Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Influence of a Combined Physical Exercises on Ankle Muscle Activation during Static and Proactive Postural Control on Older Adults with Sarcopenic Obesity: A Multicenter, Randomized, and Controlled Trial

Version 1 : Received: 13 September 2023 / Approved: 14 September 2023 / Online: 15 September 2023 (05:25:01 CEST)

A peer-reviewed article of this Preprint also exists.

Magtouf, E.; Chortane, S.G.; Chortane, O.G.; Boyas, S.; Beaune, B.; Durand, S.; Maktouf, W. Influence of Concurrent Exercise Training on Ankle Muscle Activation during Static and Proactive Postural Control on Older Adults with Sarcopenic Obesity: A Multicenter, Randomized, and Controlled Trial. Eur. J. Investig. Health Psychol. Educ. 2023, 13, 2779-2794. Magtouf, E.; Chortane, S.G.; Chortane, O.G.; Boyas, S.; Beaune, B.; Durand, S.; Maktouf, W. Influence of Concurrent Exercise Training on Ankle Muscle Activation during Static and Proactive Postural Control on Older Adults with Sarcopenic Obesity: A Multicenter, Randomized, and Controlled Trial. Eur. J. Investig. Health Psychol. Educ. 2023, 13, 2779-2794.

Abstract

Despite limited research on the effects of a combined physical exercises on static and proactive postural control and neuromuscular functions in older adults with sarcopenic obesity (SO), this study addresses the gap by examining the efficacy of a 4-month Total Mobility Plus (TMP) regimen. The study enrolled 40 older adults with SO, split into an intervention group (n=25, mean age = 76.1 ± 3.5 years; mean BMI = 34.4 ± 4.0 kg/m²) and a control group (n=25, mean age = 75.9 ± 5.4 years; mean BMI = 32.9 ± 2.3 kg/m²). Participants in the IG engaged in 60-minute TMP sessions three times a week for four months, while the CG maintained their typical daily activities. Standardized evaluations were performed before and after the intervention, including the Romberg and Timed Up and Go (TUG) tests, Center of pressure (CoP) parameters during different conditions, muscle activation and strength of plantar and dorsal flexors. Post-intervention results revealed significant reduction of the standing time measured in the Romberg (-15.6%, p<0.05), and TUG (-34.6%, p<0.05) tests. Additionally, CoP area and velocity, were notably reduced in various conditions (p<0.05). Postural control improvements were associated with an increase of strength and decrease of ankle muscle activation. These findings validate the TMP program as a safe and effective method for enhancing static and proactive postural control and neuromuscular capabilities in older adults with SO.

Keywords

Physical exercises; obesity; sarcopenia; static balance; proactive balance; ankle muscle activation

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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