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      Clinical Interventions in Aging (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on prevention and treatment of diseases in people over 65 years of age. Sign up for email alerts here.

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      Physical performance in recently aged adults after 6 weeks traditional Thai dance: a randomized controlled trial

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          Abstract

          Background

          Exercise has been shown to be effective in cardiovascular endurance in the elderly. We studied the effect of Thai dancing on physical performance of Thai elderly.

          Methods

          This was an open-labeled, randomized intervention study. The Thai dancing group exercised for 40 minutes three times a week for 6 weeks. Physical performance ability was the primary outcome, including a 6-minute walk test (6MWT), five-times sit-to-stand (FTSST), and a sit-and-reach test measured before and after 6 weeks of intervention.

          Results

          There were 42 subjects enrolled in the study, and 38 female subjects completed (20 in Thai dance group, 18 controls), with an average age of 65.8 ± 5.1 years. The Thai dance group had significantly better physical performance in all measurements at the end of the study. The 6MWT was longer (416.7 ± 58.7 versus 345.7 ± 55.1 m; P = 0.011), FTSST was quicker (10.2 ± 1.5 versus 14.4 ± 3.3 seconds; P < 0.001), and flexibility was higher (14.9 ± 3.5 versus 11.1 ± 5.7 cm; P = 0.002) in the Thai dance group than the control group.

          Conclusion

          Thai dance can improve physical performance in recently aged (elderly) female adults.

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          Most cited references21

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          Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people.

          Sit-to-stand (STS) performance is often used as a measure of lower-limb strength in older people and those with significant weakness. However, the findings of recent studies suggest that performance in this test is also influenced by factors associated with balance and mobility. We conducted a study to determine whether sensorimotor, balance, and psychological factors in addition to lower-limb strength predict sit-to-stand performance in older people. Six hundred and sixty nine community-dwelling men and women aged 75-93 years (mean age 78.9, SD = 4.1) underwent quantitative tests of strength, vision, peripheral sensation, reaction time, balance, health status, and sit-to-stand performance. Many physiological and psychological factors were significantly associated with sit-to-stand times in univariate analyses. Multiple regression analysis revealed that visual contrast sensitivity, lower limb proprioception, peripheral tactile sensitivity, reaction time involving a foot-press response, sway with eyes open on a foam rubber mat, body weight, and scores on the Short-Form 12 Health Status Questionnaire pain, anxiety, and vitality scales in addition to knee extension, knee flexion, and ankle dorsiflexion strength were significant and independent predictors of STS performance. Of these measures, quadriceps strength had the highest beta weight, indicating it was the most important variable in explaining the variance in STS times. However, the remaining measures accounted for more than half the explained variance in STS times. The final regression model explained 34.9% of the variance in STS times (multiple R =.59). The findings indicate that, in community-dwelling older people, STS performance is influenced by multiple physiological and psychological processes and represents a particular transfer skill, rather than a proxy measure of lower limb strength.
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            Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test.

            People with balance disorders are characterized as having difficulty with transitional movements, such as the sit-to-stand movement. A valid and feasible tool is needed to help clinicians quantify the ability of people with balance disorders to perform transitional movements. The purpose of this study was to describe the concurrent and discriminative validity of data obtained with the Five-Times-Sit-to-Stand Test (FTSST). The FTSST was compared with the Activities-specific Balance Confidence Scale (ABC) and the Dynamic Gait Index (DGI). Eighty-one subjects without balance disorders and 93 subjects with balance disorders were recruited for the study. Each subject was asked to stand from a 43-cm-high chair 5 times as quickly as possible. The ABC and DGI scores were recorded. Subjects with balance disorders performed the FTSST more slowly than subjects without balance disorders. Discriminant analysis demonstrated that the FTSST correctly identified 65% of subjects with balance dysfunction, the ABC identified 80%, and the DGI identified 78%. The ability of the FTSST to identify subjects with balance dysfunction was better for subjects younger than 60 years of age (81%). The FTSST displays discriminative and concurrent validity properties that make this test potentially useful in clinical decision making, although overall the ABC and the DGI are better than the FTSST at discriminating between subjects with and subjects without balance disorders.
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              The five-times-sit-to-stand test: validity, reliability and detectable change in older females.

              The five-times-sit-to-stand test (FTSST) is a physical performance test commonly-used in clinical geriatric studies. The relationship between FTSST times and dynamic balance has not been widely investigated in older adults. The main objective of this study was to evaluate the validity of the FTSST as a measure of dynamic balance in older adults. A second objective was to quantify relative and absolute reliability, as well as minimum detectable change (MDC) of the FTSST in older adults. Twenty-nine females (mean age, 73.6 years) performed two trials of the FTSST, timed up and go (TUG), and functional reach (FR) tests. Validity of the FTSST as a measure of dynamic balance was evaluated by quantifying strength of relationships between the FTSST and two measures of dynamic balance, TUG and FR, using Pearson's correlation coefficient. Measures of relative [intraclass correlation coefficient (ICC)] and absolute [standard error of measurement (SEM)] reliability, as well as the MDC at the 95% confidence level (MDC 95 ) were computed for the FTSST. The Pearson's correlation coefficient between FTSST and TUG (r=0.64, p<0.001) indicates that FTSST is a valid measure of dynamic balance and functional mobility in older adults. The ICC 2,1 of 0.95 is indicative of excellent relative reliability of the FTSST. SEM was 0.9 seconds and MDC 95 was 2.5 seconds for the FTSST. SEM (6.3% of mean FTSST) and MDC (17.5% of mean FTSST) percent values were low. The FTSST is a valid measure of dynamic balance and functional mobility in older adults. The high ICC and low SEM and SEM% suggest excellent relative and absolute reliability and reproducibility of the FTSST in older adults. Change in FTSST performance should exceed 2.5 seconds to be considered real change beyond measurement error.
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                Author and article information

                Journal
                Clin Interv Aging
                Clin Interv Aging
                Clinical Interventions in Aging
                Dove Medical Press
                1176-9092
                1178-1998
                2013
                2013
                24 July 2013
                : 8
                : 855-859
                Affiliations
                [1 ]School of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University, Khon Kaen, Thailand
                [2 ]Improvement of Physical Performance and Quality of Life Research Group, Khon Kaen University, Khon Kaen, Thailand
                [3 ]Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
                [4 ]Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
                [5 ]Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
                [6 ]Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
                [7 ]Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
                Author notes
                Correspondence: Kittisak Sawanyawisuth, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand, Tel +66 43 363 664, Fax +66 43 348 399, Email kittisak@ 123456kku.ac.th
                Article
                cia-8-855
                10.2147/CIA.S41076
                3740823
                23950640
                9e8dc35b-1ccd-44e5-a972-6d9ea68e5e68
                © 2013 Janyacharoen et al, publisher and licensee Dove Medical Press Ltd

                This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

                History
                Categories
                Original Research

                Health & Social care
                recently aged (elderly) adults,exercise,thai dancing
                Health & Social care
                recently aged (elderly) adults, exercise, thai dancing

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