Research and News
Posts tagged home exercise program
Balance training effective at reducing falls and improving function
Apr 6th
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Fall prevention exercise programs are becoming increasingly popular. Research has demonstrated the effectiveness of strength and balance exercises in reducing the risk of falls in older adults. National organizations such as the National Council on Aging (NCOA) and the Centers for Disease Control (CDC) recommend a multi-factoral approach to fall prevention because of the numerous risk factors. Approximately 1/3 of older adults sustain falls every year in the United States, costing over $19 billion in healthcare costs.
Physical therapist researchers at Cal State University Northridge performed a study to determine the effectiveness of a balance exercise training program on strength, balance, gait, and fall risk in 23 healthy community-dwelling older adults at risk for falls. Subjects were randomly assigned to an exercise group or non-exercising control group. The exercise group performed a small group-based balance program, “A Matter of Balance” for 12 weeks, three times a week in a class setting at the PT department.
According to the authors, the exercises included balance exercises standing on foam surfaces and balance boards, as well as squats with an exercise ball. Interestingly, there was no resistive strengthening More >
Exercises with elastic resistance more effective than passive shockwave treatment
Mar 24th
Shoulder impingement is a common cause of shoulder pain that responds well to active, therapeutic exercise. A more passive “shockwave treatment” has recently been used to treat impingement. This passive modality was compared with an active exercise treatment in shoulder impingement patients in Norway. The study published in the British Medical Journal compared 12 weeks of physiotherapy and home exercise using elastic tubing with 4 to 6 treatments of Radial Extracorporeal Shockwave Treatment (REST).
64% of the exercise patients and only 36% of the shockwave treatment patients had significant improvement in pain and disability, and more patients in the exercise group returned to work. Interestingly however, there were no significant differences between groups in function or range of motion.
This study is consistent with the findings of other studies that show elastic resistance exercises are effective as part of an active care approach to shoulder impingement that includes both clinic- and home-based exercises. Thera-Band® elastic resistance and patient kits are ideal to facilitate both clinical and home exercise programs.
Engebretsen K, et al. Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. BMJ. 2009;339:b3360.
Visit the Thera-Band Academy Shoulder Impingement Center Here
More >Systematic review supports use of elastic resistance exercise for shoulder impingement
Mar 9th
Shoulder impingement is a common cause of chronic shoulder pain that can be treated with exercise. Impingement can be caused by a structural narrowing of the space between the humeral bone and acromion of the scapula, or by a muscle imbalance of the rotator cuff and/or scapular stabilizer muscles. These types of impingement are referred to as structural and functional, respectively.
Thera-Band® resistance band exercises are commonly used in rehabilitation of shoulder impingement. In fact, nearly 75% (9 out of 13) of the studies in a systematic review of physiotherapy exercises for impingement included elastic resistance exercise for the rotator cuff and scapula. In their review, Kromer and colleagues found that passive treatments (such as modalities only) are not effective and cannot be justified when treating shoulder impingement.
The authors found that physiotherapist-led exercises were as effective as surgery for shoulder impingement. In addition, home-based exercises were as effective as physiotherapy interventions, although manual therapy in the clinic may provide additional short-term relief. Based on these conclusions, Thera-Band resistance band exercises in the clinic or home can be an effective and safer alternative to surgery.
Kromer TO, et al. Effects of physiotherapy in patients with shoulder impingement syndrome: a systematic review of the literature. J Rehabil Med. 2009;41(11):870-80.
Preventing shoulder impingement in overhead workers with Thera-Band® resistance bands
Jan 26th
Shoulder impingement is common in people who perform repetitive overhead work. For example, as many as 70% of construction workers report shoulder pain, compared to 25% of the general population. Physical therapy researchers studied shoulder pain in 240 construction workers. In their prospective study, ½ of the workers participated in a home exercise program designed to prevent shoulder injuries, while the other half served as controls. The home program included stretches and exercises with elastic resistance to strengthen the shoulder. Exercises were performed every other day, beginning with 3 sets of 10, progressed to 3 sets of 20. At the end of the 2 year study, the workers participating in the exercise program had fewer injuries than the non-exercising control group; in fact, the workers not performing the exercise program were 1 ½ times more likely to have a shoulder injury. An exercise program with Thera-Band elastic resistance may be beneficial in reducing shoulder injuries in overhead workers.
Visit the Thera-Band Academy Shoulder Impingement resource center here.
Home Exercises with Thera-Band® Beneficial for Multiple Sclerosis Patients
Dec 17th
Multiple sclerosis (MS) affects 100,000 in the UK, and about 250,000 in the US. Approximately 75% of MS patients have difficulty walking, which is often caused by weakness of the anterior lower muscles. This weakness in the tibialis anterior muscle leads to “foot drop,” a condition noted by the inability to lift the foot properly during ambulation. Thera-Band® Resistance Bands are often used to strengthen the tibialis anterior in patients using a foot drop exercise. Researchers in the UK investigated the effects of electrical stimulation to the anterior tibialis muscle compared to a home exercise program on walking performance in MS patients with foot drop. In the 18 week study, 44 MS patients were randomly assigned to either home exercise with simple equipment including Thera-Band Resistance Bands and cuff weights, or a group receiving functional electrical stimulation (FES). During FES, the muscle is stimulated with each step during ambulation, triggered by a foot switch. The exercise program was designed by physical therapists to improve pelvic and trunk stability, lower limb muscle length and strength, and balance and control of movement. Exercises were performed at home every day for 30 minutes, 1 to 2 times per day.
Download the Exercise Program for MS Patients with Foot More >
