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Ethics code: IR.UI.REC.1399.046

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1- University of Isfahan
Abstract:   (69 Views)
Introduction: Aging is a part of the natural process of human life and is a dynamic, progressive and irreversible process that is closely related to biological, psychological and social factors. In the aging process, most of the bodychr('39')s physiological functions, such as the central and peripheral nervous system, deteriorate over time. One of the problems of physical and mental health is falling, which will reduce daily activities in the elderly. Studies have shown that falls in the elderly are associated with lower limb weakness, especially imbalance and poor cognitive function. Prevention of falls in the elderly is one of the main concerns of society. In the meantime, exercise and physical activity are beneficial factors in preventing falls in the elderly. Research has shown that mental exercises can reduce the rate of falls in the elderly by affecting balance and cognitive function. Exercises such as yoga, tai chi, and Pilates, and more recently, exercises called Square-stepping exercises are among these exercises, so the purpose of this study was to investigate the effect of Pilates and square-stepping exercises on physical and cognitive functions related to falling and fear of falling in elderly women.
Methods: A quasi-experimental study was conducted on a number of 20 elderly women with an age range 60 to 70 years. Participants were selected through purposive sampling. The code of ethics (IR.UI.REC.1399.046) was obtained from the Scientific Research Committee of the University of Isfahan and the consent form was completed by the participants. Then they were randomly assigned to pilates (n=10) and square-stepping (n=10) groups. Both groups did exercises for 12 weeks, and participated in a pre-test and post-test. Wisconsin Card Sorting Task, Wechsler Memory test, Stork test, Berg balance test and International falls efficacy scale were used to measure executive functions, memory quotient, static balance, dynamic balance, and fear of falling, respectively. Analayze of Covariance (ANCOVA) and paired t test were used to analyze the collected data.
 
 Results: A significant difference was found within groups in pre-test and post-test in cognitive functions (executive functions, memory quotient) and physical functions (static and dynamic balance) related to falling and fear of falling, but there were no significant differences in cognitive functions (executive functions, memory quotient) and physical functions (static and dynamic balance) related to falling and fear of falling between groups. 
 
Conclusion: The results of the present study showed the improvement of cognitive and physical functions related to falling and reducing the fear of falling following Pilates and square walking exercises. Considering the beneficial effect of these exercises and the similarity of the effect of these exercises with the well-known Pilates exercises in this area, it seems that SSE exercises can be used as a suitable alternative in this area. The portability of SSE mats, low cost and simple design, the possibility of performing these exercises in different open and closed environments, especially at home, are some of the benefits of these exercises. Therefore, it can be concluded that both the pilates and square-stepping exercises can be an appropriate intervention to improve cognitive functions and physical functions related to falling and decrease fear of falling in elderly women, and of course, it cannot be ignored that SSE exercises require minimal supervision by the instructor, and after learning, people can continue these exercises alone at home.
     
Type of Study: Research |
Received: 2021/04/15 | Accepted: 2021/09/29 | Published: 2021/11/16

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