Horneado es la versión aceptada para publicación previa a diagramación y correcciones; habrá algunas diferencias con la versión final. Por favor citar como: Gómez Piqueras P. y Sánchez González M. Entrenamiento de intervalos de alta intensidad (HIIT) en adultos mayores: una revisión sistemática. PensarMov (2019). doi: http//dx.doi.org/10.15517/pensarmov.v17i1.35494 older adults (>60 years). Its benefits are related to improvements in cardiovascular, pulmonary, hemodynamic, lipid, muscle and cognitive. PENSAR EN MOVIMIENTO. Artículo descargado de www.revistas.ucr.ac.cr/index.php/pem/ para uso personal únicamente. Este manuscrito Recién Horneado es la versión aceptada para publicación previa a diagramación y correcciones; habrá algunas diferencias con la versión final. Por favor citar como: Gómez Piqueras P. y Sánchez González M. Entrenamiento de intervalos de alta intensidad (HIIT) en ad...

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Interventions to Improve Walking in Older Adults

Cited by 85 publications

References 79 publications

Improving Motor Control in Walking: A Randomized Clinical Trial in Older Adults With Subclinical Walking Difficulty

Improving Motor Control in Walking: A Randomized Clinical Trial in Older Adults With Subclinical Walking Difficulty

A usability study of a multicomponent video game-based training for older adults

Entrenamiento De Intervalos De Alta Intensidad (Hiit) en Adultos Mayores: Una Revisión Sistemática

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