Journal
JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION
Volume 34, Issue 5, Pages 745-755Publisher
IOS PRESS
DOI: 10.3233/BMR-200109
Keywords
Aquatic exercise; fear of falling; land exercise; older adults
Categories
Funding
- Korean Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) - Ministry of Health & Welfare, Republic of Korea [HI14C3477]
- Ministry of Science and ICT (MSIT), Korea, under the ICT Creative Consilience program [IITP-2021-2020-0-01819]
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Aquatic exercise showed greater improvement in physical health and quality of life among older people compared to land-based exercise, particularly in the SFT timed up-and-go test.
BACKGROUND: Aquatic exercise can improve strength, flexibility, and aerobic function while safely providing partial weight-bearing support through viscosity and buoyancy. OBJECTIVE: The aim of the present study was to compare the effects of water-based exercise with land-based exercise before and after a 10-week exercise intervention and again at one-year follow-up. METHODS: Eighty participants aged 65 years and older were randomly assigned to either a water- or a land-based 10-week exercise program. Assessment included the Senior Fitness Test (SFT), the Modified Falls-Efficacy Scale, and the 36-Item Short-Form Health Survey (SF-36). Hip and knee strength was also measured. All assessments were completed at three time points: pre(T1), post- (T2), and at 1-year follow-up (T3). RESULTS: Significant differences were observed between the two groups on three parameters: the SFT timed up-and-go test; lower hip muscle strength in extension, adduction, and external rotation; and quality of life (QoL) measured by the SF-36 (p < 0.05). No significant differences were observed in the SFT chair stand test, dominant arm curl test, two-minute step test, chair sit-and-reach test, back scratch test, and Modified Falls-Efficacy Scale. CONCLUSION: Aquatic exercise provided greater improvement of physical health and QoL among older people than land-based exercise.
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