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Influence of supervised and home exercise on postural control in elderly subjects: A randomized controlled trial to prevent falls

Grant number: 12/05666-4
Support Opportunities:Scholarships in Brazil - Master
Effective date (Start): December 01, 2012
Effective date (End): November 30, 2013
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Daniela Cristina Carvalho de Abreu
Grantee:Erika Harumi Tanaka
Host Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil


Fall is one of the main events in the elderly, and is considered one of the 5 Geriatrics Giants, and bring series and functional medical consequences for the elderly, justifying the importance of seeking effective and preventive therapies in improving postural stability of this population .Therefore, the aim of this study is to evaluate the influence of exercise on semi-static postural control, functional capacity and quality of life of seniors aged above 60 years. Participants will be randomized into three groups. Group A: 17 individuals will perform supervised activity during 20 sessions. Group B: 17 individuals will perform two supervised sessions and 18 sessions at home. Group (C), control: 17 individuals who won´t perform any exercises during 10 weeks. Questionnaire to identify the level of physical fitness (Baecke, 1982 - Changed for Elderly), questionnaire of falls, questionnaire to examine the functional capacity (BOMFAQ), and a questionnaire to assess the life quality (WHOQOL - BREF) will be applied to all participants. The upright balance will be measured by means of the force platform in different positions, i.e., standing on fixed platform with eyes open and closed, standing on an unstable platform with eyes open and closed, in tandem position with eyes open and closed, and on one leg with eyes open. The interventions consists of 5 minutes of warming up, 10 minutes of stretching, 35 minutes of balance training, and 5 minutes of relaxation, which will be applied in all twenty sessions. After 10 weeks, all volunteers will be reevaluated by means of questionnaires and force platform. The statistical analysis will be performed using MANOVAs, ANOVAs, Pearson's correlation tests and linear regression analysis. Univariate analysis and Post Hoc (Tukey) tests will also be considered if necessary. Significance level of 5% (p d 0.05) will be adopted.

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
ERIKA HARUMI TANAKA; PAULO FERREIRA DOS SANTOS; MARCELA FERNANDES SILVA; PRISCILA FERNANDA FIGUEIREDO BORGES BOTELHO; PATRÍCIA SILVA; NATALIA CAMARGO RODRIGUES; MATHEUS MACHADO GOMES; RENATO MORAES; DANIELA CRISTINA CARVALHO DE ABREU. O efeito do exercício físico supervisionado e domiciliar sobre o equilíbrio de indivíduos idosos: ensaio clínico randomizado para prevenção de quedas. Rev. bras. geriatr. gerontol., v. 19, n. 3, p. 383-397, . (12/05666-4)
TANAKA, ERIKA H.; SANTOS, PAULO F.; REIS, JULIA G.; RODRIGUES, NATALIA C.; MORAES, RENATO; ABREU, DANIELA C. C.. Is there a relationship between complaints of impaired balance and postural control disorder in community-dwelling elderly women? A cross-sectional study with the use of posturography. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 19, n. 3, p. 186-193, . (12/05666-4)
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
TANAKA, Erika Harumi. Influence of supervised and home exercise on postural control in elderly subjects: A randomized controlled trial to prevent falls. 2014. Master's Dissertation - Universidade de São Paulo (USP). Faculdade de Medicina de Ribeirão Preto (PCARP/BC) Ribeirão Preto.

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