Banca de DEFESA: NEILDJA MARIA DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : NEILDJA MARIA DA SILVA
DATE: 29/01/2021
TIME: 14:00
LOCAL: Plataforma virtual
TITLE:

Effects of a Multicomponent Exercise Program on Groups of Community-Dwelling Older Adults With Low SchoolingDouble-Blind Randomized Clinical Trial

KEY WORDS:

Aging. Physical exercise. Schooling. Fragility. Postural balance.

PAGES: 112
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Brazil has historically been marked by the low rate of formal education of the elderl. In addition, the largest portion of Brazilian studies with multicomponent exercise programs with community-dwelling seniors belongs to the south and southeast for seniors with higher formal education. Therefore, it was found that there are several studies in the literature with proposals for multicomponent programs, but it is observed that there is limited evidence on the application of these programs in elderly people with low formal education. Objective: to analyze the effects on the physical and hemodynamic functions of elderly community members with low formal education through a multicomponent program adapted with a double task in relation to simple multicomponent exercises performed in groups. Methods: This is a randomized, double-blind clinical trial. Elderly people over 60 years old, both sexes and who did not have serious orthopedic and neurological diseases were included. Twenty-one elderly people were randomly allocated into two groups: G1 (n = 11) and G2 (n = 10) and sixteen finished the studies. sixteen sessions for six weeks, three times a week. During eight sessions, (G1) performed multi-component exercises adapted with dual task Ageing-ONDUAL-TASK (strengthening, balance and cognitive tasks) and (G2) simple multi-component exercises adapted (strengthening, balance) and the two groups performed simple multi-component exercises during eight sessions. Three evaluations were carried out, first (pre), second (post) and third evaluation (follow-up). Seven measurement instruments were applied and computerized posturography. Results: It was found that both groups showed homogeneity in the sociodemographic profile and in the clinical and physical-functional characteristics. Cognitive function did not show intergroup difference, however, G2 showed an increase in PCL after the third assessment (p = 0.031). Frailty showed intergroup improvement in SPPB scores after the third assessment (p = 0.008), as well as mobility by simple (p = 0.011), motor (p = 0.018) and cognitive (p = 0.010) tests. In addition, after the third assessment, dynamic balance also showed intergroup improvement in simple (p = 0.018), motor (p = 0.022) and cognitive (p = 0.018), as well as G2's cognitive F8W improved between the second and the second. third assessment (p = 0.034). The results of posturography show significant intergroup differences between the medians (between the 1st and 2nd and 1st and 3rd assessments). In G1, differences in body oscillations were observed between the 1st and 2nd assessments in the anteroposterior position under the following conditions: semantic verbal fluency (p = 0.035), calculations (p = 0.043), memory / attention (p = 0.011). In the mid-lateral position, there was a statistical difference in the condition of open eyes (p = 0.039). In group 2, significant differences were found between the 1st and 3rd assessments of the oscillation in the mid-lateral position for open eyes (p = 0.031) and memory / attention (p = 0.031), the total displacement showed differences in all conditions. The hemodynamic function remained within the normal range, with no significant changes after the sessions. Conclusion: It was observed that multicomponent exercises with dual tasks had similar effects to simple multicomponent exercises. The elderly of both interventions showed improvement in mobility, fragility, static postural control and hemodynamic balance and stability. In addition, the adapted program proved to be beneficial for elderly community members with low schooling for group intervention.

BANKING MEMBERS:
Presidente - 2132107 - NUBIA MARIA FREIRE VIEIRA LIMA
Interna - 3885543 - SAIONARA MARIA AIRES DA CAMARA
Externa à Instituição - THAIS BOTOSSI SCALHA - UNISO