Article

Older adults with reduced physical capacity are at greater risk of progression to
care dependency. Progressive resistance strength exercise and multimodal exercise
have been studied to restore reduced physical capacity.
To summarize the best
evidence of the two exercise regimes, this meta-analysis study appraised
randomized-controlled trials from published systematic reviews. Medline, Embase,
and the Cochrane Database of Systematic Review and Cochrane Central Register of
Controlled Clinical Trials were searched for relevant systematic reviews. Two
reviewers independently screened the relevant systematic reviews to identify
eligible trials, assessed trial methodological quality, and extracted data.
RevMan 5.3 software was used to analyze data on muscle strength, physical
functioning, activities of daily living, and falls. Twenty-three eligible trials
were identified from 22 systematic reviews. The mean age of the trial
participants was 75 years or older. Almost all multimodal exercise trials
included muscle strengthening exercise and balance exercise. Progressive
resistance exercise is effective in improving muscle strength of the lower
extremity and static standing balance. Multimodal exercise is effective in
improving muscle strength of the lower extremity, dynamic standing balance, gait
speed, and chair stand. In addition, multimodal exercise is effective in reducing
falls. Neither type of exercise was effective in improving activities of daily
living. For older adults with reduced physical capacity, multimodal exercise
appears to have a broad effect on improving muscle strength, balance, and
physical functioning of the lower extremity, and reducing falls relative to
progressive resistance exercise alone.

Langue : ANGLAIS