The effects of dynamic neuromuscular stabilization exercises and Otago on balance, proprioception and trunk endurance of elderly women with a history of falling: A Randomized Control Trial

Document Type : Research Paper

Authors

1 Assistant professor, Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran

2 MSc student, Department of Pathology and Corrective Exercises,, Faculty of Physical Education and Sports Sciences, Isfahan Azad University (Khorasgan), Isfahan, Iran

3 Assistant Professor, Department of Sport Rehabilitation and Health, Faculty of Sport Sciences and Health, Shahid Beheshti University, Tehran, Iran

10.22084/rsr.2024.28541.1717

Abstract

Background and purpose: The present study was conducted to compare the effect of dynamic neuromuscular stabilization (DNS) exercises and Otago on balance, proprioception and trunk endurance of elderly women.
Methods: 45 elderly participants were divided into three groups: control, DNS, and Otago exercises, each consisting of 15 individuals. Sharpand-Romberg tests as well as standing and walking time were used to evaluate static and dynamic balance (DB). Trunk endurance was evaluated with a 60-degree flexion test and trunk proprioception with a goniometer. After evaluating the variables, the subjects of the training groups performed the exercises for 6 weeks. The control group did their daily activities. After the training program, a post-test was conducted, and statistical analysis was performed using SPSS version 24 software. The analysis of covariance and post hoc Bonferroni test were utilized to compare the research factors between the experimental and control groups at a significance level of 0.05.
Results: The results of the research showed that between the control group with DNS and the control group with Otago in static balance (p=0.001), DB (p=0.001 and p=0.005), trunk proprioception (p=0.001) and trunk endurance (p=0.001, p=0.003). Also, a significant difference was observed between the two groups of DNS-Otago in the variables of trunk proprioception (p=0.004) and trunk endurance (p=0.002). However, this difference was not significant in the field of static and DB (p>0.05).
Conclusion: The results of this study demonstrate the effectiveness of both DNS exercises and Otago in improving balance, endurance, and trunk proprioception in the elderly. These findings emphasize the importance of utilizing these exercises to enhance the functional level of older adults.

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