@misc{GranacherGollhoferHortobagyietal.2013, author = {Granacher, Urs and Gollhofer, Albert and Hortobagyi, Tibor and Kressig, Reto W. and M{\"u}hlbauer, Thomas}, title = {The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors a systematic review}, series = {Sports medicine}, volume = {43}, journal = {Sports medicine}, number = {7}, publisher = {Springer}, address = {Auckland}, issn = {0112-1642}, doi = {10.1007/s40279-013-0041-1}, pages = {627 -- 641}, year = {2013}, abstract = {Background The aging process results in a number of functional (e.g., deficits in balance and strength/power performance), neural (e.g., loss of sensory/motor neurons), muscular (e.g., atrophy of type-II muscle fibers in particular), and bone-related (e.g., osteoporosis) deteriorations. Traditionally, balance and/or lower extremity resistance training were used to mitigate these age-related deficits. However, the effects of resistance training are limited and poorly translate into improvements in balance, functional tasks, activities of daily living, and fall rates. Thus, it is necessary to develop and design new intervention programs that are specifically tailored to counteract age-related weaknesses. Recent studies indicate that measures of trunk muscle strength (TMS) are associated with variables of static/dynamic balance, functional performance, and falls (i.e., occurrence, fear, rate, and/or risk of falls). Further, there is preliminary evidence in the literature that core strength training (CST) and Pilates exercise training (PET) have a positive influence on measures of strength, balance, functional performance, and falls in older adults. Objective The objectives of this systematic literature review are: (a) to report potential associations between TMS/trunk muscle composition and balance, functional performance, and falls in old adults, and (b) to describe and discuss the effects of CST/PET on measures of TMS, balance, functional performance, and falls in seniors. Data Sources A systematic approach was employed to capture all articles related to TMS/trunk muscle composition, balance, functional performance, and falls in seniors that were identified using the electronic databases PubMed and Web of Science (1972 to February 2013). Study Selection A systematic approach was used to evaluate the 582 articles identified for initial review. Cross-sectional (i.e., relationship) or longitudinal (i.e., intervention) studies were included if they investigated TMS and an outcome-related measure of balance, functional performance, and/or falls. In total, 20 studies met the inclusionary criteria for review. Study Appraisal and Synthesis Methods Longitudinal studies were evaluated using the Physiotherapy Evidence Database (PEDro) scale. Effect sizes (ES) were calculated whenever possible. For ease of discussion, the 20 articles were separated into three groups [i.e., cross-sectional (n = 6), CST (n = 9), PET (n = 5)]. Results The cross-sectional studies reported small-to-medium correlations between TMS/trunk muscle composition and balance, functional performance, and falls in older adults. Further, CST and/or PET proved to be feasible exercise programs for seniors with high-adherence rates. Age-related deficits in measures of TMS, balance, functional performance, and falls can be mitigated by CST (mean strength gain = 30 \%, mean effect size = 0.99; mean balance/functional performance gain = 23 \%, mean ES = 0.88) and by PET (mean strength gain = 12 \%, mean ES = 0.52; mean balance/functional performance gain = 18 \%, mean ES = 0.71). Limitations Given that the mean PEDro quality score did not reach the predetermined cut-off of >= 6 for the intervention studies, there is a need for more high-quality studies to explicitly identify the relevance of CST and PET to the elderly population. Conclusions Core strength training and/or PET can be used as an adjunct or even alternative to traditional balance and/or resistance training programs for old adults. Further, CST and PET are easy to administer in a group setting or in individual fall preventive or rehabilitative intervention programs because little equipment and space is needed to perform such exercises.}, language = {en} } @article{MuehlbauerBesemerWehrleetal.2013, author = {M{\"u}hlbauer, Thomas and Besemer, Carmen and Wehrle, Anja and Gollhofer, Albert and Granacher, Urs}, title = {Relationship between strength; balance and mobility in children aged 7-10 years}, series = {Gait \& posture}, volume = {37}, journal = {Gait \& posture}, number = {1}, publisher = {Elsevier}, address = {Clare}, issn = {0966-6362}, doi = {10.1016/j.gaitpost.2012.06.022}, pages = {108 -- 112}, year = {2013}, abstract = {The purpose of this study was to investigate the association between variables of lower extremity muscle strength, balance, and mobility assessed under various task conditions. Twenty-one healthy children (mean age: 9 +/- 1 years) were tested for their isometric and dynamic strength as well as for their steady-state, proactive, and reactive balance and mobility. Balance and mobility tests were conducted under single and dual task conditions. Significant positive correlations were detected between measures of isometric and dynamic leg muscle strength. Hardly any significant associations were observed between variables of strength and balance/mobility and between measures of steady-state, proactive, and reactive balance. Additionally, no significant correlations were detected between balance/mobility tests performed under single and dual task conditions. The predominately non-significant correlations between different balance components and mobility imply that balance and mobility performance is task specific. Further, strength and balance/mobility as well as balance under single and dual task conditions seem to be independent of each other and may have to be tested and trained complementarily.}, language = {en} } @article{GranacherLacroixMuehlbaueretal.2013, author = {Granacher, Urs and Lacroix, Andre and M{\"u}hlbauer, Thomas and R{\"o}ttger, Katrin and Gollhofer, Albert}, title = {Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults}, series = {Gerontology}, volume = {59}, journal = {Gerontology}, number = {2}, publisher = {Karger}, address = {Basel}, issn = {0304-324X}, doi = {10.1159/000343152}, pages = {105 -- 113}, year = {2013}, abstract = {Background: Age-related postural misalignment, balance deficits and strength/power losses are associated with impaired functional mobility and an increased risk of falling in seniors. Core instability strength training (CIT) involves exercises that are challenging for both trunk muscles and postural control and may thus have the potential to induce benefits in trunk muscle strength, spinal mobility and balance performance. Objective: The objective was to investigate the effects of CIT on measures of trunk muscle strength, spinal mobility, dynamic balance and functional mobility in seniors. Methods: Thirty-two older adults were randomly assigned to an intervention group (INT; n = 16, aged 70.8 +/- 4.1 years) that conducted a 9-week progressive CIT or to a control group (n = 16, aged 70.2 +/- 4.5 years). Maximal isometric strength of the trunk flexors/extensors/lateral flexors (right, left)/rotators (right, left) as well as of spinal mobility in the sagittal and the coronal plane was measured before and after the intervention program. Dynamic balance (i.e. walking 10 m on an optoelectric walkway, the Functional Reach test) and functional mobility (Timed Up and Go test) were additionally tested. Results: Program compliance was excellent with participants of the INT group completing 92\% of the training sessions. Significant group x test interactions were found for the maximal isometric strength of the trunk flexors (34\%, p < 0.001), extensors (21\%, p < 0.001), lateral flexors (right: 48\%, p < 0.001; left: 53\%, p < 0.001) and left rotators (42\%, p < 0.001) in favor of the INT group. Further, training-related improvements were found for spinal mobility in the sagittal (11\%, p < 0.001) and coronal plane (11\%, p = 0.06) directions, for stride velocity (9\%, p < 0.05), the coefficient of variation in stride velocity (31\%, p < 0.05), the Functional Reach test (20\%, p < 0.05) and the Timed Up and Go test (4\%, p < 0.05) in favor of the INT group. Conclusion: CIT proved to be a feasible exercise program for seniors with a high adherence rate. Age-related deficits in measures of trunk muscle strength, spinal mobility, dynamic balance and functional mobility can be mitigated by CIT. This training regimen could be used as an adjunct or even alternative to traditional balance and/or resistance training.}, language = {en} } @article{MuehlbauerGollhoferGranacher2013, author = {M{\"u}hlbauer, Thomas and Gollhofer, Albert and Granacher, Urs}, title = {Association of balance, strength, and power measures in young adults}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {27}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, number = {3}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {1064-8011}, doi = {10.1097/JSC.0b013e31825c2bab}, pages = {582 -- 589}, year = {2013}, abstract = {Muehlbauer, T, Gollhofer, A, and Granacher, U. Association of balance, strength, and power measures in young adults. J Strength Cond Res 27(3): 582-589, 2013-The purpose of this study was to investigate the relationship between variables of static/dynamic balance, isometric strength, and power. Twenty-seven young healthy adults (mean age: 23 6 4 years) performed measurements of static (unperturbed)/dynamic (perturbed) balance, isometric strength (i.e., maximal isometric torque [MIT]; rate of torque development [RTD] of the plantar flexor), and power (i.e., countermovement jump [CMJ] height and power). No significant associations were found between variables of static and dynamic balance (r = -0.090 to + 0.329, p > 0.05) and between measures of static/dynamic balance and isometric strength (r = +0.041 to +0.387, p > 0.05) and static/dynamic balance and power (r = -0.076 to + 0.218, p > 0.05). Significant positive correlations (r) were detected between variables of power and isometric strength ranging from +0.458 to +0.689 (p, 0.05). Furthermore, simple regression analyses revealed that a 10\% increase in mean CMJ height (4.1 cm) was associated with 22.9 N.m and 128.4 N.m.s(-1) better MIT and RTD, respectively. The nonsignificant correlation between static and dynamic balance measures and between static/dynamic balance, isometric strength, and power variables implies that these capacities may be independent of each other and may have to be tested and trained complementarily.}, language = {en} }