Effect of Additional Strengthening Exercises using Resistance Bands on Quadriceps Femoris Muscle Strength in Elderly
DOI:
https://doi.org/10.36408/mhjcm.v9i1.677Keywords:
Resistance band, balance training, quadriceps femoris, elderlyAbstract
Abstract
Background : Decreased muscle strength and balance disorders that occur in elderly are risk factors for falls. The quadriceps femoris muscle is a predictor of falls and one of the determinants of functional ability in activities of daily living. Balance exercise is one of the exercises to improve the balance of the elderly. Strengthening exercises with resistance bands provide resistance using a stretched elastic band. The objectives of this study was to determine the effect of additional strengthening exercises using resistance bands on increasing the strength of the quadriceps femoris muscle in the elderly who received balance training.
Methods: This study is a randomized experimental design with pre and post test design. The subjects were elderly, aged 60-70 years. Subjects were divided into two groups, control group (n=12) and intervention group (n=12). The intervention groups were given balance training 3 times per week for 5 weeks and added strengthening exercises using resistance bands 3 times per week for 5 weeks. The control group only did balance training. Before and after treatment, the strength of the quadriceps femoris muscle was measured in both groups.
Results: Statistically significant differences were obtained for right quadriceps femoris muscle strength (p=0.001) and left quadriceps femoris muscle strength (p=0.001) pre and post treatment in the intervention group. In the comparison between groups, there were an increase in the mean muscle strength of the right and left quadriceps femoris, but there were no statistically significant differences in the right quadriceps femoris muscle strength (p=0.088) and left quadriceps femoris muscle strength (p = 0.093).
Conclusion: The addition of a resistance band to balance training for 5 weeks had a clinical effect on the quadriceps femoris muscles strength in the elderly but had no statistically significant differences.
Keywords: Resistance band, balance training, quadriceps femoris, elderly
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References
United Nations. 2017. Department of Economic and Social Affairs. World Population Ageing 2017 Highlights. New York: United Nations.
Kementerian Kesehatan RI. 2017. Gambaran Kesehatan Lanjut Usia di Indonesia. Dalam; Buletin Jendela Data dan Informasi Kesehatan. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan RI. hal1-18.
Silviliyana, M dkk. 2018. Statistik Penduduk Usia Lanjut. Jakarta: Badan Pusat Statistik
Kementerian Kesehatan RI. 2017. Situasi dan Analisa Lanjut Usia. Pusat Data dan Informasi Kementerian Kesehatan RI.
Glenn N Williams, Michael J Higgins, Lewek MD. 2002. Aging Skeletal Muscle: Physiologic Changes and the Effects of Training. J Phys Ther 62-8.
Kirkendall DT. Garret WE. 2009. The Effects of Aging and Training on Skeletal Muscle. The Arm J Sport Med. pp 26:4.
Wardhani IR N, Tamin TZ, Wahyudi ER, Kekalih A. 2011. Kekuatan Otot dan Mobilitas Usia Lanjut Setelah Latihan Penguatan Isotonik Quadriceps Femoris di Rumah. Majalah Kedokteran Indonesia 61(1):3-8.
Wearing J, et al. 2019. Quadriceps Muscle Strength is A Discriminant Predictor of Dependence in Daily Activities in Nursing Home Residents. Plos One.
Kloos A.D & Heiss D.G. 2007. Exercise for Impaired Balance. Kisner C & Colby L.A 5th ed. Therapeutic Exercise. Philadelphia. Hal:251-272
Milanovic Z, Pantelic S, Trajkovic N, Sporis G, Kostic R, James N. 2013. Age Related Decrease in Physical Activity and Functional Fitness Among Elderly Men and Women. (8):549-56.
Halvarsoon A. et al. 2015. Taking Balance Training for Older Adults One Step Further: The Rationale for and A Description of A Proven Balance Training Programme. Clinical Rehabilitation, Vol. 29(5) 417–425
Vafaeenasab et. al. 2019. The Effect of Lower Limb Resistance Exercise with Elastic Band on Balance, Walking Speed, and Muscle Strength in Elderly Women. Elderly Health Journal; 5(1): 58-64.
Martin, et al. 2013. Elastic Resistance Training to Increase Muscle Strength in Elderly: A Systematic Review with Meta-Analysis. Archives of Gerontology and Geriatrics (57);8–15
Ahn, N dan Kim, K. 2015. Effects of an Elastic Band Resistance Exercise Program on Lower Extremity Muscle Strength and Gait Ability in Patients with Alzheimer’s Disease. J. Phys. Ther. Sci. 27: 1953–19
Maayah MF, Al-Jarrah MD, El Zahrani SS, Alzahrani AH, Ahmedv ET, Abdel-Aziem AA, et al. 2012. Test-Retest Strength Reliability of The Electronic Push/Pull Dynamometer (EPPD) in The Measurement of The Quadriceps and Hamstring Muscles on A New Chair. Open Journal of Internal Medicine;2(02):123.
Kim, Kyung et al. 2010. Characteristic Analysis of The Isokinetic Strength in Lower Limbs of The Elderly on Training for Postural Control. International Journal of Precision Engineering and Manufacturing vol. 11, no. 6, pp. 955-967. doi: 10.1007/s12541-010-0116-y
Heitkamp, HC et al. 2001. Gain in Strength and Muscular Balance after Balance Training. Int J Sports Med;22:285-290
Seo BD, Kim BJ, Singh K. 2012. The Comparison of Resistance and Balance Exercise on Balance and Fall Efficacy in Older Females. European Geriatric Medicine; 3: 312-6.
Aktug, ZB. 2020. Do The Exercises Performed with A Theraband Have an Effect on Knee Muscle Strength Balances? J Back Musculoskelet Rehabil.33(1):65–71.
Page P, Ellenbecker T. 2003. The Scientific and Clinical Application of Elastic Resistance. Champaign: Human Kinetics Publishing Inc.
Martin, WR et al. 2015. Effects of Short Term Elastic Resistance Training on Muscle Mass and Strength in Untrained Older Adults: A Randomized Clinical Trial. BMC Geriatrics;15:99
Saeterbakken AH, et al. 2018. Effects of Strength Training on Muscle Properties, Physical Function, and Physical Activity among Frail Older People: A Pilot Study. Journal of Aging Research.
Lacroix A, et al. 2016. Effects of A Supervised Versus an Unsupervised Combined Balance and Strength Training Program on Balance and Muscle Power in Healthy Older Adults: A Randomized Controlled Trial. Gerontology;62:275–88.
Bordoni Bruno, et al. 2018. Anatomy, Bony Pelvis and Lower Limb, Thigh Quadriceps Muscle. StatPearls Publishing LLC.
Spinoso, DH, et al. 2018. Quadriceps Muscle Weakness Influences The Gait Pattern in Women with Knee Osteoarthritis. Advances in Rheumatology; 58:26.
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