The Pilates method improves the relationship agonist-antagonist flexor and extensor knee in elderly: a randomized controlled trial.
Oliveira, Lais Campos de; Oliveira, Raphael Gonçalves de; Pires-Oliveira, Deise Aparecida de A.
Abstract
Introduction: Due the increase in elderly population, a increase concern in considering factors that can contribute to healthy aging. The muscle strength of the lower limbs and the improvement of the agonist-antagonist relationship and knee extensor and flexors, enable greater independence in older people. Objective: To investigate the effects of Pilates method in agonist-antagonist relationship in knee extensor and flexor in healthy older women. Methods: Thirty-two elderly woman were randomly divided into two groups. Experimental group (EG, n = 16, 63.62 ± 1.02 years) and control group (CG, n = 16, 64.21 ± 0.80). Isokinetic evaluation of the knee extensors and flexors was held at 180°/s, pre and post-intervention, considering the agonist-antagonist ratio (%). The experimental and control groups participated of Pilates sessions and static stretching, respectively, twice a week for 12 weeks. To verify the normality of the data was used the Shapiro-Wilk test followed by the Student t test to compare the differences between the pre and post evaluation (p <0.05). Results: It was possible to identify a statistically significant improvement in agonist-antagonist relationship between the pre and post-intervention only for the GE (p <0.005) for both the right lower limb and for left lower limb. Conclusion: The Pilates method improves the relationship agonist-antagonist of the knee extensor and flexor muscles after 12 weeks of intervention. Registro Brasileiro de Ensaios Clínicos: RBR-472p29.
Keywords
References
1. Christensen K, Doblhammer G, Rau R, Vaupel JW. Ageing population: the challenges ahead. The Lancet 2009;374(9696):1196-1208.
2. Gomes I, Nogueira EL, Engroff P, Ely LS, Schwanke CHA, Carli GAD, Resende TL. The multidimensional study of the elderly in the Family health strategy in Porto Alegre, Brazil (EMI - SUS). Pan Am J Aging Res 2013;1(1):20-24.
3. Jagger C, Matthews R, Lindesay J, Robinson T, Croft P, Brayne C. The effect of dementia trends and treatments on longevity and disability: a simulation model based on the MRC Cognitive Function and Ageing Study (MRC CFAS). Age Ageing 2009;38(3):319-325.
4. Figueiredo CF, Assis MG, Silva SLA, Dias RC, Mancini MC. Functional and cognitive changes in community-dwelling elderly: Longitudinal study. Braz J Phys Ther 2013;17(3):297-306.
5. Rocha LM, Miró A, Schneider RH, Silva, IG, Schwanke CHA. An overview about geriatrics and aging in Brazil. Neurol Psychiatr Geriatr 2010;10(59):220-224.
6. Akishita M, Ishii S, Kojima T, Kozaki K, Kuzuya M, Arai H, Arai H, Eto M, Takahashi R, Endo H, Horie S, Ezawa K, Kawai S, Takehisa Y, Mikami H, Takegawa S, Morita A, Kamata M, Ouchi Y, Toba K. Priorities of health care outcomes for the elderly. J Am Med Dir Assoc 2013;14(7):479-484.
7. Oeseburg B, Hilberts R, Luten TA, Etten AVM, Slaets JPJ, Roodbol PF. Interprofessional education in primary care for the elderly: a pilot study. BMC Med Educ 2013;13:161.
8. Siewert U, Fendrich K, Markus MRP, Baumeister SE, Doblhammer-Reiter G, Scholz RD, Hoffmann W. Future outpatient health-care utilization in an ageing population: projections up to the year 2020 based on the study of health in Pomerania(SHIP). J Public Health 2013;21(3):289-296.
9. Nilwik R, Snijders T, Leenders M, Groen BBL, Kranenburg JV, Verdijk LB, Loon LJCV. The decline in skeletal muscle mass with aging is mainly attributed to a reduction in type II muscle fiber size. Exp Gerontol 2013;48(1):492-498.
10. Landi F, Liperoti R, Fusco D, Mastropaolo S, Quattrociocchi D, Proia A, Tosato M, Bernabel R, Onder G. Sarcopenia and Mortality among Older Nursing Home Residents. J Am Med Dir Assoc 2012;13(2):121-126. 11. Carter CS, Marzetti E, Leeuwenburgh C, Manini T, Foster TC, Groban L, Scarpace PJ, Morgan D. Usefulness of Preclinical Models for Assessing the Efficacy of Late-Life Interventions for Sarcopenia. J Gerontol A Biol Sci Med Sci 2012;67(1):17-27. 12. Sayer AA, Robinson SM, Patel HP, Shavlakadze T, Cooper C. Grounds MD. New horizons in the pathogenesis, diagnosisand management of sarcopenia. Age Ageing 2013;42(2):145-150.
13. Arnold P, Bautmans I. The influence of strength training on muscle activation in elderly persons: A systematic review and meta-analysis. Exp Gerontol 2014;58(1):58-68.
14. Hilde L, Torstveit MK, Anderssen SA. Traditional versus functional strength training: effects on muscle strength and power in the elderly. J Aging Phys Act 2013;21(1):51-70.
15. Stewart VH, Saunders DH, Greig CA. Responsiveness of muscle size and strength to physical training in very elderly people: A systematic review. Scand J Med Sci Sports 2013;24.
16. Solberg PA, Kvammeb NH, Raastad T, Ommundsena Y, Tomtenb SE, Halvaria H, Lolandc NW, Hallénb J. Effects of different types of exercise on muscle mass, strength, function and well-being in elderly. Eur J Sport Sci 2013;13(1):112-125.
17. Regterschot GR, Folkersma M, Zhang W, Baldus H, Stevens M, Zijlstra W. Sensitivity of sensor-based sit-to-stand peak power to the effects of training leg strength, leg power and balance in older adults. Gait Posture 2014;39(1):303-307.
18. Hasselgren L, Olsson LL, Nyberg L. Is leg muscle strength correlated with functional balance and mobility among inpatients in geriatric rehabilitation? Arch Gerontol Geriatr 2011;52(3):220-225.
19. Pérez VSC, Haas AN, Wolff SS. Analysis of activities in the daily lives of older adults exposed to the Pilates Method. J Bodywork Mov Ther 2013;17.
20. Vieira FT, Faria LM, Wittmann JI, Teixeira W, Nogueira LAC. The influence of Pilates method in quality of life of practitioners. J Bodywork Mov Ther 2013;17(4):483-487.
21. Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: A systematic review. Complement Ther Med 2012;20(4):253-262.
22. Luz MA, Costa LOP, Fuhro FF, Manzoni ACT, Oliveira NTB, Cabral CMN. Effectiveness of mat Pilates or equipment-based Pilates exercises in patients with chronic nonspecific low back pain: a randomized controlled trial. Phys Ther 2014;16.
23. Appell IPC, Pérez VR, Nascimento MM, Coriolano HJA. The Pilates Method to Improve Body Balance in the Elderly. Arch Exerc Health Dis 2012;3(3):188-193.
24. Mokhtari M, Nezakatalhossaini M, Esfarjani F. The Effect of 12-Week Pilates Exercises on Depression and Balance Associated with Falling in the Elderly. Procedia Soc Behav Sci 2013;70(25):1714-1723.
25. Kolyniak IEGG, Cavalcanti SMB, Aoki MS. Avaliação isocinética da musculatura envolvida na flexão e extensão do tronco: efeito do método Pilates. Rev. Bras Med Esp 2004;10(6):487-490.
26. Oliveira LC, Oliveira RG, Pires-Oliveira DAA. Effects of Pilates on muscle strength, postural balance and quality of life of older adults: a randomized, controlled, clinical trial. J. Phys Ther Sci 2015; 27:871-876.
27. Misic MM, Valentine RJ, Rosengren KS, Woods JA, Evans EM. Impact of training modality on strength and physical function in older adults. Gerontology 2009;55(4):411-416.
28. Lipschitz DA. Screening for nutritional status in the elderly. Prim Care 1994;21:55-67.
29 Hughes MA, Duncan PW, Rose DK, Chandler JM, Studenski SA. The relationship of postural sway to sensorimotor function, functional performance, and disability in the elderly. Arch Phys Med Rehabil 1996;77:567-572.
30. Stumbo TA, Merriam S, Nies K, Smith A, Spurgeon D, Weir JP. The effect of hand-grip stabilization on isokinetic torque at the knee. J Strength Cond Res 2001;15(3):372-377.
31. Bottaro M, Russo AF, Oliveira RJ. The effects of rest interval on quadriceps torque during an isokinetic testing protocol in elderly. J Sports Sci Med 2005;4:285-290.
32. Kong PW, Burns SF. Bilateral difference in hamstrings to quadriceps ratio in healthy males and females. Phys Ther Sport 2010;11(1):12-17.
33. Wright J, Ball N, Wood L. Fatigue, H/Q ratios and muscle coactivation in recreational football players. Isokinet Exerc Sci 2009;17(3):161-167.
34. Coombs R, Garbutt G. Developments in the use of hamsting/quadriceps ratio for the assessement of muscle balance. J Sports Sci Med 2002; 1(3):56-62.
35. Borg GAV. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982;14(5):377-381.
36. Di Lorenzo CE. Pilates: what is it? Should it be used in rehabilitation? Sports Health 2011;3(4):352-361.
37. Teixeira J, Carvalho P, Moreira C, Santos R. Isokinetic Assessment of Muscle Imbalances and Bilateral Differences between Knee Extensores and Flexores’ Strength in Basketball, Footbal, Handball and Volleyball Athletes. International Journal of Sports Science 2014;4(1):1-6.
38. Patsika G, Kellis E, Kofotolis N, Salonikidis K, Amiridis IG. Synergetic and antagonist muscle strength and activity in women with knee osteoarthritis. Journal of Geriatric Physical Therapy 2014;37(1):17-23.
39. Dias JMD, Arantes PM, Alencar MA, Faria JC, Machala CC, Camargos FF, Zazá DC. Relação isquiotibiais/quadríceps em mulheres idosas utilizando o dinamômetro isocinético. Rev Bras Fisioter 2004;8(2):111-115.
40. Karatrantoua K, Gerodimos V, Dipla K, Zafeiridis A. Whole-body vibration training improves flexibility, strength profile of knee flexors, and hamstrings-to-quadriceps strength ratio in females. J Sci Med Sport 2013;16(1):477-481.
41. Lopes L, Dalmut AB, Azevedo LS, Valério V, Coppatti N, Bona CC. Pico de torque e relação isquiotibiais/quadríceps de idosas praticantes de ginástica em dois grupos de convivência no contexto Passo Fundo – RS. Rev Bras Ciên Env Hum 2010;7(1):42-51.
42. Loturco I, Ugrinowitsch C, Roschel H, Tricoli V, González-Badillo JJ. Training at the optimum power zone produces similar performance improvements to traditional strength training. J Sports Sci Med 2013;12(1):109-115.
43. Locks RR, Costa TC, Koppe S, Yamaguti AM, Garcia MC, Gomes AR. Effects of strength and flexibility training on functional performance of healthy older people. Braz J Phys Ther 2012;16(3):184-190.
44. Melo MO, Gomes LE, Silva YO, Bonezi A, Loss JF. Assessment of resistance torque and resultant muscular force during Pilates hip extension exercise and its implications to prescription and progression. Braz J Phys Ther 2011;15(1):23-30.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email