Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/30568 |
Resumo: | 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 functional and dynamic balance tests in older adults. |
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Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trialFortalecimento intrínseco do pé e eletroestimulação em idosos – Ensaio clínico randomizadoIntroduction: 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 functional and dynamic balance tests in older adults. Introdução: O envelhecimento reduz a capacidade fun-cional, que está relacionada com a redução de força muscular de flexão plantar dos dedos dos pés. O exercício de fortalecimento da musculatura intrínseca do pé pode ser otimizado com o uso da eletroestimulação eletro (EENM). Devido à escassez de dados na literatura sobre a utilização desses métodos, torna-se necessário realizar novos estudos. Objetivo: Avaliar e comparar os efeitos do treino de fortalecimento da musculatura intrínseca do pé no risco de queda em idosos. Métodos: Trata-se de um ensaio clínico randomizado, no qual 19 idosos foram alocados em três grupos: controle (GC; n = 7), exercício (GE; n = 6) e exercício+eletroestimulação (GEE; n = 6). O GE recebeu um protocolo de exercícios para a musculatura intrínseca do pé, o GEE recebeu o mesmo protocolo seguido de EENM e o GC recebeu orientações quanto à prevenção de quedas. Os indivíduos foram avaliados antes e após a intervenção através dos testes de Apoio Unipodal (AU), Teste de Alcance Funcional (TAF), Timed Up and Go (TUG) e Paper Grip Test (PGT). Para a análise estatística, utilizou-se ANOVA 1 e 2 vias. Um valor de p < 0,05 foi considerado estatisticamente significante. Resultados: Observou-se melhora significativa no teste TUG (9,64 ± 1,78 vs 8,20 ± 1,94) em relação ao GE. Em relação ao GEE, houve melhora tanto no TUG (12,68 ± 4,01 vs 10,61 ± 3,70) quanto no TAF (26,37 ± 7,66 vs 33,14 ± 9,73). Conclusão: Conclui-se que um protocolo de exercício associado à eletroestimulação melhora o desempenho nos testes de equilíbrio funcional e equilíbrio dinâmico em indivíduos idosos.Editora PUCPRESS2023-08-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/3056810.1590/fm.2023.36127Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont.Fisioterapia em Movimento; v. 36 (2023): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/30568/26258https://periodicos.pucpr.br/fisio/article/view/30568/26259Copyright (c) 2023 PUCPRESSinfo:eu-repo/semantics/openAccess Rodrigues, Matheus MachadoBorges Junior, Daniel Cirillode Oliveira, Luan VeledaCabreira, Matheus Teixeirada Silveira, Marcelo FerreiraHentschke, Vitor Scotta2023-12-04T14:30:26Zoai:ojs.periodicos.pucpr.br:article/30568Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2023-12-04T14:30:26Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial Fortalecimento intrínseco do pé e eletroestimulação em idosos – Ensaio clínico randomizado |
title |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial |
spellingShingle |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial Rodrigues, Matheus Machado |
title_short |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial |
title_full |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial |
title_fullStr |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial |
title_full_unstemmed |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial |
title_sort |
Intrinsic foot strengthening and electrostimulation in older adults – Randomized clinical trial |
author |
Rodrigues, Matheus Machado |
author_facet |
Rodrigues, Matheus Machado Borges Junior, Daniel Cirillo de Oliveira, Luan Veleda Cabreira, Matheus Teixeira da Silveira, Marcelo Ferreira Hentschke, Vitor Scotta |
author_role |
author |
author2 |
Borges Junior, Daniel Cirillo de Oliveira, Luan Veleda Cabreira, Matheus Teixeira da Silveira, Marcelo Ferreira Hentschke, Vitor Scotta |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Rodrigues, Matheus Machado Borges Junior, Daniel Cirillo de Oliveira, Luan Veleda Cabreira, Matheus Teixeira da Silveira, Marcelo Ferreira Hentschke, Vitor Scotta |
description |
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 functional and dynamic balance tests in older adults. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/30568 10.1590/fm.2023.36127 |
url |
https://periodicos.pucpr.br/fisio/article/view/30568 |
identifier_str_mv |
10.1590/fm.2023.36127 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/30568/26258 https://periodicos.pucpr.br/fisio/article/view/30568/26259 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont. Fisioterapia em Movimento; v. 36 (2023): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
_version_ |
1799138750038540288 |