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Strength Training in the Elderly People

100%

Trzaskoma Z., Trzaskoma Ł., Krzesicka A.

Advances in Rehabilitation

2013

vol. 27

issue 1

42-54

Aging is characterized by numerous changes that affect structures at the molecular, cellular, organ and whole organism. One of the effects of decreasing physical activity and the progressive aging of the human body is a systematic decline in muscle strength paralleled by a deterioration in the basic activities of daily living. Exercises, including exercises aimed at increasing muscle strength, performed by older people slow down the aging process and prevent the occurrence of many diseases. However, even the constant and regular physical activity can not prevent a age-related loss of strength, the adaptive changes in the central nervous system and muscles caused by the use of strength training can largely compensate for this process. Exercises aimed at increasing strength and muscle mass, commonly called strength exercises, is the world’s well-known and used by the elderly. In Poland, the model of the physical improvement of the elderly is based almost exclusively on endurance and stretching exercises, and the use of traditional strength exercises is often cause for concern. Aim of this work is to justify the need for exercises aimed at increasing muscle strength in older people and presentation of the results of their use.

Influence of age on outcomes of Bobath-based neurorehabilitation of adults – pilot study

84%

Mikołajewska E.

Annales Academiae Medicae Silesiensis

2015

vol. 69

76-80

INTRODUCTION: Functional activity in post-stroke survivors is often impaired and has a significant negative impact on the patient, his/her family, community and society. MATERIAL AND METHODS: Pilot study – a two-group, before-and-after preliminary study was carried out to investi-gate the feasibility of conducting a larger randomized controlled trial investigation of the efficacy of Bobath-based poststroke neurorehabilitation. Patients were admitted to the neurological rehabilitation unit after ischemic stroke. Both groups (group I aged 40–55 years and group II aged 67–82 years received ten half-an-hour physiotherapy sessions over a two-week period. Measurements of the the Barthel Index, gait velocity, cadence and stride length were conducted twice: on admission, and after the last session of rehabilitation. RESULTS AND DISCUSSION: Statistically significant and favourable changes in the selected activities of daily living, gait velocity and stride length were observed in both age groups. CONCLUSIONS: This pilot study indicates a short-term benefit for using interventions based on the Bobath Concept. The findings presented suggest that Bobath-based rehabilitation may be considered an effective form of post-stroke rehabilitation in various age groups.

WSTĘP: Czynności funkcjonalne u osób po udarze są często obciążone deficytem, a przez to wpływają negatywnie na pacjenta, jego rodzinę, społeczność lokalną i całe społeczeństwo. MATERIAŁ I METODY: Badanie pilotażowe – ocena pacjentów przed i po terapii. Pacjenci po udarze niedokrwiennym mózgu zostali przyjęci na oddział rehabilitacji neurologicznej. Obie grupy (grupa I: 42–55 lat oraz grupa II: 67–82 lata) otrzymały 10 półgodzinnych sesji terapeutycznych w ciągu dwóch tygodni. Pomiar wskaźnika Barthel, prędkości chodu, tempa chodu oraz cyklu chodu został przeprowadzony dwukrotnie: przy przyjęciu oraz po zakończeniu rehabilitacji. WYNIKI: W obu grupach zostały zaobserwowane statystycznie znaczące pozytywne zmiany wybranych czynności codziennego życia, prędkości chodu oraz długości dwukroku. WNIOSKI: Badanie pilotażowe wskazuje krótkoterminowe korzyści wynikające z wykorzystania terapii opartej na koncepcji Bobath. Wyniki sugerują, że terapia taka może być wykorzystana jako efektywny sposób rehabilitacji poudarowej w różnych grupach wiekowych.

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1 Advances in Rehabilitation

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1 Krzesicka A.

1 Mikołajewska E.

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Strength Training in the Elderly People

Influence of age on outcomes of Bobath-based neurorehabilitation of adults – pilot study