Analysis of the muscle strength increase for recovery of ortostatism in elderlies with temporary immobility syndrome
DOI:
https://doi.org/10.5935/0104-7795.20170021Keywords:
Frail Elderly, Resistance Training, Muscle StrengthAbstract
The immobility syndrome (IS), a comon issue among elderly people, occurs in patients who are bedridden for long periods, and causes loss of muscle strength and morbidity and mortality consequently. Objective: To analyze the necessary muscle strength increase for the recovery of orthostatism in the elderly with temporary IS. Method: Thirty elderly with IS were screened for inclusion/exclusion criteria, and 14 elderly were included. They had their quadriceps and gluteus muscle strength evaluated (in kilograms), and then performed strengthening sessions. At the end of the program, orthostatic attempts were made. Those who reacquired the posture were called G1; those who did not reacquire were called G2. The exercise load increase, number of sessions required, participant weight at baseline, age and immobility time were analyzed. Results: Ten participants of G1 (71.4%) reacquired orthostatism (G1), after a mean of 21.4 sessions, a mean quadriceps muscle strength increase of 6kg (177%), and a mean gluteus muscle strength increase of 2.2kg (102%), whereas in the G2, whose participants did not recover orthostatism, the mean quadriceps and gluteus muscle strength increase were 4.125kg (117%) and 1.625kg (39%) respectively. The p value of the group comparisons were 0.001 for the quadriceps strength increase and 0.0002 for the gluteus strength increase. There was a strong correlation between the participant's baseline weight and the quadriceps and gluteus muscle strength increase (-0.96 and -0.84 respectively) and moderate correlation between age of G1 and G2 and muscle strength increase (0.59 and 0.58 respectively) and between immobility time and muscle strength increase (0.53 for gluteus and 0.50 for quadriceps). Conclusion: Muscle strength increase was essential for recovering orthostatism, whereas weight, age and time of immobilism are significantly correlated with muscle strength increase.
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References
Pedrinelli A, Garcez- Leme LE, Nobre RS. Efeito da atividade física no aparelho locomotor do idoso. Rev Bras Ortop. 2009;44(2):96-101. DOI: http://dx.doi.org/10.1590/S0102-36162009000200002
Merriwether EN, Host HH, Sinacore DR. Sarcopenic indices in community-dwelling older adults. J Geriatr Phys Ther. 2012;35(3):118-25. DOI: http://dx.doi.org/10.1519/JPT.0b013e31823c4bef
Almeida CI, Saad M, Vieira MSR. Reabilitação em reumatologia geriátrica. Einstein. 2008;6(Supl 1):183-9.
Macedo C, Gazzola MI, Najas M. Síndrome da fragilidade no idoso: importância da fisioterapia. Arq Bras Ciênc Saúde. 2008;33(3):177-84.
Silva TAA, Frisoli Jr A; Pinheiro MM, Szejnfeld VL. Sarcopenia associada ao envelhecimento: aspectos etiológicos e opções terapêuticas. Rev Bras Reumatol. 2006;46(6)391-7. DOI: http://dx.doi.org/10.1590/S0482-50042006000600006
Giaquini F, Lini EV, Doring M. Prevalência de dificuldade de locomoção em idosos institucionalizados. Acta Fisiátr. 2017;24(1):1-6.
Chiu CS, Weber H, Adamski S, Rauch A, Gentile MA, Alves SE, et al. Non-invasive muscle contraction assay to study rodent models of sarcopenia. BMC Musculoskelet Disord. 2011;12:246. DOI: http://dx.doi.org/10.1186/1471-2474-12-246
Borges FR, Sergio JAA. Locomoção humana: diretrizes terapêuticas com base nos conhecimentos evolutivos. Arq Ciênc Saúde. 2004;11(2):72-5.
Jerre G, Silva TJ, Beraldo AM, Gastaldi A, Kondo C, Leme F, et al. Fisioterapia no Paciente sob Ventilação Mecânica. J Bras Pneumol. 2007;33(Supl 2):S142-S50. DOI: http://dx.doi.org/10.1590/S1806-37132007000800010
Jerre G, Beraldo AM, Silva TJ, Gastaldi A, Kondo C, Leme F, et al. Fisioterapia no paciente sob ventilação mecânica. Rev Bras Ter Int. 2007;19(3):399-407. DOI: http://dx.doi.org/10.1590/S0103-507X2007000300023
Sowers MR, Crutchfield M, Richards K, Wilkin MK, Furniss A, Jannausch M, et al. Sarcopenia is related to physical functioning and leg strength in middle-aged women. J Gerontol A Biol Sci Med Sci. 2005;60(4):486-90. DOI: http://dx.doi.org/10.1093/gerona/60.4.486
Vans WJ. Effects of exercise on senescent muscle. Clin Orthop Relat Res. 2002;(403 Suppl): S211-20.
Deschenes MR. Effects of aging on muscle fibre type and size. Sports Med. 2004;34(12):809-24. DOI: http://dx.doi.org/10.2165/00007256-200434120-00002
Cruz-Jentoft AJ, Landi F, Schneider SM, Zúñiga C, Arai H, Boirie Y, et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing. 2014;43(6):748-59. DOI: http://dx.doi.org/10.1093/ageing/afu115
Senior HE, Henwood TR, Beller EM, Mitchell GK, Keogh JW. Prevalence and risk factors of sarcopenia among adults living in nursing homes. Maturitas. 2015;82(4):418-23. DOI: http://dx.doi.org/10.1016/j.maturitas.2015.08.006
Miszko TA, Cress ME, Slade JM, Covey CJ, Agrawal SK, Doerr CE. Effect of strength and power training on physical function in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2003;58(2):171-5. DOI: http://dx.doi.org/10.1093/gerona/58.2.M171
Porter MM.Power training for older adults. Appl Physiol Nutr Metab. 2006;31(2):87-94. DOI: http://dx.doi.org/10.1139/h05-034
Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510-30. DOI: http://dx.doi.org/10.1249/MSS.0b013e3181a0c95c
Landi F, Abbatecola AM, Provinciali M, Corsonello A, Bustacchini S, Manigrasso L, et al. Moving against frailty: does physical activity matter? Biogerontology. 2010;11(5):537-45. DOI: http://dx.doi.org/10.1007/s10522-010-9296-1
Wang C, Bai L. Sarcopenia in the elderly: basic and clinical issues. Geriatr Gerontol Int. 2012;12(3):388-96. DOI: http://dx.doi.org/10.1111/j.1447-0594.2012.00851.x
Rivier E, Gauthier T, Krieg MA, Cosnier R, Piessevaux I, Preiswerk S, et al. Multispectral bioimpedance and sarcopenia in the elderly. Rev Med Suisse. 2012;8(334):698-704.
Baptista RR, Vaz MA. Arquitetura muscular e envelhecimento: adaptação funcional e aspectos clínicos: revisão da literatura. Fisioter Pes. 2009. 16(4):368-73. DOI: http://dx.doi.org/10.1590/S1809-29502009000400015
Motalebi SA, Cheong LS, Iranagh JA, Mohammadi F. Effect of low-cost resistance training on lower-limb strength and balance in institutionalized seniors. Exp Aging Res. 2018;44(1):48-61. DOI: http://dx.doi.org/10.1080/0361073X.2017.1398810
Faria JC, Machala CC, Dias RC, Dias JMD. Importância do treinamento de força na reabilitação da função muscular, equilíbrio e mobilidade de idosos. Acta Fisiátr. 2003;10(3):133-7.
Hassan BH, Hewitt J, Keogh JW, Bermeo S, Duque G, Henwood TR. Impact of resistance training on sarcopenia in nursing care facilities: A pilot study. Geriatr Nurs. 2016;37(2):116-21. DOI: http://dx.doi.org/10.1016/j.gerinurse.2015.11.001
Lopez P, Pinto RS, Radaelli R, Rech A, Grazioli R, Izquierdo M, et al. Benefits of resistance training in physically frail elderly: a systematic review. Aging Clin Exp Res. 2017 Nov 29. Doi: 10.1007/s40520-017-0863-z DOI: http://dx.doi.org/10.1007/s40520-017-0863-z
Binder EF, Schechtman KB, Ehsani AA, Steger-May K, Brown M, Sinacore DR, et al. Effects of exercise training on frailty in community-dwelling older adults: results of a randomized, controlled trial. J Am Geriatr Soc. 2002;50(12):1921-8. DOI: http://dx.doi.org/10.1046/j.1532-5415.2002.50601.x
Liu CJ, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev. 2009;(3):CD002759. DOI: http://dx.doi.org/10.1002/14651858.CD002759.pub2
Silva NL, Farinatti PTV. Influência de variáveis do treinamento contra-resistência sobre a força muscular de idosos: uma revisão sistemática com ênfase nas relações dose-resposta. Rev Bras Med Esporte. 2007; 13(1): 60-6. DOI: http://dx.doi.org/10.1590/S1517-86922007000100014
Sullivan DH, Roberson PK, Johnson LE, Bishara O, Evans WJ, Smith ES, et al. Effects of muscle strength training and testosterone in frail elderly males. Med Sci Sports Exerc. 2005;37(10):1664-72. DOI: http://dx.doi.org/10.1249/01.mss.0000181840.54860.8b
Chandler JM, Duncan PW, Kochersberger G, Studenski S. Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders? Arch Phys Med Rehabil. 1998;79(1):24-30. DOI: http://dx.doi.org/10.1016/S0003-9993(98)90202-7
Tribees S, Virtuoso Junior S. Prescrição de exercícios físicos para idosos. Rev Saúde Com. 2005;1(2):163-72.
Lemos A, Simão R, Monteiro W, Polito M, Novaes J. Desempenho da força em idosas após duas intensidades do exercício aeróbico. Rev Bras Med Esporte. 2008;14(1):28-32. DOI: http://dx.doi.org/10.1590/S1517-86922008000100005
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