KMID : 1130220170210010017
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Annals of Geriatric Medicine and Research 2017 Volume.21 No. 1 p.17 ~ p.23
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Responsiveness of Gait Speed to Physical Exercise Interventions in At-risk Older Adults: A Systematic Review and Meta-Analysis
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Lim Jae-Hyun
Lim Jae-Young
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Abstract
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Background: In at-risk older adults, gait speed is an important factor associated with quality of life and falling risk. In this study, we assessed whether therapeutic exercise could improve gait speed.
Methods: We conducted a meta-analysis to evaluate the ¡®best¡¯ therapeutic exercise method by analyzing each exercise in terms of intensity, type, and several gait speed indices. For the analysis, we gathered 122 papers through a database search and selected 9 (n=627) that were appropriate for the meta-analysis.
Results: In 8 of the 9 included papers, gait speed improved with therapeutic exercise. Usual gait speed (n=246) improved more than maximal gait speed (n=574). A resistance program was more effective than a nonresistance program for improving maximal, but not usual, gait speed. We also found that the effects of therapeutic exercise were greater in noncommunity than in community-dwelling elderly people.
Conclusion: In conclusion, therapeutic exercise was effective in improving gait speed.
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KEYWORD
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Frail elderly, Gait, Exercise therapy, Resistance training, Meta-analysis
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