Motor Behavior

The effects of different exercise interventions on mobility and dynamic balance performance among Iranian older male and female, systematic review, and meta-analysis

Document Type : Research Paper

Authors

1 of Exercise Physiology, Shahrekord University, Department of Sports Science

2 Assistant Professor of Exercise Physiology, Shahrekord University, Department of Sports Science

3 3Department of Sport Sciences, Faculty of Education and Psychology, Ardakan University, Ardakan, Iran

4 PhD in Exercise Physiology, Shahrekord University, Department of Sports Science

5 Associate Professor of Exercise Physiology, Shahrekord University, Department of Sports Science

Abstract
Excessive research has examined various physical activities to replace the elderly.The main purpose of this study was to investigate the effect of different exercises on the balance of the elderly as a systematic and meta-analysis of studies in Iran. For the present study, SID, Magiran and Google Scholar databases from 2001 to 2019 were searched along with keywords. After the initial screening, the full text of the articles was evaluated and the articles that met the inclusion criteria were analyzed. A total of 191 articles were initially reviewed, of which 17 articles met the criteria for functional equilibrium, 33 articles received the inclusion criteria for dynamic balance, and 11 articles received the inclusion criteria for static balance. Accordingly, 2472 elderly people who were divided into two groups of control and experimental groups of 1224 and 1236, respectively, were 1217 (female) and 1171 (male). The mean age of the subjects in the present study was 66 years. The results of meta-analysis showed that differentexercises improve functional balance, dynamic balance, and static balance in the elderly. The results of meta-analysis Showed that different exercises, high and significant effect on functional balance (ES = 0: z = 15.46 p = 0.001) and take-off and departure time (ES = 0: z = 11.96 p = 0.001) and a significant effect on static equilibrium (ES = 0: z = 6.77 p = 0.001). The results of this study showed that various sports exercises are effective in improving functional, dynamic, and static balance in the elderly.

Keywords

Main Subjects

  1. Sharifmoradi K, Saayah M, Karimi MTJKJ. The effect of Pilates exercise on static, dynamic, and functional stability of the elderly: A meta-analysis study. 2019; 23(4):442-54.
  2. Manoochehry S, Rasouli HRJIJoTM, Health G. Iranian population policy and aging: new health concerns. 2017; 5(2): 70-1.
  3. Rose DJJJoRR, Development. Preventing falls among older adults: No" one size suits all" intervention strategy. 2008; 45(8):1153-66.
  4. Granacher U, Muehlbauer T, Gollhofer A, Kressig RW, Zahner LJG. An intergenerational approach in the promotion of balance and strength for fall prevention–a mini-review. 2011; 57(4): 304-15.
  5. Erickson KI, Miller DL, Roecklein KAJTN. The aging hippocampus: interactions between exercise, depression, and BDNF. 2012; 18(1): 82-97.
  6. Tinetti ME. Preventing falls in elderly persons. New England journal of medicine. 2003; 348(1): 42-9.
  7. Granacher U, Muehlbaue T, Zahner L, Gollhofer A, Kressig RW. Comparison of traditional and recent approaches in the promotion of balance and strength in older adults. Sports medicine. 2011; 41(5): 377-400.
  8. Gschwind YJ, Kressig RW, Lacroix A, Muehlbauer T, Pfenninger B, Granacher U. A best practice fall prevention exercise program to improve balance, strength/power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC geriatrics. 2013; 13(1):
  9. .Howe TE, Rochester L, Neil F, Skelton DA, Ballinger CJCdosr. Exercise for improving balance in older people. 2011; (11):1-294.
  10. Jeter PE, Nkodo A-F, Moonaz SH, Dagnelie GJTjoa, Medicine C. A systematic review of yoga for balance in a healthy population. 2014; 20(4): 221-32.
  11. Kloubec JAJTJoS, Research C. Pilates for improvement of muscle endurance, flexibility, balance, and posture. 2010; 24(3): 661-7.
  12. Muehlbauer T, Besemer C, Wehrle A, Gollhofer A, Granacher U. Relationship between strength, power and balance performance in seniors. Gerontology. 2012; 58(6): 504-12.
  13. Tiedemann A, Sherrington C, Close JC, Lord SR. Exercise and sports science australia position statement on exercise and falls prevention in older people. Journal of science and medicine in sport. 2011; 14(6): 489-95.
  14. Yosefi AM, hoseeini ZS. Meta-analysis of effect of physical exercises on dynamic balance in elderly people: comparison of pilates exercises, exercises in water and yoga. Journal Of Aging Psychology. 2016; 3(2): 217-228.
  15. Manini T, Marko M, VanArnam T, Cook S, Fernhall B, Burke J, Ploutz-Snyder L. Efficacy of resistance and task-specific exercise in older adults who modify tasks of everyday life. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2007 Jun 1; 62(6): 616-23.
  16. Valipour Dehnou V, Motamedi R. Assessing and comparing of balance and flexibility among elderly men and women in the age group of 60-79 years. Salmand: Iranian Journal of Ageing. 2018; 13 (2) :210-221.
  17. Cameron ID, Dyer SM, Panagoda CE, Murray GR, Hill KD, Cumming RG, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane database of systematic reviews. 2018; (9): 1-328.
  18. Silva RB, Eslick GD, Duque G. Exercise for falls and fracture prevention in long term care facilities: a systematic review and meta-analysis. Journal of the American Medical Directors Association. 2013; 14(9): 685-9.
  19. Van Kan GA, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M, et al. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. The journal of nutrition, health & aging. 2009; 13(10): 881-9.
  20. Hortobágyi T, Lesinski M, Gäbler M, VanSwearingen JM, Malatesta D, Granacher U. Effects of three types of exercise interventions on healthy old adults’ gait speed: a systematic review and meta-analysis. Sports medicine. 2015; 45(12): 1627-43.
  21. Beijersbergen CM, Granacher U, Vandervoort AA, DeVita P, Hortobágyi T. The biomechanical mechanism of how strength and power training improve walking speed in old adults remains unknown. Ageing research reviews. 2013; 12(2): 618-27.
  22. Keysor JJ, Jette AM. Have we oversold the benefit of late-life exercise? The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001; 56(7): M412-M23.
  23. Salzman B. Gait and balance disorders in older adults. American family physician. 2010; 82(1): 61-8.
  24. Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins MJPt. Reliability of the PEDro scale for rating quality of randomized controlled trials. 2003; 83(8): 713-21.
  25. Levack WM, Taylor K, Siegert RJ, Dean SG, McPherson KM, Weatherall MJCr. Is goal planning in rehabilitation effective? A systematic review. 2006; 20(9): 739-55.
  26. Hernandez D, Rose DJJAopm, rehabilitation. Predicting which older adults will or will not fall using the Fullerton Advanced Balance scale. 2008; 89(12): 2309-15.
  27. Evack WM, Taylor K, Siegert RJ, Dean SG, McPherson KM, Weatherall MJCr. Is goal planning in rehabilitation effective? A systematic review. 2006; 20(9): 739-55.
  28. Shumway-Cook A, Brauer S, Woollacott MJPt. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. 2000; 80(9): 896-903.
  29. Kamranifaraz N, letafatkar A, Javdaneh N.The effect of a Compound exercises in the water on muscle strength, flexibility, and quality of life of elderly women 60- 70 years old in thran. nvj. 2017; 3(9): 24-37.
  30. Mahdavi S, Golpaigani M, Shavandi N, Farzaneh Hessari A, Sheikh Hoseini R. The Effect of Core Stabilization Training (Six Weeks) on Falling Rate in Elderly Female. Salmand: Iranian Journal of Ageing. 2010; 5(3): 30-42.
  31. Baziyar, H., Marandi, S., Chitsaz, A. Effect of twelve weeks balance training in water on postural Balance in Patients with Parkinson's disease. Journal of Sabzevar University of Medical Sciences. 2018; 25(1): 119-126.
  32. Khodadadi, M. Comparison effect of balance training with and without suit therapy on balance and gait in elderly. Journal of Applied Exercise Physiology. 2017;13(26): 191-202.
  33. Dashti, P., Shabani, M., Moazami, M. Comparison of the effects of two selected exercises of Theraband and Pilates on the balance and strength of lower limb in elderly women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2015; 18(153): 1-9. doi: 10.22038/ijogi.2015.4698
  34. Hosseinpour S, Behpour N, Tadibi V, Ramezankhani A. Effect of Cognitive-motor Exercises on Physical Health and Cognitive Status in Elderly. Iran J Health Educ Health Promot. 2017; 5(4): 336-344.
  35. Balouchy R. The effect of a balance training course on postural factors in the elderly. Journal of Applied Exercise Physiology. 2015; 11(21): 91-100. doi: 10.22080/jaep.2015.1110
  36. Zarei H, rajabi R, Minoonejad H. The effect of 6 weeks training with ground balance ladder on postural control and risk of falling elderly. jgn. 2017; 3(4): 90-101.
  37. Shahrjerdi S, Golpayegani M, Mahmoudi F. The effect of corrective exercises on balance in elderly women with hyperkyphosis. Feyz. 2015; 19 (4): 284-292.
  38. Safavi M, Gasemi B, Azamian Jazi A. The effect of eight weeks of pnf stretching exercises on hamstring muscle flexibility and balance in women with Parkinson's disease. 1st National Conference on Research News of Sport Sciences; 2015 September 29-30; Ardabil, Iran.
  39. Attari E, Arab-Ameri E, Tahmasebi-Boroujeni S. The Comparison of Effects between Tai Chi Exercise and Glucosamine Supplementation on Balance in Older Woman with Knee Osteoarthritis. J Res Rehabil Sci. 2017; 13(5): 247-54.
  40. Farhan V, Abbasi A, Tabatabaei Ghomshe F, Khaleghi Tazji M, Jafarnezhadgero A. Effect of Combined Trainings (Rom improvement, Muscle Strengthening, Balance Training, and Gait Training) on Balance and Risk for Falling in Older Women with Diabetic Peripheral Neuropathy. The Scientific Journal of Rehabilitation Medicine. 2019; 8(2): 97-105. doi: 10.22037/jrm.2018.111285.1888
  41. Ghamari N, Sokhanguei Y. The effect of corrective exercises on balance in elderly women with hyperkyphosis. National Conference on Technological Achievements of Physical Education and Sports Sciences of Iran; 2015 november 19; Babolsar, Iran.
  42. lotfi S, Azizi garme khani Z. The effect of core stability training on static and dynamic balance in older men. Journal of Geriatric Nursing. 2018; 5(1): 30-45.
  43. Laghai, M., Afhami, N., Goudarzi, M. Effect of Eight Weeks of Tai Chi Training on Balance and Ankle Range of Motion in Elderly Women. The Scientific Journal of Rehabilitation Medicine. 2019; 8(3): 19-28. doi: 10.22037/jrm.2019.111438.1995.
  44. Mahdavi Ortakand S, Farzaneh Hesari A, Zareie M, Khoshdel M. The Comparative Effects of a Gluteus Medius Strength Training Program and Balance Training Program on Postural Control in adult and elder women. Journal of Sabzevar University of Medical Sciences. 1970; 20(3): 302-309.
  45. Atashinpanjeh L, Bagherpoor T, Bahram ME. Comparison of eight weeks of Pilates and power exercises on dynamic balance in elderly women of Dezful city.1st International Conference on Sport Science; 2015 Septebar 25; Tehran, Iran.
  46. Hosseini M, Lajevardi L, Taghizade G. Effect of mental practice on fear of falling in activities of daily living, satisfaction and lower extremity function in the community-dwelling elderly: A clinical trial. Koomesh. 2019; 21(4): 619-627.
  47. Shokri B, Azimzadeh E, Zarei M. The Effect of functional training program on static and dynamic balance in elderly men. Iranian jornal of Research on Bioscinces and Physical Activity. 2016; 3(5): 59-65.
  48. Azim Zadeh E, Faghihi V, Ghasemi A. The effect of dual-task training on balance of elderly women: with the motor and cognitive approach. JRSM. 2018; 8(15):103-110
  49. Gasemi B, Azamian Jazi A, Noori P. The Effect of 12 Weeks Functional Training on Dynamic Balance in Healthy Older Women . Salmand: Iranian Journal of Ageing. 2011; 5(4): 30-36
  50. Norouzi E, Mahdavi Nejad R, Norouzi K. The Effect of 8 Weeks of Selected Exercises on Strength of the Hip Abductor Muscles and Balance in Healthy Elderly Women. Journal of Exercise Science and Medicine. 2016; 8(1): 37-47. doi: 10.22059/jsmed.2016.58865
  51. Sohbatiha M, Aslankhani M A, Farsi A. The Effect of Aquatic and Land-Based Exercises on Static and Dynamic Balance of Healthy Male Older People. Salmand: Iranian Journal of Ageing. 2011; 6(2): 54-63.
  52. Afsharmand Z, Daneshmandi H, Akoochakian M, Sokhanguei Y. Effect of training on stable and unstable surfaces on walking kinematic and timed-up-and go test variables in elderly wemon. J Gorgan Univ Med Sci. 2020; 21(4): 60-67.
  53. Ofoghi M, Isanejad A, Samadi A. Investigating the effect of eight-weeks resistance training with Thera-band on the serum levels of IL-15, balance and muscle strength in elderly women. Metabolism and Exercise. 2018; 8(1): 43-60. doi: 10.22124/jme.2018.3563
  54. Akbarnejad A, Koneshlou S, Baranchi M. The Effect of 12 Weeks of Functional Training and Different Periods of Detraining on Dynamic Balance in Elderly Men. Journal of Exercise Science and Medicine. 2015; 7(1): 85-98. doi: 10.22059/jsmed.2015.53804.
  55. Irandoust K, Taheri M, Seghatoleslami A. Comparing the effectiveness of water-based exercises and Yoga on memory and dynamic balance of elder people. Journal of Motor Learning and Movement. 2015; 6(4): 463-473. doi: 10.22059/jmlm.2015.52770
  56. Bavardi Moghadam E, Shojaedin S S, Radfar H. Effect of Pilates training on functional balance of elderly men. J Gorgan Univ Med Sci. 2018; 20(3): 64-69.
  57. Bahram M E, Akasheh G, Shabanzadeh Fini M. The Effect of 10 Weeks of Pilates Exercises on Static and Dynamic Balance and Psychological Factors in Elderly Men. J Fasa Univ Med Sci. 2017; 7(3): 416-427.
  58. Parsaei S, Abedanzadeh R, Shetab Boushehri N, Alboghebeysh S, Rezaeemanesh S, Barati P. Effect of Selected Beta/Theta Neurofeedback Training on Static and Dynamic Balance in the Elderly in Ahvaz City (Iran). Qom Univ Med Sci J. 2018; 11(11): 95-103.
  59. Seghatoleslami A, Hemmati Afif A, Irandoust K, Taheri M. Effect of Pilates Exercises on Motor Performance and Low Back Pain in Elderly Women With Abdominal Obesity. Salmand: Iranian Journal of Ageing. 2018; 13(3): 396-404
  60. Khajavi D, Farrokhi A, Jaberi Moghadam A, Kazemnejad A. The Effect of a Training Intervention Program on Fall- Related Motor Performance in the Male Elderly without Regular Physical Activity. Journal of Motor Learning and Movement. 2013; 5(2(12)): 49-65. doi: 10.22059/jmlm.2013.32147
  61. Dana A, Fallah Z, Moradi J, Ghalavand A. The Effect of Cognitive and Aerobic Training on Cognitive and Motor Function, and Brain-Derived Neurotrophic Factors in Elderly Men. Journal of Motor Learning and Movement. 2019; 10(4): 537-552. doi: 10.22059/jmlm.2018.252689.1352
  62. Dokht Abdiyan R, Naseri Mobaraki E, Bagheri G, Ahmadi A. Effect of Water-Based Training Frequency on the Balance and Motor Function in Sedentary Elderly Men. Salmand: Iranian Journal of Ageing. 2016; 11(2): 330-339.
  63. Rahmani M, Heirani A, Yazdanbakhsh K. The effect of Pilates training on improving the reaction time and balance of sedentary elderly men. mrj. 2015; 9(3): 44-53
  64. Rezaei evrigh M, Mohamadi F, Azimian J, motalebi S A. The Effect of a Simple Balance Training Program on Fall Prevention in the Elderly Women Hospitalized in Razi Psychiatric Hospital, Tehran. IJRN. 2017; 3(4): 43-49.
  65. Soori R, Akbarnejad A, Naseri Mobarake E, Dokht Abdiyan R, Zeinali V. The Effect of Water Exercises on Physiological Indices and Bio-Motor Capabilities of Sedentary Elderly Men. Journal of Sport Biosciences. 2015; 7(1): 57-76. doi: 10.22059/jsb.2015.54276
  66. Sadeghi H, Norouzi H, Karimi Asl A, Montazer M. Functional Training Program Effect on Static and Dynamic Balance in Male Able-bodied Elderly. Salmand: Iranian Journal of Ageing. 2008; 3(2): 565-571.
  67. Sadeghi dehcheshmeh H, ghasemi B, Moradi M, rahnama N. Comparison the effect of close kinetic chain and proprioception neuromuscular facilitation training on static and dynamic balance in male elderly 60-80 years. Journal for Research in Sport Rehabilitation. 2014; 2(3): 57-65.
  68. Taheri M, Irandoust K, Seghatoleslami A, Rezaei M. The Effect of Yoga Practice Based on Biorhythms Theory on Balance and Selective Attention of the Elderly Women. Salmand: Iranian Journal of Ageing. 2018; 13(3): 312-323.
  69. Abbasi A, Berenjeian Tabrizi H, Bagheri K, Ghasemizad A. The Effect of Whole-Body Vibration Training and Detraining Periods on Neuromuscular Performance in Male Older People. Salmand: Iranian Journal of Ageing. 2011; 6(2): 47-53.
  70. Askari R, Ghani abadi H, Hoseini kakhk S. The effect of 8 weeks combined training on the physical fitness and rate of renal filtration in elderly men. joge. 2017; 2(1): 65-75.
  71. Zareyi H, Norasteh A, Koohboomi M. Effect of Combined Training (Strength and Stretching) on Balance, Risk of Falling, and Quality of Life in the Elderly. The Scientific Journal of Rehabilitation Medicine. 2018; 7(2): 201-208. doi: 10.22037/jrm.2017.110651.1433.
  72. Kamali A, Mahdavi nezhad R, Norouzi K. The Effect of Selected Pilates Exercises on Thigh Muscle Strength and Depression in Elderly Women. Journal of Paramedical Sciences & Rehabilitation. 2016; 5(2): 67-75. doi: 10.22038/jpsr.2016.6915
  73. Mirmoezzi M, Amini M, Khaledan A, Khorshidi D. Effect of 8-Week of Selected Aerobic Exercise on Static and Dynamic Balance in Healthy Elderly Inactive Men. Salmand: Iranian Journal of Ageing. 2016; 11(1): 202-209.
  74. Sadeghi H, Ghasempoor H, Yadegaripoor M, Shojaedin S. The Effect of Eight Week Combined Aquatic and Non-Aquatic Training Program on the Lower Extremity Strength and Gait Speed of Elderly Men. Salmand: Iranian Journal of Ageing. 2013; 7(4): 59-66.
  75. Aradmehr M, Sagheeslami A, Ilbeigi S. The effect of balance training and pilates on static and functional balance of elderly men. Feyz. 2015; 18(6): 571-577.
  76. Khajooye D, Farokhi A, Jabiri AA, Kazemnejad A. Correlation between changes in balance and fall-related psychological and functional measures of men older adults after a combined training program. Raftar Harekati. 2015; 6(17): 55-72.
  77. Khodadadi H, Haghighi AH, Hosseini Kakhk AR. The Effect of Two Programs Stretch-Balance Training with Different Timings on Some of the Physical Performances in Older Men. Journal of Paramedical Sciences & Rehabilitation. 2018; 7(3): 26-36.
  78. Rahnama N, Foroghefar R, Amini H. The effect of balance exercises in the morning and afternoon on static and dynamic balance in the elderly. Journal of Sport Management and Motor Behavior. 2015; 11(21): 15-24. doi: 10.22080/jsmb.2015.941.
  79. Foster, Shayla Diane. A Systematic Review of Aquatic Exercise Programs on Balance Measures in Older Adults. All Graduate Plan B and other Reports. 2015; 478: 1-25.
  80. Subramaniam S, Bhatt TJCTiM. Effect of Yoga practice on reducing cognitive-motor interference for improving dynamic balance control in healthy adults. 2017; 30: 30-5.
  81. de Oliveira LC, de Oliveira RG, de Almeida Pires-Oliveira DAJJopts. Effects of Pilates on muscle strength, postural balance and quality of life of older adults: a randomized, controlled, clinical trial. 2015; 27(3): 871-6.
  82. Hofmann M, Schober-Halper B, Oesen S, Franzke B, Tschan H, Bachl N, et al. Effects of elastic band resistance training and nutritional supplementation on muscle quality and circulating muscle growth and degradation factors of institutionalized elderly women: the Vienna Active Ageing Study (VAAS). 2016; 116(5): 885-97.
  83. Segal NA, Hein J, Basford JRJAopm, rehabilitation. The effects of Pilates training on flexibility and body composition: an observational study. 2004; 85(12): 1977-81.
  84. Sculthorpe NF, Herbert P, Grace FJM. One session of high-intensity interval training (HIIT) every 5 days, improves muscle power but not static balance in lifelong sedentary ageing men: a randomized controlled trial. 2017; 96(6): e6040- e6048.
  85. Trowbridge CA, Ricard MD, Knight KL, Hopkins JT, Draper DO, Hilton SC. The effects of strength and plyometric training on joint position and joint moments of the female knee. J Orthop Sports Phys Ther. 2007; 37: A1- A25.
  86. Docherty CL, Moore JH, Arnold BL. Effects of strength training on strength development and joint position sense in functionally unstable ankles. Journal of athletic training. 1998; 33(4): 310-314.
  87. Kileff J, Ashburn A. A pilot study of the effect of aerobic exercise on people with moderate disability multiple sclerosis. Clinical rehabilitation. 2005; 19(2): 165-9.
  88. Doostan MR, Aslankhani MA, Ebrahim KH, Seyfoorian M. Effect of eight weeks stretch and resistance training on balance and reaction time in inactive elderly men. Journal of Motor Behavior and Psychology of Sport. 2010; 2(1): 323-4.
  89. Shu H-F, Yang T, Yu S-X, Huang H-D, Jiang L-L, Gu J-W, et al. Aerobic exercise for Parkinson's disease: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2014; 9(7): 1-10.
  90. Banihashemi Emamghisi M, Sharifi G, Zakavi I, Babaei Mazreno A. Comparative study of the effect of aerobic and resistance exercise on static and dynamic balance in elderly males. Elderly Health Journal. 2015; 1(1): 12-15.
  91. Aghayari A, Afroundeh R, Saeidi Azad P. The Effect of 6 Weeks Aerobic Training on Balance and on Flexibility in Elderly Women in Hamadan. joge. 2016; 1(2): 1-9
  92. Cadore EL, Rodríguez-Mañas L, Sinclair A, Izquierdo M. Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation research. 2013; 16(2): 105-14.
  93. Panich KP, Ajjimaporn A, Kuptniratsaikul V. Effect Of 4 Week Simple Balance Exercise On Balance Ability In Thai Elderly. Journal of Sports Science and Technology. 2015; 15(1): 203-11.
  94. Khoramian M, Golmohammadi B, Akbari H. The effect of the selective balanced on ball and core resistance training program on the older females. Journal of Motor Behavior. 2015; 19(7): 105-22.
  95. Taylor D. Physical activity is medicine for older adults. Postgraduate medical journal. 2014; 90(1059): 26-32.
Motor Behavior
Volume 13, Issue 46
February 2022
Pages 165-200

  • Receive Date 10 October 2020
  • Revise Date 12 June 2021
  • Accept Date 12 February 2022

Home

Reviewers

Submit Manuscript

Publication Ethics

news

Journal Metrics

Contact Us