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Titre du document / Document title

Long-term exercise and its effect on balance in older, osteoarthritic adults : Results from the Fitness, Arthritis, and Seniors Trial (FAST)

Auteur(s) / Author(s)

MESSIER S. P. (1) ; ROYER T. D. (1) ; CRAVEN T. E. (2) ; O'TOOLE M. L. (3) ; BURNS R. (4) ; ETTINGER W. H. (5) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) J.B. Snow Biomechanics Lahoratory, Department of Health and Exercise Science, Wake Forest University, Winston-Salem, North Carolina, ETATS-UNIS
(2) Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, ETATS-UNIS
(3) Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, ETATS-UNIS
(4) Department of Internal Medicine, University of Tennessee, Memphis, Tennessee, ETATS-UNIS
(5) Department of Orthopedic Surgery, University of Tennessee, Memphis, Tennessee, ETATS-UNIS

Résumé / Abstract

OBJECTIVES: To examine the effects of 18-month aerobic walking and strength training programs on static postural stability among older adults with knee osteoarthritis. DESIGN: Randomized, single-blind, clinical trial of therapeutic exercise. SETTING: Both center-based (university) and home-based. PARTICIPANTS: A cohort of 103 older adults (age = 60 years) with knee osteoarthritis who were participants in a large (n = 439) clinical trial and who were randomly assigned to undergo biomechanical testing. INTERVENTION: An 18-month center- (3 months) and home-based (15 months) therapeutic exercise program. The subjects were randomized to one of three treatment arms: (1) aerobic walking; (2) health education control; or (3) weight training. MEASUREMENTS: Force platform static balance measures of average length (Rm) of the center of pressure (COP), average velocity (Vel) of the COP, elliptical area (Ae) of the COP, and balance time (T). Measures were made under four conditions: eyes open, double- and single-leg stances and eyes closed, double- and single-leg stances. RESULTS: In the eyes closed, double-leg stance condition, both the aerobic and weight training groups demonstrated significantly better sway measures relative to the health education group. The aerobic group also demonstrated better balance in the eyes open, single-leg stance condition. CONCLUSIONS: Our results suggest that long-term weight training and aerobic walking programs significantly improve postural sway in older, osteoarthritic adults, thereby decreasing the likelihood of larger postural sway disturbances relative to a control group.

Revue / Journal Title

Journal of the American Geriatrics Society    ISSN  0002-8614 

Source / Source

2000, vol. 48, no2, pp. 131-138 (49 ref.)

Langue / Language

Anglais

Editeur / Publisher

Wiley-Blackwell, Hoboken, NJ, ETATS-UNIS  (1953) (Revue)

Mots-clés anglais / English Keywords

Osteoarthritis

;

Knee

;

Physical exercise

;

Treatment efficiency

;

Long term

;

Posture

;

Cohort study

;

Statistical analysis

;

Public health

;

Equilibrium disorder

;

Elderly

;

Prevention

;

Sanitary program

;

Human

;

Diseases of the osteoarticular system

;

Arthropathy

;

Degenerative disease

;

Knee disease

;

Nervous system diseases

;

ENT disease

;

Mots-clés français / French Keywords

Arthrose

;

Genou

;

Exercice physique

;

Efficacité traitement

;

Long terme

;

Posture

;

Etude cohorte

;

Analyse statistique

;

Santé publique

;

Trouble équilibre

;

Personne âgée

;

Prévention

;

Programme sanitaire

;

Homme

;

Système ostéoarticulaire pathologie

;

Arthropathie

;

Maladie dégénérative

;

Genou pathologie

;

Système nerveux pathologie

;

ORL pathologie

;

Mots-clés espagnols / Spanish Keywords

Artrosis

;

Rodilla

;

Ejercicio físico

;

Eficacia tratamiento

;

Largo plazo

;

Postura

;

Estudio cohorte

;

Análisis estadístico

;

Salud pública

;

Trastorno equilibrio

;

Anciano

;

Prevención

;

Programa sanitario

;

Hombre

;

Sistema osteoarticular patología

;

Artropatía

;

Enfermedad degenerativa

;

Rodilla patología

;

Sistema nervioso patología

;

ORL patología

;

Localisation / Location

INIST-CNRS, Cote INIST : 8328, 35400008194913.0030

Nº notice refdoc (ud4) : 1282265



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