CORE Strengthening Exercise Program for the management of falls in older adults

Autores

DOI:

https://doi.org/10.56183/iberojhr.v4is.695

Palavras-chave:

resistance training; abdominal CORE; accidental falls; aged

Resumo

Background: The risk of falls is a common problem in older adults that can have serious consequences. They can cause fractures, brain injuries, hospitalization and disability, which can affect the quality of life and autonomy of older people. The strengthening of the CORE (Word in English that means Center and refers to the central region of the human body) is an effective strategy to reduce the risk of falls and improve well-being in the geriatric population. Objective: To compare the results before and after the intervention where a Core strengthening exercise program was used. Methods: The methodology considered was quantitative, longitudinal and descriptive, to assess the risk of falls in the population studied, the Berg and TUG (Timed Up and go) tests were used. They were applied at the beginning and at the end of the treatment through an intervention program of exercises of strengthening of the core muscles. Results: The data obtained show that there was a reduction in the risk of falls in the studied population. The two tests used obtained results of p=0.000, demonstrating that the intervention achieved the expected results. Conclusions: It is concluded that Core strengthening exercises reduce the risk of falls in older adults.

Biografia do Autor

Andrea Carolina Calero Arevalo, Technical University of Ambato, Ecuador

Technical University of Ambato-Ecuador. Master in Physiotherapy and Rehabilitation: Mention in Neuromusculoskeletal. Ecuador

Victoria Estefania Espín Pastor, Technical University of Ambato, Ecuador

Technical University of Ambato- Ecuador. Master in Physiotherapy and Rehabilitation: Mention in Neuromusculoskeletal, Ecuador

Gerardo Fernando Fernández Soto, Technical University of Ambato, Ecuador

Technical University of Ambato-Ecuador. Master in Physiotherapy and Rehabilitation: Mention in Neuromusculoskeletal, Ecuador

Vladimir Santiago Brito Sarabia, Technical University of Ambato, Ecuador

Technical University of Ambato, Ecuador. Master in Physiotherapy and Rehabilitation: Mention in Neuromusculoskeletal, Ecuador

Referências

Angulo, J., Assar, M., Álvarez-Bustos, A., & Rodríguez-Mañas, L. (2020). Physical activity and exercise: Strategies to manage frailty. Redox biology, 35, 101513.https://doi.org/10.1016/j.redox.2020.101513

Astudillo, C., Alvarado, L., Sánchez, J., & Encalada, L. (2017). Prevalence of falls in older adults and associated factors in the Sidcay parish, Cuenca. Rev. Fac. Cienc. Med. Univ. Cuenca., 35(1), 30–38. https://dspace.ucuenca.edu.ec/bitstream/123456789/27479/1/Christian%20Astudillo.pdf#:~:text=En%20Ecuador%2C%20la%20encuesta%20SABE%20usada%20por%20el,only %20a%20hazard%20environmental%20or%20a%20the%20age.

Bouça-Machado, R., Fernandes, A., Ranzato, C., Beneby, D., Nzwalo, H., & Ferreira, JJ (2022). Measurement tools to assess activities of daily living in patients with Parkinson's disease: A systematic review. Frontiers in neuroscience, 16, 945398. https://doi.org/10.3389/fnins.2022.945398

Burns, E., & Kakara, R. (2018). Morbidity and Mortality Weekly Report Deaths from Falls Among Persons Aged ≥65 Years-United States. MMWR, 67(18), 510–514. https://www.cdc.gov/mmwr/cme/conted_info.html#weekly.

Canales, J., Ramírez-Vélez, R., & Izquierdo, M. (2020). Sex-specific association between frailty and falls in community-dwelling older adults. The Journal of Nutrition, Health & Aging, 24(7), 711-717. https://doi.org/10.1007/s12603-020-1491-4

Cigarroa, I., Ledezma, A., Sepúlveda., Zapata,R., Leiva, A., Concha,Y., Reyes,D. (2021). Effects of a multicomponent exercise program in community-dwelling older people. Medisur [internet magazine]; 1 9 (4): 5 9 0.http://www.medisur.sld.cu/index.php/medisur/article/view/504

Chung, J., Kim H., & Lee, B.H. (2013). The effects of core stabilization exercise on dynamic balance and gait function in stroke patients. Journal of physical therapy science, 25(7), 803–806.https://doi.org/10.1589/jpts.25.803

Fernández, M., Zaldívar,N., Saborit, O.,González.,Y., Postigo, O., Collejo,Y. (2021). Effectiveness of a physical exercise program for the prevention of falls in older adults. Rev Cub of Med Phys and Rehab. 13(1):34-47.https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=105601&id2=

Johnson, R., Wilson, M., & Smith, P. (2020). Chronic Health Conditions and Risk of Falls in Older Adults: A Systematic Review and Meta-analysis. JAMA Network Open, 3(9), e2018191.https://doi.org/10.1001/jamanetworkopen.2020.18191

Hall, J., Ochoa, P., Alarcón, E., Moncada, J., Garcia, O.,Martin, E. (2017). Hydrogymnastics Training Program on Physical Fitness in Elderly Women. International Journal of Medicine and Sciences of Physical Activity and Sports, (66).https://doi.org/10.15366/rimcafd2017.66.005.

Hsu, L., Oda, H., Shirahata, S., Watanabe, M., & Sasaki, M. (2018). Effects of core strength training on core stability. Journal of physical therapy science, 30(8), 1014–1018. https://doi.org/10.1589/jpts.30.1014

Kim, M., Won, C.W., Kim, B.S., & Choi, H.R. (2018). Association between body mass index and fall risk in Korean older adults: A nationwide population-based study. Maturitas, 107, 28-32. https://doi.org/10.1016/j.maturitas.2017.10.004

Lee, J., Kim, J., & Park, M. (2022). Association between Home Environmental Factors and Risk of Falls among Older Adults: A Systematic Review and Meta-analysis. International Journal of Environmental Research and Public Health, 19(2), 518. https://doi.org/10.3390/ijerph19020518

Li, Y., Lee, JY, Wong, R., Aggarwal, N.T., Miller, MI, & Morris, MC (2021). Sex differences in the risk of falls among older adults: A longitudinal study. BMC Geriatrics, 21(1), 1-8. https://doi.org/10.1186/s12877-021-02319-9

Liepa, A., Knols, R., Larins, V., Gennaro, F., Bruin, E. (2019). A Systematic review: A comparison of tradition with motor learning core stability training approaches regarding the effect on lower and upper extremities, balance and functional performance in older adults. LaseJournal of SportScience,10(1),38 – 63. hpp;//doi.org:10.2478/ljss-2018-0015

López, G., Zambrano, M., Gutiérrez, M., Castillo, A., Benítez, G., Antepara, A., Camacho, G., Vega, B., Moreno, M., Sinchiguano, G., & Chiguano, A. (2021). Evaluation and management of the risk of falls in older adults. Latin American Journal of Hypertension, 16(5), 352–356.https://doi.org/10.5281/ZENODO.6228420

Martínez, B., Hernández, N., Díaz, D., Arencibia.,F., Morejon, A. (2020). Aging and falls. Its social impact. Rev Méd Electron. 42(4):https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=106277&id2=

Ministry of Economic and Social Inclusion. Senior Population Address. Retrieved April 22, 2023, from https://www.inclusion.gob.ec/direction-poblacion-adulta-mayor/

World Health Organization. (2021). Falls. https://www.who.int/es/news-room/fact-sheets/detail/falls

Pérez de Alejo, A., Lázaro, R., & Claribel, P. (2020). Falls, cause of accidents in the elderly. Student Scientific Magazine April 16, 59(276), 2. https://www.medigraphic.com/pdfs/abril/abr-2020/abr20276j.pdf

Ponde, K., & Jadhav, N. (2021). Effect of core stabilization exercises on balance performance in older adults. Journal of Exercise Rehabilitation, 17(2), 129-135. https://www.researchgate.net/profile/Ketki-Ponde/publication/350680149_Effect_of_Core_Stabilization_Exercises_on_Balance_Performance_in_Older_Adults/links/606d339f4585159de501236c/Effect-of-Core-Stabilization-Exercises-on-Balance-Performance-in -Older-Adults.pdf?origin= publication_detail

Riaño, M., Moreno, J., Echeverría, L., Rangel, L., & Sánchez, J. (2018). Functional physical condition and risk of falls in older adults. Cuban Journal of Biomedical Research, 37(3), 1–10. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002018000300003

Sadeghi, H., Shadmehr, A., & Rostami, M. (2020). The effects of core stability exercises on balance and walking in elderly fallers with mild cognitive impairment: A randomized control trial. Journal of Aging and Physical Activity, 28(5), 706-714.https://www.researchgate.net/profile/Hassan-Sadeghi-4/publication/344355655_The_Effects_of_Core_Stability_Exercises_on_Balance_and_Walking_in_Elderly_Fallers_with_Mild_Cognitive_Impairment_A_Randomized_Control_ Trial/links/6064135392851cd8ce7aed8c/The-Effects-of-Core- Stability-Exercises-on-Balance-and-Walking-in-Elderly-Fallers-with-Mild-Cognitive-Impairment-A-Randomized-Control-Trial.pdf?origin=publication_detail

Silhi-Vargas, F., Bruneau-Chávez, J., Rifo-Contreras, V., Lagos-Hernández, R., Silhi-Vargas, F., Bruneau-Chávez, J., Rifo-Contreras, V., & Lagos-Hernández, R. (2022). Differences in abdominal electromyographic activity in core training. Magazine of the Industrial University of Santander. Health, 54(1). https://doi.org/10.18273/SALUDUIS.54.E:22009

Smith, J., Johnson, A., & Brown, K. (2019). Age as a Risk Factor for Falls in Older Adults: A Review of the Literature. Journal of Aging and Health, 31(7), 1091-1110.https://doi.org/10.1177/0898264318779718

Solís, E., Valadez, N., González, N., García, M., Vera, L., Estrella, D., Maldonado N. (2022). Decrease in fall risk score through a physiotherapy intervention in adults with type 2 diabetes mellitus. Rev Biomed. 33(3):88-95.https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=107434&id2=

Thomas, E., Battaglia, G., Patti, A., Brusa, J., Leonardi, V., Palma, A., & Bellafiore, M. (2019). Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine, 98(27), 16218. https://doi.org/10.1097/MD.0000000000016218

Ugarte, LL., Vargas, R. . (2021). Sensitivity and specificity of the Timed Up and Go test. Cut-off times and age in older adults. Medical Journal of Chile, 149(9), 1302–1310. https://doi.org/10.4067/S0034-98872021000901302

Vieira Costa, A., & Silva Dias, M. F. (2024). Esporte para pessoas idosas em Macapá, Brasil: um estudo de caso. Florence: Interdisciplinary Journal of Health and Sustainability, 2(1), 13-19. https://doi.org/10.56183/tf5bs825

Wang, J., Feng, X., Zeng, X., & Chen, Z. (2018). Association between height and risk of falls in older adults: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 66(9), 1875-1882.https://doi.org/10.1111/jgs.15545

Weir, C.B., & Jan, A. (2022). BMI Classification Percentile And Cut Off Points. StatPearls. https://www.statpearls.com/point-of-care/35288

Xu, Y. (2022). Impact of core fitness on balance performance in the elderly. Revista Brasileira de Medicina Do Esporte, 28(6), 713–715. https://doi.org/10.1590/1517-8692202228062022_0096

Downloads

Publicado

2024-12-09

Como Citar

Calero Arevalo, A. C., Espín Pastor, V. E., Fernández Soto, G. F., & Brito Sarabia, V. S. (2024). CORE Strengthening Exercise Program for the management of falls in older adults. Ibero-American Journal of Health Science Research, 4(s), 202–209. https://doi.org/10.56183/iberojhr.v4is.695