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Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment

BACKGROUND: Flexed posture commonly increases with age and is related to musculoskeletal impairment and reduced physical performance. The purpose of this clinical study was to systematically compare the effects of a physical activity program that specifically address the flexed posture that marks a...

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Autores principales: Benedetti, Maria Grazia, Berti, Lisa, Presti, Chiara, Frizziero, Antonio, Giannini, Sandro
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2613395/
https://www.ncbi.nlm.nih.gov/pubmed/19032751
http://dx.doi.org/10.1186/1743-0003-5-32
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author Benedetti, Maria Grazia
Berti, Lisa
Presti, Chiara
Frizziero, Antonio
Giannini, Sandro
author_facet Benedetti, Maria Grazia
Berti, Lisa
Presti, Chiara
Frizziero, Antonio
Giannini, Sandro
author_sort Benedetti, Maria Grazia
collection PubMed
description BACKGROUND: Flexed posture commonly increases with age and is related to musculoskeletal impairment and reduced physical performance. The purpose of this clinical study was to systematically compare the effects of a physical activity program that specifically address the flexed posture that marks a certain percentage of elderly individuals with a non specific exercise program for 3 months. METHODS: Participants were randomly divided into two groups: one followed an Adapted Physical Activity program for flexed posture and the other one completed a non-specific physical activity protocol for the elderly. A multidimensional clinical assessment was performed at baseline and at 3 months including anthropometric data, clinical profile, measures of musculoskeletal impairment and disability. The instrumental assessment of posture was realized using a stereophotogrammetric system and a specific biomechanical model designed to describe the reciprocal position of the body segments on the sagittal plane in a upright posture. RESULTS: The Adapted Physical Activity program determined a significant improvement in several key parameters of the multidimensional assessment in comparison to the non-specific protocol: decreased occiput-to-wall distance, greater lower limb range of motion, better flexibility of pectoralis, hamstrings and hip flexor muscles, increased spine extensor muscles strength. Stereophotogrammetric analysis confirmed a reduced protrusion of the head and revealed a reduction in compensative postural adaptations to flexed posture characterized by knee flexion and ankle dorsiflexion in the participants of the specific program. CONCLUSION: The Adapted Physical Activity program for flexed posture significantly improved postural alignment and musculoskeletal impairment of the elderly. The stereophotogrammetric evaluation of posture was useful to measure the global postural alignment and especially to analyse the possible compensatory strategies at lower limbs in flexed posture.
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spelling pubmed-26133952009-01-03 Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment Benedetti, Maria Grazia Berti, Lisa Presti, Chiara Frizziero, Antonio Giannini, Sandro J Neuroeng Rehabil Research BACKGROUND: Flexed posture commonly increases with age and is related to musculoskeletal impairment and reduced physical performance. The purpose of this clinical study was to systematically compare the effects of a physical activity program that specifically address the flexed posture that marks a certain percentage of elderly individuals with a non specific exercise program for 3 months. METHODS: Participants were randomly divided into two groups: one followed an Adapted Physical Activity program for flexed posture and the other one completed a non-specific physical activity protocol for the elderly. A multidimensional clinical assessment was performed at baseline and at 3 months including anthropometric data, clinical profile, measures of musculoskeletal impairment and disability. The instrumental assessment of posture was realized using a stereophotogrammetric system and a specific biomechanical model designed to describe the reciprocal position of the body segments on the sagittal plane in a upright posture. RESULTS: The Adapted Physical Activity program determined a significant improvement in several key parameters of the multidimensional assessment in comparison to the non-specific protocol: decreased occiput-to-wall distance, greater lower limb range of motion, better flexibility of pectoralis, hamstrings and hip flexor muscles, increased spine extensor muscles strength. Stereophotogrammetric analysis confirmed a reduced protrusion of the head and revealed a reduction in compensative postural adaptations to flexed posture characterized by knee flexion and ankle dorsiflexion in the participants of the specific program. CONCLUSION: The Adapted Physical Activity program for flexed posture significantly improved postural alignment and musculoskeletal impairment of the elderly. The stereophotogrammetric evaluation of posture was useful to measure the global postural alignment and especially to analyse the possible compensatory strategies at lower limbs in flexed posture. BioMed Central 2008-11-25 /pmc/articles/PMC2613395/ /pubmed/19032751 http://dx.doi.org/10.1186/1743-0003-5-32 Text en Copyright © 2008 Benedetti et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Benedetti, Maria Grazia
Berti, Lisa
Presti, Chiara
Frizziero, Antonio
Giannini, Sandro
Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment
title Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment
title_full Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment
title_fullStr Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment
title_full_unstemmed Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment
title_short Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment
title_sort effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2613395/
https://www.ncbi.nlm.nih.gov/pubmed/19032751
http://dx.doi.org/10.1186/1743-0003-5-32
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