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Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review
This systematic review investigated the effect of low-load resistance training combined with blood-flow restriction (LL-BFR) on falls in older adults ≥60 years of age. The databases Embase, Medline, and Cochrane Library were searched from inception to October 1(st), 2019 and reference lists of retri...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Society of Musculoskeletal and Neuronal Interactions
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716683/ https://www.ncbi.nlm.nih.gov/pubmed/33265079 |
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author | Gronlund, Caroline Christoffersen, Kirstine S. Thomsen, Katja Masud, Tahir Jepsen, Ditte B. Ryg, Jesper |
author_facet | Gronlund, Caroline Christoffersen, Kirstine S. Thomsen, Katja Masud, Tahir Jepsen, Ditte B. Ryg, Jesper |
author_sort | Gronlund, Caroline |
collection | PubMed |
description | This systematic review investigated the effect of low-load resistance training combined with blood-flow restriction (LL-BFR) on falls in older adults ≥60 years of age. The databases Embase, Medline, and Cochrane Library were searched from inception to October 1(st), 2019 and reference lists of retrieved publications. Main outcomes were fall rates or proportion of fallers. Additional outcomes were physical performance, lower extremity muscle strength or function, and balance. Mean difference ±SD on falls and fall related outcomes were reported and Cochrane Collaboration’s risk of bias tool was used to evaluate quality of evidence. Eight RCT-studies met the inclusion criteria. None reported falls data. Assessing physical performance tests (n=12), 8/12 of the LL-BFR groups showed a significant within-group improvement and 5/12 significant between-group effects comparing LL-BFR to respective controls. For muscle strength tests (n=16), 9/16 showed significant positive within-group improvement and 3/16 significant between-group effects. One study reported data on balance with conflicting results. In conclusion, LL-BFR might increase physical performance and muscle strength in older adults ≥60 years of age. None of the included studies investigated the effect on falls. Larger adequately powered studies are required before introducing LL-BFR as an alternative exercise modality to decrease fall risk. |
format | Online Article Text |
id | pubmed-7716683 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | International Society of Musculoskeletal and Neuronal Interactions |
record_format | MEDLINE/PubMed |
spelling | pubmed-77166832020-12-09 Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review Gronlund, Caroline Christoffersen, Kirstine S. Thomsen, Katja Masud, Tahir Jepsen, Ditte B. Ryg, Jesper J Musculoskelet Neuronal Interact Review Article This systematic review investigated the effect of low-load resistance training combined with blood-flow restriction (LL-BFR) on falls in older adults ≥60 years of age. The databases Embase, Medline, and Cochrane Library were searched from inception to October 1(st), 2019 and reference lists of retrieved publications. Main outcomes were fall rates or proportion of fallers. Additional outcomes were physical performance, lower extremity muscle strength or function, and balance. Mean difference ±SD on falls and fall related outcomes were reported and Cochrane Collaboration’s risk of bias tool was used to evaluate quality of evidence. Eight RCT-studies met the inclusion criteria. None reported falls data. Assessing physical performance tests (n=12), 8/12 of the LL-BFR groups showed a significant within-group improvement and 5/12 significant between-group effects comparing LL-BFR to respective controls. For muscle strength tests (n=16), 9/16 showed significant positive within-group improvement and 3/16 significant between-group effects. One study reported data on balance with conflicting results. In conclusion, LL-BFR might increase physical performance and muscle strength in older adults ≥60 years of age. None of the included studies investigated the effect on falls. Larger adequately powered studies are required before introducing LL-BFR as an alternative exercise modality to decrease fall risk. International Society of Musculoskeletal and Neuronal Interactions 2020 /pmc/articles/PMC7716683/ /pubmed/33265079 Text en Copyright: © Journal of Musculoskeletal and Neuronal Interactions http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 4.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Gronlund, Caroline Christoffersen, Kirstine S. Thomsen, Katja Masud, Tahir Jepsen, Ditte B. Ryg, Jesper Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review |
title | Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review |
title_full | Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review |
title_fullStr | Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review |
title_full_unstemmed | Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review |
title_short | Effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review |
title_sort | effect of blood-flow restriction exercise on falls and fall related risk factors in older adults 60 years or above: a systematic review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716683/ https://www.ncbi.nlm.nih.gov/pubmed/33265079 |
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