Effects of elastic band exercise on the frailty states in pre-frail elderly people

Physiother Theory Pract. 2020 Sep;36(9):1000-1008. doi: 10.1080/09593985.2018.1548673. Epub 2019 Feb 11.

Abstract

Objective: To discuss the effects of elastic band exercise on the frailty states in pre-frail elderly people.

Methods: This study was a randomized controlled trial. Trial registration number is ChiCTR-IOC-17012579. Seventy pre-frail elderly people were randomly divided into elastic band group (n = 35) and control group (n = 35). Elastic band exercise was applied to elastic band group, 45-60 min per time for 8 weeks by 3 days a week; no exercise was applied to the control group. The frailty states, grip strength (female/male), walking speed, and physical activity were measured by the Fried frailty phenotype at pre-intervention, 4, and 8 weeks after intervention to assess the effects of exercise.

Results: The elastic band group showed significant improvements in the frailty states, grip strength (female) and walking speed both after 4-week and 8-week intervention (P< 0.001), and significant improvements in grip strength (male) and physical activity after 8-week intervention (P< 0.05). Within-group analysis (pre-intervention vs. after 4-week, after 4-week vs after 8-week, pre-intervention vs after 8-week) showed significant improvements (P< 0.001) in grip strength (female/male) and walking speed in the elastic band group over time, while no significant differences in the control group (P > 0.05).

Conclusion: Elastic band exercise can improve frailty states in pre-frail elderly people, make them broke away from pre-frailty and restore them to non-frailty through improving the grip strength, walking speed and physical activity, and the effects after 8 weeks are better than those after 4 weeks.

Keywords: Elastic band exercise; elderly people; frailty states; pre-frail.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Exercise / physiology*
  • Exercise Therapy / instrumentation
  • Exercise Therapy / methods*
  • Female
  • Frail Elderly
  • Frailty / physiopathology*
  • Frailty / rehabilitation*
  • Geriatric Assessment
  • Hand Strength / physiology*
  • Humans
  • Male
  • Walking Speed / physiology*