Volume 13, Issue 3 (10-2018)                   Salmand: Iranian Journal of Ageing 2018, 13(3): 372-383 | Back to browse issues page

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Beyranvand R, Sahebozamani M, Daneshjoo A. The Role of Ankle and Knee Joints Proprioceptive Acuity in Improving the Elderly Balance After 8-Week Aquatic Exercise. Salmand: Iranian Journal of Ageing 2018; 13 (3) :372-383
URL: http://salmandj.uswr.ac.ir/article-1-1400-en.html
1- Department of Sport Injury & Corrective Exercises, Faculty of Physical Education, Shahid Bahonar University of Kerman, Kerman, Iran. , ramin_beyranvand@yahoo.com
2- Shahid Bahonar University of KermanDepartment of Sport Injury & Corrective Exercises, Faculty of Physical Education, Shahid Bahonar University of Kerman, Kerman, Iran.
3- Department of Sport Injury & Corrective Exercises, Faculty of Physical Education, Shahid Bahonar University of Kerman, Kerman, Iran.
Abstract:   (7637 Views)
Objectives Proprioception improvement in lower limb joints plays an important role in reducing falling risk in the elderly. Since proprioception improvement in the lower limb joints have the most relevance to better balance in the elderly, this study aimed to investigate the role of ankle and knee joint proprioception on balance improvement in the elderly after an aquatic exercise program.
Methods & Materials total of 30 elderly male (60-70 years old) were randomly selected and classified into intervention and control groups. Postural sway parameters and proprioception acuity were evaluated using the Biodex balance system and photography method, respectively. Then the intervention group participated in an aquatic exercise program for 8 weeks while the control group did not receive any intervention. All subjects were reassessed upon completion of the intervention program and the Pearson correlation test was used for data analysis (P≤0.05).
Results The results of this study showed a significant relationship between the changes of the ankle joint proprioception and the postural control ability after conducting the 8 weeks of aquatic exercise program (P<0.05); while the above relationship was not significant in the case of the knee joint (P>0.05).
Conclusion It seems that the improvement in ankle joint proprioception plays a more important role in improving the postural control ability of the elderly compared with the other lower limb joints. Accordingly, it is recommended that the special role of the ankle joint should be more considered in the exercise planning for balance improvement in the elderly.
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Type of Study: Research | Subject: Physical Medicine
Received: 2018/05/26 | Accepted: 2018/08/23 | Published: 2018/10/01

1. Abdoli B, Shams A, Shamsipour Dehkordi P. [The effect of practice type on static and dynamic balance in elderly 60-75 year old women with no history of falling (Persian)]. Daneshvar Medicine. 2012; 19(97):43-50.
2. Almeida S, Soldera C, Carli G, Gomes I, Resende T. Analysis of extrinsic and intrinsic factors that predispose elderly individuals to fall. Revista da Associação Médica Brasileira. 2012; 58(4):427-33. [DOI:10.1016/S0104-4230(12)70224-5] [DOI:10.1016/S0104-4230(12)70224-5]
3. Shupert C, Horak F. Balance and falls in the older adult. Portland: Vestibular Disorders Association; 2016.
4. Hof AL, Curtze C. A stricter condition for standing balance after unexpected perturbations. Journal of Biomechanics. 2016; 49(4):580-5. [DOI:10.1016/j.jbiomech.2016.01.021] [PMID] [DOI:10.1016/j.jbiomech.2016.01.021]
5. Bagheri H. [The effect of 8-weeks aquatic exercise on balance strategy and knee joint position sense of 60-70 year old people (Persian)] [MSc. thesis]. Kerman: Shahid Bahonar University of Kerman; 2014.
6. Ribeiro F, Oliveira J. Aging effects on joint proprioception: The role of physical activity in proprioception preservation. Neurobiology of aging. 2007; 4(2):71-6. [DOI:10.1007/s11556-007-0026-x] [DOI:10.1007/s11556-007-0026-x]
7. Han J, Anson J, Waddington G, Adams R, Liu Y. The role of ankle proprioception for balance control in relation to sports performance and injury. BioMed Research International. 2015; 2015: 842804. [DOI:10.1155/2015/651048] [PMID] [PMCID] [DOI:10.1155/2015/651048]
8. Shim AL, Steffen K, Hauer P, Cross P, Van Ryssegem G. The effects of balance training on stability and proprioception scores of the ankle in college students. International Journal of Kinesiology & Sports Science. 2015; 3(4):16-21.
9. Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: A review of the literature. Maturitas. 2013; 75(1):51-61. [DOI:10.1016/j.maturitas.2013.02.009] [PMID] [DOI:10.1016/j.maturitas.2013.02.009]
10. Seyedjafari E, Sahebozamani M, Beyranvand R, Ebrahimipoor E, Razavi M. The effect of 8 weeks deep-aquatic exercises on static balance and lower body strength among elderly men. International Journal of Applied Exercise Physiology. 2017; 6(1):86-98. [DOI:10.22631/ijaep.v6i1.115]
11. Waller B, Ogonowska-Słodownik A, Vitor M, Rodionova K, Lambeck J, Heinonen A, et al. The effect of aquatic exercise on physical functioning in the older adult: A systematic review with meta-analysis. Age and Ageing. 2016; 45(5):593-601. [DOI:10.1093/ageing/afw102] [PMID] [DOI:10.1093/ageing/afw102]
12. Nobahar Ahari M, Nejati V, Hosseini A. [Comparing age-ralated changes of balance performance In youth and older adults (Persian)]. Iranian Journal of Ageing. 2010; 5(1):35-41.
13. Mahdavi-Ortakvand S, Farzaneh-Hesari A, Zarei 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 (Persian)]. Journal of Sabzevar University of Medical Sciences. 2013; 20(3):302-9.
14. Pereira HM, de Campos TF, Santos MB, Cardoso JR, de Camargo Garcia M, Cohen M. Influence of knee position on the postural stability index registered by the Biodex Stability System. Gait Posture. 2008; 28(4):668-72. [DOI:10.1016/j.gaitpost.2008.05.003] [PMID] [DOI:10.1016/j.gaitpost.2008.05.003]
15. Malekzadeh H, Seidi F, Rajabi R. [Effect of circadian rhythms on knee joint position sense in men college soccer players (Persian)]. Journal of Research in Rehabilitation Sciences. 2015; 11(2):179-90.
16. Pour Kazemi F, Naseri N, Bagheri H, Fakhari Z. [Reliability of a system consists of skin markers, digital photography, and AutoCAD software for measuring the knee angles (Persian)]. Journal of Modern Rehabilitation. 2009; 2(3):19-24.
17. Nasseri N, Hadian MR, Bagheri H, Olyaei STG. Reliability and accuracy of joint position sense measurement in the laboratory and clinic; utilising a new system. Acta Medica Iranica. 2007; 45(5):395-404.
18. Stillman B. An investigation of the clinical assessment of joint position sense [PhD thesis]. Melbourne: The University of Melbourne; 2000.
19. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of Athletic Training. 2002; 37(4):364. [PMID] [PMCID] [PMID] [PMCID]
20. Rezazadeh N, Baluchi R. [The effect of 12 weeks exercise in the water and land on the static and dynamic balance and the risk of falling the old people (Persian)]. Iranian Journal of Ageing. 2016; 10(4):140-50.
21. Matias P, Costa M, Marinho D, Garrido N, Silva A, Barbosa T. Effects of a 12-weeks aquatic training program in body posture and balance. British Journal of Sports Medicine. 2013; 47(10):e3.51-e3. [DOI:10.1136/bjsports-2013-092558.55] [DOI:10.1136/bjsports-2013-092558.55]
22. Walker C, Oblock A, Dunn M, Vroom K, Hiatt J. The effects of an aquatic exercise program on dynamic and static balance of sedentary. Elders. 2016; 34.
23. Maki BE. Postural strategies. In: Binder MD, Hirokawa N, Windhorst U, editors. Encyclopedia of Neuroscience. Berlin: Springer; 2009. [DOI:10.1007/978-3-540-29678-2_4714] [DOI:10.1007/978-3-540-29678-2_4714]
24. Koenig J, Puckree T. Injury prevalence, stability and balance among female adolescent soccer players: sport injury. African Journal for Physical Health Education, Recreation and Dance. 2015; 21(1.1):81-91.
25. Geigle P, Cheek W, Gould M, Hunt H, Shafiq B. Aquatic physical therapy for balance: The interaction of somatosensory and hydrodynamic principles. Journal of Aquatic Physical Therapy. 1997; 5:4-10.
26. Özdemir N, Subasi S, Gelecek N, Sari S. The Effects of Pilates Exercise Training on Knee Proprioception-A Randomized Controlled Trial. DEÜ Tıp Fakültesi Dergisi. 2009; 23(2):71-9.
27. Sadeghi H, Hakim MN, Hamid TA, Amri SB, Razeghi M, Farazdaghi M, et al. The effect of exergaming on knee proprioception in older men: A randomized controlled trial. Archives of Gerontology and Geriatrics. 2017; 69:144-50. [DOI:10.1016/j.archger.2016.11.009] [PMID] [DOI:10.1016/j.archger.2016.11.009]
28. Ashton-Miller JA, Wojtys EM, Huston LJ, Fry-Welch D. Can proprioception really be improved by exercises. Knee Surgery, Sports Traumatology, Arthroscopy. 2001; 9(3):128-36. [DOI:10.1007/s001670100208] [DOI:10.1007/s001670100208]
29. Ahmad abadi F, Avandi S. [The effect of four weeks dynamic warm-up on static and dynamic balance and proprioceptive receptors in skilled female Gymnast (Persian)]. Journal of Physiology of Sport and Physical Activity. 2016; 17:1291-300.
30. Chang S, Zhou J, Hong Y, Sun W, Cong Y, Qin M, et al. Effects of 24-week Tai Chi exercise on the knee and ankle proprioception of older women. Research in Sports Medicine. 2016; 24(1):84-93. [DOI:10.1080/15438627.2015.1126281] [PMID] [DOI:10.1080/15438627.2015.1126281]
31. Sadeghi M, Rahnama N, Sadeghi H, Faramarzi M. [Effect of 8 weeks neuromuscular exercise on ankle joint proprioception on male soccer players (Persian)]. Research in Sport Rehabilitation. 2016; 3(6):49-58.
32. Hall J, Swinkels A, Briddon J, McCabe CS. Does aquatic exercise relieve pain in adults with neurologic or musculoskeletal disease? A systematic review and meta-analysis of randomized controlled trials. Archives of Physical Medicine and Rehabilitation. 2008; 89(5):873-83. [DOI:10.1016/j.apmr.2007.09.054] [PMID] [DOI:10.1016/j.apmr.2007.09.054]
33. Douris P, Southard V, Varga C, Schauss W, Gennaro C, Reiss A. The effect of land and aquatic exercise on balance scores in older adults. Journal of Geriatric Physical Therapy. 2003; 26(1):3-6. [DOI:10.1519/00139143-200304000-00001] [DOI:10.1519/00139143-200304000-00001]

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