V Benavent-Caballer1, P Rosado-Calatayud2, E Segura-Ortí2, J J Amer-Cuenca2, J F Lisón2. 1. University Cardenal Herrera-CEU, Department of Physiotherapy, Avda. Seminari s/n., 46113 Moncada, Valencia, Spain. Electronic address: vicente.benavent@uch.ceu.es. 2. University Cardenal Herrera-CEU, Department of Physiotherapy, Avda. Seminari s/n., 46113 Moncada, Valencia, Spain.
Abstract
OBJECTIVES: To evaluate the short-term effects of three different resistance training programs, conducted at low intensity, on physical performance, muscle cross-sectional area (CSA) and the capacity to perform daily tasks in older adults living in a geriatric nursing home. DESIGN: Randomized controlled trial, with a 4-month intervention period. SETTING:A geriatric nursing home in Valencia, Spain. PARTICIPANTS: Eighty-nine adults aged 75 to 96 who were independent in their daily activities. INTERVENTION: After a baseline assessment, the participants were randomly assigned to the control group or one of the three intervention groups: volitional contraction (VC; n=22), neuromuscular electrical stimulation (NMES; n=22), or neuromuscular electrical stimulation superimposed onto voluntary contractions (NMES+; n=22). The intervention focused on knee extension exercises and its intensity was set at 40% of one-repetition maximum (1RM). MEASUREMENTS: The primary outcome measure was mobility. Secondary outcomes were rectus femoris CSA, balance, aerobic endurance, upper-body strength and the capacity to perform daily tasks. All data were collected at baseline and after the 4-month intervention period. RESULTS: The two-way ANOVA analysis showed a significant group×time interaction effect for the mobility (P=.022), rectus femoris CSA (P=.001), and the capacity to perform daily tasks (P=.05). The within-group analysis found a more prominent effect in the NMES+ group. Significant improvements were seen in rectus femoris CSA and the capacity to perform daily tasks in all intervention groups. Mobility only improved in the NMES+ group (P=.026). CONCLUSION: From a short-term perspective, NMES+ exercise training, performed at low intensity, can improve physical performance, muscle CSA, and the capacity to perform daily activities, and to partially mitigate age-related consequences in older adults.
RCT Entities:
OBJECTIVES: To evaluate the short-term effects of three different resistance training programs, conducted at low intensity, on physical performance, muscle cross-sectional area (CSA) and the capacity to perform daily tasks in older adults living in a geriatric nursing home. DESIGN: Randomized controlled trial, with a 4-month intervention period. SETTING: A geriatric nursing home in Valencia, Spain. PARTICIPANTS: Eighty-nine adults aged 75 to 96 who were independent in their daily activities. INTERVENTION: After a baseline assessment, the participants were randomly assigned to the control group or one of the three intervention groups: volitional contraction (VC; n=22), neuromuscular electrical stimulation (NMES; n=22), or neuromuscular electrical stimulation superimposed onto voluntary contractions (NMES+; n=22). The intervention focused on knee extension exercises and its intensity was set at 40% of one-repetition maximum (1RM). MEASUREMENTS: The primary outcome measure was mobility. Secondary outcomes were rectus femoris CSA, balance, aerobic endurance, upper-body strength and the capacity to perform daily tasks. All data were collected at baseline and after the 4-month intervention period. RESULTS: The two-way ANOVA analysis showed a significant group×time interaction effect for the mobility (P=.022), rectus femoris CSA (P=.001), and the capacity to perform daily tasks (P=.05). The within-group analysis found a more prominent effect in the NMES+ group. Significant improvements were seen in rectus femoris CSA and the capacity to perform daily tasks in all intervention groups. Mobility only improved in the NMES+ group (P=.026). CONCLUSION: From a short-term perspective, NMES+ exercise training, performed at low intensity, can improve physical performance, muscle CSA, and the capacity to perform daily activities, and to partially mitigate age-related consequences in older adults.
Authors: Claudia Ferreira Gomes da Silva; Felipe Xavier de Lima E Silva; Karoline Baptista Vianna; Gabriel Dos Santos Oliveira; Marco Aurélio Vaz; Bruno Manfredini Baroni Journal: Braz J Phys Ther Date: 2018-03-28 Impact factor: 3.377
Authors: Vicent Benavent Caballer; Juan Francisco Lisón; Pedro Rosado-Calatayud; Juan José Amer-Cuenca; Eva Segura-Orti Journal: J Phys Ther Sci Date: 2015-11-30
Authors: Pia Øllgaard Olsen; Anne-Ditte Termannsen; Maja Bramming; Mark A Tully; Paolo Caserotti Journal: Eur Rev Aging Phys Act Date: 2019-12-07 Impact factor: 3.878