The effect of 8 weeks of dynamic neuromuscular stabilization training on postural control, functional performance and quality of life in healthy elderly men

Rashid, Raeid; Sadeghi, Morteza; Almasoodi, Mohammad

doi:10.22059/sshr.2023.357363.1083

The effect of 8 weeks of dynamic neuromuscular stabilization training on postural control, functional performance and quality of life in healthy elderly men

Document Type : Research Paper

Authors

¹ Assistant professor of Corrective Exercise and Sport Injuries, Faculty of Sports Sciences, University of Isfahan, Isfahan, Iran

² Assistant professor of sport injuries and corrective exercises, Faculty of, physical education and spot sciences, University of Karbal, Karbala, Iraq.

10.22059/sshr.2023.357363.1083

Abstract

Background: Beyond biological changes, ageing is often associated with degenerative and progressive changes in functional and physiological performance. Different types of exercise and rehabilitation method were introduced for resolving or preventing aging complications.
Aim: The aim of this study was to investigate the effects of 8- week- dynamic neuromuscular stabilization (DNS) training on functional performance and quality of life in healthy elderly men.
Materials and Methods: Twenty-eight old men were selected by convenience sampling manner and divided randomly in two groups of experimental (n=13, age: 65.8±4.3 years, height: 1.63±5.92 cm, weight: 69.1±7.4 kg) and control (n=15, age: 66.3±3.8 years, height: 1.64±4.89 cm, weight: 70.1± 6.3 kg). The experimental group received neuromuscular stabilization training for 8 weeks and 3 sessions for 1 hour in a clinic in Baghdad. Static balance (by functional reach test), dynamic balance (by time-up and go test), functional performance (by Berge test), and quality of life (by Leiden-Padua (LEIPAD e questionnaire) were measured before and after training. Data was analyzed by repeated measure ANOVA in SPSS software. P value was set at P≤0.05.
Results: The results showed that the intergroup interaction in the variables of functional performance (F=53.3, P=0.00), quality of life (F=65.04, P=0.00), static (F=106.7, P=0.00) and dynamic (F=26.99, P=0.00) balance was significant with the superiority of the DNS group.
Conclusion: Postural control, functional performance and quality of life improved after training protocol. Therefore, DNS training can be used as a complementary method for rehabilitation of elderly.

Keywords

References

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[2] Naja S, Makhlouf M, Chehab MAH. “An ageing world of the 21st century: A literature review”. Int J Community Med Public Health. 2017; 4(12): 4363-9. https://doi.org/10.18203/2394-6040.ijcmph20175306.

[3] Aging Atlas: a multi-omics database for aging biology. Nucleic Acids Research. 2021; 49(D1): D825-D30.

[4] Kanasi E, Ayilavarapu S, Jones J. “The aging population: demographics and the biology of aging”. Periodontology. 2016; 72(1): 13-8. https://doi.org/10.1111/prd.12126.

[5] Cosco TD, Prina AM, Perales J, Stephan BC, Brayne C. “Operational definitions of successful aging: A systematic review”. International Psychogeriatrics. 2014; 26(3): 373-81. https://doi.org/10.1017/s1041610213002287.

[6] Yu A, Davydova T. “Problems of aging society, institutional and family care for the elderly”. Norwegian Journal of Development of the International Science. 2020(43-2): 22-8.

[7] Giovannini S, Brau F, Galluzzo V, Santagada DA, Loreti C, Biscotti L, et al. “Falls among older adults: screening, identification, rehabilitation, and management”. Applied Sciences. 2022; 12(15): 7934. https://doi.org/10.3390/app12157934.

[8] Hägglund P, Hägg M, Wester P, Levring Jäghagen E. “Effects of oral neuromuscular training on swallowing dysfunction among older people in intermediate care—a cluster randomised, controlled trial”. Age and Ageing. 2019; 48(4): 533-40. https://doi.org/10.1093/ageing/afz042.

[9] Sikora O, Lehnert M, Hanzlíková I, Hughes J. “The impact of a novel neuromuscular training program on leg stiffness, reactive strength, and landing biomechanics in amateur female rugby players”. Applied Sciences. 2023; 13(3): 1979. https://doi.org/10.3390/app13031979.

[10] Kobesova A, Valouchova P, Kolar P. “Dynamic Neuromuscular Stabilization: Exercises based on developmental kinesiology models”. Functional Training Handbook. 2014: 25-51. https://doi.org/10.1016/b978-0-7020-4980-4.00002-2.

[11] Kobesova A, Davidek P, Morris CE, Andel R, Maxwell M, Oplatkova L, et al. “Functional postural-stabilization tests according to Dynamic Neuromuscular Stabilization approach: Proposal of novel examination protocol”. Journal of Bodywork and Movement Therapies. 2020; 24(3): 84-95. https://doi.org/10.1016/j.jbmt.2020.01.009.

[12] Kobesova A, Andel R, Cizkova K, Kolar P, Kriz J. “Can exercise targeting mid-thoracic spine segmental movement reduce back pain and improve sensory perception in cross-country skiers?”. Clinical Journal of Sport Medicine. 2021; 31(2): e86-e94. https://doi.org/10.1097/jsm.0000000000000699.

[13] Bae WS. “The effect of Dynamic neuromuscular stabilization (DNS) on the respiratory function of subjects with forward head posture (FHP)”. Korean Society of Physical Medicine. 2021; 16(3): 55-64. https://doi.org/10.13066/kspm.2021.16.3.55.

[14] Kim DH, An DH, Yoo WG. “Effects of 4 weeks of dynamic neuromuscular stabilization training on balance and gait performance in an adolescent with spastic hemiparetic cerebral palsy”. Journal of Physical Therapy Science. 2017; 29(10): 1881-2. https://doi.org/10.1589/jpts.29.1881.

[15] Raghumahanti R, Chitkara E, Agarwal PR. “Effectiveness of dynamic neuromuscular stabilisation for improving trunk control in hemiplegic stroke: A scoping mini review”. Neuroscience Research Notes. 2022; 5(4): 160-. https://doi.org/10.31117/neuroscirn.v5i4.160.

[16] Kang H. “Sample size determination and power analysis using the G* Power software”. Journal of Educational Evaluation for Health Professions. 2021; 18. https://doi.org/10.3352/jeehp.2021.18.17.

[17] de Waroquier-Leroy L, Bleuse S, Serafi R, Watelain E, Pardessus V, Tiffreau AV, et al. “The Functional Reach Test: strategies, performance and the influence of age”. Annals of Physical and Rehabilitation Medicine. 2014; 57(6-7): 452-64. https://doi.org/10.1016/j.rehab.2014.03.003.

[18] Viteckova S, Krupicka R, Dusek P, Cejka V, Kutilek P, Novak J, et al. “The repeatability of the instrumented timed Up & Go test: The performance of older adults and parkinson’s disease patients under different conditions”. Biocybernetics and Biomedical Engineering. 2020; 40(1): 363-77. https://doi.org/10.1016/j.bbe.2019.12.001.

[19] Viveiro LAP, Gomes GCV, Bacha JMR, Junior NC, Kallas ME, Reis M, et al. “Reliability, validity, and ability to identity fall status of the Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in older adults who live in nursing homes”. Journal of Geriatric Physical Therapy. 2019; 42(4): E45-E54. https://doi.org/10.1519/jpt.0000000000000215.

[20] Shaabani J, Rahgoi A, Nourozi K, Rahgozar M, Shaabani M. “The relationship between self-efficacy and quality of life among elderly people”. Iranian Journal of Ageing. 2017; 11(4): 518-27. https://doi.org/10.21859/sija-1104518.

[21] Frank C, Kobesova A, Kolar P. “Dynamic neuromuscular stabilization & sports rehabilitation”. International Journal of Sports Physical Therapy. 2013; 8(1): 62.

[22] Nelson AJ, Certo LJ, Lembo LS, Lopez DA, Manfredonia EF, Vanichpong SK, et al. “The functional ambulation performance of elderly fallers and non-fallers walking at their preferred velocity”. Neuro Rehabilitation. 1999; 13(3): 141-6. https://doi.org/10.3233/nre-1999-13303.

[23] Mahdieh L, Zolaktaf V, Karimi MT. “Effects of dynamic neuromuscular stabilization (DNS) training on functional movements”. Human Movement Science. 2020; 70: 102568. https://doi.org/10.1016/j.humov.2019.102568.

[24] Dakin CJ, Bolton DA. “Forecast or fall: Prediction's importance to postural control”. Frontiers in Neurology. 2018; 9: 924. https://doi.org/10.3389/fneur.2018.00924.

[25] Massion J. “Postural control system”. Current Opinion in Neurobiology. 1994; 4(6): 877-87. https://doi.org/10.1016/0959-4388(94)90137-6.

[26] Paillard T. “Methods and strategies for reconditioning motor output and postural balance in frail older subjects prone to falls”. Frontiers in Physiology. 2021; 12: 700723. https://doi.org/10.3389/fphys.2021.700723.

[27] Resnick B. “Functional performance and exercise of older adults in long-term care settings”. SLACK Incorporated Thorofare. 2000: 7-9.

[28] Organization WH. International Classification of Functioning, Disability, and Health: Children & Youth Version. ICF-CY: World Health Organization. 2007. https://doi.org/10.1007/978-90-313-6953-9_2.

[29] Whiteneck GG. “Measuring what matters: key rehabilitation outcomes”. Archives of Physical Medicine and Rehabilitation. 1994; 75(10): 1073-6. https://doi.org/10.1016/0003-9993(94)90080-9.

[30] Preedy VR, Watson RR. Handbook of disease burdens and quality of life measures. Springer New York; 2010.

[31] Beltz S, Gloystein S, Litschko T, Laag S, van den Berg N. “Multivariate analysis of independent determinants of ADL/IADL and quality of life in the elderly”. BMC Geriatrics. 2022; 22(1): 1-16. https://doi.org/10.1186/s12877-022-03621-3.

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The effect of 8 weeks of dynamic neuromuscular stabilization training on postural control, functional performance and quality of life in healthy elderly men

References

[1] Beard JR, Officer A, De Carvalho IA, Sadana R, Pot AM, Michel JP, et al. “The World report on ageing and health: a policy framework for healthy ageing”. The Lancet. 2016; 387(10033): 2145-54. https://doi.org/10.1016/s0140-6736(15)00516-4.

[2] Naja S, Makhlouf M, Chehab MAH. “An ageing world of the 21st century: A literature review”. Int J Community Med Public Health. 2017; 4(12): 4363-9. https://doi.org/10.18203/2394-6040.ijcmph20175306.

[3] Aging Atlas: a multi-omics database for aging biology. Nucleic Acids Research. 2021; 49(D1): D825-D30.

[4] Kanasi E, Ayilavarapu S, Jones J. “The aging population: demographics and the biology of aging”. Periodontology. 2016; 72(1): 13-8. https://doi.org/10.1111/prd.12126.

[5] Cosco TD, Prina AM, Perales J, Stephan BC, Brayne C. “Operational definitions of successful aging: A systematic review”. International Psychogeriatrics. 2014; 26(3): 373-81. https://doi.org/10.1017/s1041610213002287.

[6] Yu A, Davydova T. “Problems of aging society, institutional and family care for the elderly”. Norwegian Journal of Development of the International Science. 2020(43-2): 22-8.

[7] Giovannini S, Brau F, Galluzzo V, Santagada DA, Loreti C, Biscotti L, et al. “Falls among older adults: screening, identification, rehabilitation, and management”. Applied Sciences. 2022; 12(15): 7934. https://doi.org/10.3390/app12157934.

[8] Hägglund P, Hägg M, Wester P, Levring Jäghagen E. “Effects of oral neuromuscular training on swallowing dysfunction among older people in intermediate care—a cluster randomised, controlled trial”. Age and Ageing. 2019; 48(4): 533-40. https://doi.org/10.1093/ageing/afz042.

[9] Sikora O, Lehnert M, Hanzlíková I, Hughes J. “The impact of a novel neuromuscular training program on leg stiffness, reactive strength, and landing biomechanics in amateur female rugby players”. Applied Sciences. 2023; 13(3): 1979. https://doi.org/10.3390/app13031979.

[10] Kobesova A, Valouchova P, Kolar P. “Dynamic Neuromuscular Stabilization: Exercises based on developmental kinesiology models”. Functional Training Handbook. 2014: 25-51. https://doi.org/10.1016/b978-0-7020-4980-4.00002-2.

[12] Kobesova A, Andel R, Cizkova K, Kolar P, Kriz J. “Can exercise targeting mid-thoracic spine segmental movement reduce back pain and improve sensory perception in cross-country skiers?”. Clinical Journal of Sport Medicine. 2021; 31(2): e86-e94. https://doi.org/10.1097/jsm.0000000000000699.

[13] Bae WS. “The effect of Dynamic neuromuscular stabilization (DNS) on the respiratory function of subjects with forward head posture (FHP)”. Korean Society of Physical Medicine. 2021; 16(3): 55-64. https://doi.org/10.13066/kspm.2021.16.3.55.

[14] Kim DH, An DH, Yoo WG. “Effects of 4 weeks of dynamic neuromuscular stabilization training on balance and gait performance in an adolescent with spastic hemiparetic cerebral palsy”. Journal of Physical Therapy Science. 2017; 29(10): 1881-2. https://doi.org/10.1589/jpts.29.1881.

[15] Raghumahanti R, Chitkara E, Agarwal PR. “Effectiveness of dynamic neuromuscular stabilisation for improving trunk control in hemiplegic stroke: A scoping mini review”. Neuroscience Research Notes. 2022; 5(4): 160-. https://doi.org/10.31117/neuroscirn.v5i4.160.

[16] Kang H. “Sample size determination and power analysis using the G* Power software”. Journal of Educational Evaluation for Health Professions. 2021; 18. https://doi.org/10.3352/jeehp.2021.18.17.

[17] de Waroquier-Leroy L, Bleuse S, Serafi R, Watelain E, Pardessus V, Tiffreau AV, et al. “The Functional Reach Test: strategies, performance and the influence of age”. Annals of Physical and Rehabilitation Medicine. 2014; 57(6-7): 452-64. https://doi.org/10.1016/j.rehab.2014.03.003.

[20] Shaabani J, Rahgoi A, Nourozi K, Rahgozar M, Shaabani M. “The relationship between self-efficacy and quality of life among elderly people”. Iranian Journal of Ageing. 2017; 11(4): 518-27. https://doi.org/10.21859/sija-1104518.

[21] Frank C, Kobesova A, Kolar P. “Dynamic neuromuscular stabilization & sports rehabilitation”. International Journal of Sports Physical Therapy. 2013; 8(1): 62.

[22] Nelson AJ, Certo LJ, Lembo LS, Lopez DA, Manfredonia EF, Vanichpong SK, et al. “The functional ambulation performance of elderly fallers and non-fallers walking at their preferred velocity”. Neuro Rehabilitation. 1999; 13(3): 141-6. https://doi.org/10.3233/nre-1999-13303.

[23] Mahdieh L, Zolaktaf V, Karimi MT. “Effects of dynamic neuromuscular stabilization (DNS) training on functional movements”. Human Movement Science. 2020; 70: 102568. https://doi.org/10.1016/j.humov.2019.102568.

[24] Dakin CJ, Bolton DA. “Forecast or fall: Prediction's importance to postural control”. Frontiers in Neurology. 2018; 9: 924. https://doi.org/10.3389/fneur.2018.00924.

[25] Massion J. “Postural control system”. Current Opinion in Neurobiology. 1994; 4(6): 877-87. https://doi.org/10.1016/0959-4388(94)90137-6.

[26] Paillard T. “Methods and strategies for reconditioning motor output and postural balance in frail older subjects prone to falls”. Frontiers in Physiology. 2021; 12: 700723. https://doi.org/10.3389/fphys.2021.700723.

[27] Resnick B. “Functional performance and exercise of older adults in long-term care settings”. SLACK Incorporated Thorofare. 2000: 7-9.

[28] Organization WH. International Classification of Functioning, Disability, and Health: Children & Youth Version. ICF-CY: World Health Organization. 2007. https://doi.org/10.1007/978-90-313-6953-9_2.

[29] Whiteneck GG. “Measuring what matters: key rehabilitation outcomes”. Archives of Physical Medicine and Rehabilitation. 1994; 75(10): 1073-6. https://doi.org/10.1016/0003-9993(94)90080-9.

[30] Preedy VR, Watson RR. Handbook of disease burdens and quality of life measures. Springer New York; 2010.

[31] Beltz S, Gloystein S, Litschko T, Laag S, van den Berg N. “Multivariate analysis of independent determinants of ADL/IADL and quality of life in the elderly”. BMC Geriatrics. 2022; 22(1): 1-16. https://doi.org/10.1186/s12877-022-03621-3.

Volume 14, Issue 2
July 2022
Pages 181-188

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The effect of 8 weeks of dynamic neuromuscular stabilization training on postural control, functional performance and quality of life in healthy elderly men

References

[1] Beard JR, Officer A, De Carvalho IA, Sadana R, Pot AM, Michel JP, et al. “The World report on ageing and health: a policy framework for healthy ageing”. The Lancet. 2016; 387(10033): 2145-54. https://doi.org/10.1016/s0140-6736(15)00516-4.

[2] Naja S, Makhlouf M, Chehab MAH. “An ageing world of the 21st century: A literature review”. Int J Community Med Public Health. 2017; 4(12): 4363-9. https://doi.org/10.18203/2394-6040.ijcmph20175306.

[3] Aging Atlas: a multi-omics database for aging biology. Nucleic Acids Research. 2021; 49(D1): D825-D30.

[4] Kanasi E, Ayilavarapu S, Jones J. “The aging population: demographics and the biology of aging”. Periodontology. 2016; 72(1): 13-8. https://doi.org/10.1111/prd.12126.

[5] Cosco TD, Prina AM, Perales J, Stephan BC, Brayne C. “Operational definitions of successful aging: A systematic review”. International Psychogeriatrics. 2014; 26(3): 373-81. https://doi.org/10.1017/s1041610213002287.

[6] Yu A, Davydova T. “Problems of aging society, institutional and family care for the elderly”. Norwegian Journal of Development of the International Science. 2020(43-2): 22-8.

[7] Giovannini S, Brau F, Galluzzo V, Santagada DA, Loreti C, Biscotti L, et al. “Falls among older adults: screening, identification, rehabilitation, and management”. Applied Sciences. 2022; 12(15): 7934. https://doi.org/10.3390/app12157934.

[8] Hägglund P, Hägg M, Wester P, Levring Jäghagen E. “Effects of oral neuromuscular training on swallowing dysfunction among older people in intermediate care—a cluster randomised, controlled trial”. Age and Ageing. 2019; 48(4): 533-40. https://doi.org/10.1093/ageing/afz042.

[9] Sikora O, Lehnert M, Hanzlíková I, Hughes J. “The impact of a novel neuromuscular training program on leg stiffness, reactive strength, and landing biomechanics in amateur female rugby players”. Applied Sciences. 2023; 13(3): 1979. https://doi.org/10.3390/app13031979.

[10] Kobesova A, Valouchova P, Kolar P. “Dynamic Neuromuscular Stabilization: Exercises based on developmental kinesiology models”. Functional Training Handbook. 2014: 25-51. https://doi.org/10.1016/b978-0-7020-4980-4.00002-2.

[12] Kobesova A, Andel R, Cizkova K, Kolar P, Kriz J. “Can exercise targeting mid-thoracic spine segmental movement reduce back pain and improve sensory perception in cross-country skiers?”. Clinical Journal of Sport Medicine. 2021; 31(2): e86-e94. https://doi.org/10.1097/jsm.0000000000000699.

[13] Bae WS. “The effect of Dynamic neuromuscular stabilization (DNS) on the respiratory function of subjects with forward head posture (FHP)”. Korean Society of Physical Medicine. 2021; 16(3): 55-64. https://doi.org/10.13066/kspm.2021.16.3.55.

[14] Kim DH, An DH, Yoo WG. “Effects of 4 weeks of dynamic neuromuscular stabilization training on balance and gait performance in an adolescent with spastic hemiparetic cerebral palsy”. Journal of Physical Therapy Science. 2017; 29(10): 1881-2. https://doi.org/10.1589/jpts.29.1881.

[15] Raghumahanti R, Chitkara E, Agarwal PR. “Effectiveness of dynamic neuromuscular stabilisation for improving trunk control in hemiplegic stroke: A scoping mini review”. Neuroscience Research Notes. 2022; 5(4): 160-. https://doi.org/10.31117/neuroscirn.v5i4.160.

[16] Kang H. “Sample size determination and power analysis using the G* Power software”. Journal of Educational Evaluation for Health Professions. 2021; 18. https://doi.org/10.3352/jeehp.2021.18.17.

[17] de Waroquier-Leroy L, Bleuse S, Serafi R, Watelain E, Pardessus V, Tiffreau AV, et al. “The Functional Reach Test: strategies, performance and the influence of age”. Annals of Physical and Rehabilitation Medicine. 2014; 57(6-7): 452-64. https://doi.org/10.1016/j.rehab.2014.03.003.

[20] Shaabani J, Rahgoi A, Nourozi K, Rahgozar M, Shaabani M. “The relationship between self-efficacy and quality of life among elderly people”. Iranian Journal of Ageing. 2017; 11(4): 518-27. https://doi.org/10.21859/sija-1104518.

[21] Frank C, Kobesova A, Kolar P. “Dynamic neuromuscular stabilization & sports rehabilitation”. International Journal of Sports Physical Therapy. 2013; 8(1): 62.

[22] Nelson AJ, Certo LJ, Lembo LS, Lopez DA, Manfredonia EF, Vanichpong SK, et al. “The functional ambulation performance of elderly fallers and non-fallers walking at their preferred velocity”. Neuro Rehabilitation. 1999; 13(3): 141-6. https://doi.org/10.3233/nre-1999-13303.

[23] Mahdieh L, Zolaktaf V, Karimi MT. “Effects of dynamic neuromuscular stabilization (DNS) training on functional movements”. Human Movement Science. 2020; 70: 102568. https://doi.org/10.1016/j.humov.2019.102568.

[24] Dakin CJ, Bolton DA. “Forecast or fall: Prediction's importance to postural control”. Frontiers in Neurology. 2018; 9: 924. https://doi.org/10.3389/fneur.2018.00924.

[25] Massion J. “Postural control system”. Current Opinion in Neurobiology. 1994; 4(6): 877-87. https://doi.org/10.1016/0959-4388(94)90137-6.

[26] Paillard T. “Methods and strategies for reconditioning motor output and postural balance in frail older subjects prone to falls”. Frontiers in Physiology. 2021; 12: 700723. https://doi.org/10.3389/fphys.2021.700723.

[27] Resnick B. “Functional performance and exercise of older adults in long-term care settings”. SLACK Incorporated Thorofare. 2000: 7-9.

[28] Organization WH. International Classification of Functioning, Disability, and Health: Children & Youth Version. ICF-CY: World Health Organization. 2007. https://doi.org/10.1007/978-90-313-6953-9_2.

[29] Whiteneck GG. “Measuring what matters: key rehabilitation outcomes”. Archives of Physical Medicine and Rehabilitation. 1994; 75(10): 1073-6. https://doi.org/10.1016/0003-9993(94)90080-9.

[30] Preedy VR, Watson RR. Handbook of disease burdens and quality of life measures. Springer New York; 2010.

[31] Beltz S, Gloystein S, Litschko T, Laag S, van den Berg N. “Multivariate analysis of independent determinants of ADL/IADL and quality of life in the elderly”. BMC Geriatrics. 2022; 22(1): 1-16. https://doi.org/10.1186/s12877-022-03621-3.

Volume 14, Issue 2July 2022Pages 181-188

Files

Share

How to cite

Statistics

Volume 14, Issue 2
July 2022
Pages 181-188