Comparison of Rocker Shoes and Normal Shoes on Reducing the Risk of Falls in the Elderly During the Implementation of an Agility-Based Fall Prevention Protocol

  • سال انتشار: 1402
  • محل انتشار: دوفصلنامه فناوری های پیشرفته ورزشی، دوره: 7، شماره: 1
  • کد COI اختصاصی: JR_JJAST-7-1_003
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 226
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نویسندگان

Mansureh Taherinia

Department of Sport Sciences, Department of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran

Shahabeddin Bagheri

Department of Sport Sciences, Nahavand Higher Education Complex, Bu-Ali Sina University, Hamedan, Iran.

Aynollah Naderi

Department of Health and Corrective Exercise, School of Physical Education and Sport Sciences, Shahrood University of Technology, Shahrood, Semnan, Iran

چکیده

It is possible that using unstable shoes with fall prevention exercise training contributes to better fall-related measures in older adults. We aimed to evaluate the effects of ۱۲-week agility balance training wearing usual (US) or unstable (UnS) shoes on the balance, mobility, strength, and fear of falling in healthy older men. A prospective three arms randomized controlled trial was conducted in a university lab. Fifty-seven male older adults were initially randomized into US, UnS, or a control group, and ۵۳ participants (mean age ۶۷.۵±۴.۱ years) completed the study. Both US and UnS groups received agility balance training wearing usual and unstable shoes, respectively. Group classes were offered three times per week over ۱۲ weeks. The control group did not receive an active intervention. Ankle plantar flexor muscle strength (Calf-Raise Senior test), balance (Fullerton Advanced Balance scale), mobility (Timed Up and Go test), postural stability (force platform), and Fear of falling (Fall Efficacy Scale-International) were measured at baseline, after the ۱۲-week intervention, and one month after the end of the training program. There was a significant improvement in all fall-related measures after the ۱۲-week agility balance training in both UnS (ES= from ۱.۱۹ to ۲.۴) and the US (ES = from ۰.۶۳ to ۲.۵) compared with the control group. The UnS group experienced more mobility gains at the ۱۲-week posttest (p = ۰.۰۳) compared with the US group. At follow-up, all gains were maintained in the UnS group (p <  ۰.۰۵), but the plantar flexor muscle strength (p = ۰.۳), mobility (p=۰.۰۸), and postural sway (p =۰.۰۷) scores returned to baseline values in the US group.  At follow-up, significant differences were found between-group for all fall-related measures (p>  ۰.۰۵) in favor of the UnS group. Agility balance training with and without unstable shoes improved fall-related measures. However, wearing unstable shoes with agility balance training maintains longer-term positive effects on fall-related measures in older men.

کلیدواژه ها

Shoewear, Balance, Postural control, Fear of falling, Agility balance training

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