Effects of a progressive walking program on the risk of developing locomotive syndrome in elderly Japanese people: a single-arm trial

  • Yoshihara Toshinori
    COI Project Center, Juntendo University, Japan
  • Ozaki Hayao
    School of Health and Sports Science, Juntendo University: 1-1 Hirakagakuendai, Inzai, Chiba 270-1695, Japan Graduate School of Health and Sports Science, Juntendo University, Japan
  • Nakagata Takashi
    School of Health and Sports Science, Juntendo University: 1-1 Hirakagakuendai, Inzai, Chiba 270-1695, Japan
  • Natsume Toshiharu
    Institute of Health and Sports Science & Medicine, Juntendo University, Japan
  • Kitada Tomoharu
    Graduate School of Health and Sports Science, Juntendo University, Japan
  • Ishihara Yoshihiko
    Institute of Health and Sports Science & Medicine, Juntendo University, Japan
  • Deng Pengyu
    Institute of Health and Sports Science & Medicine, Juntendo University, Japan
  • Osawa Takuya
    COI Project Center, Juntendo University, Japan
  • Ishibashi Masayoshi
    COI Project Center, Juntendo University, Japan
  • Ishijima Muneaki
    Department of Medicine for Orthopaedics and Motor Organ, Juntendo University Graduate School of Medicine, Japan
  • Kobayashi Hiroyuki
    Mito Medical Center, Tsukuba University Hospital, Japan
  • Machida Shuichi
    COI Project Center, Juntendo University, Japan School of Health and Sports Science, Juntendo University: 1-1 Hirakagakuendai, Inzai, Chiba 270-1695, Japan Graduate School of Health and Sports Science, Juntendo University, Japan Institute of Health and Sports Science & Medicine, Juntendo University, Japan
  • Naito Hisashi
    COI Project Center, Juntendo University, Japan School of Health and Sports Science, Juntendo University: 1-1 Hirakagakuendai, Inzai, Chiba 270-1695, Japan Graduate School of Health and Sports Science, Juntendo University, Japan Institute of Health and Sports Science & Medicine, Juntendo University, Japan

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Abstract

<p>[Purpose] This study aimed to identify the efficacy of a progressive walking program on the risk of developing locomotive syndrome among untrained elderly Japanese people. [Participants and Methods] Twenty-four untrained elderly individuals (68 ± 4 years) completed a 17-week progressive walking program. The stand-up, two-step tests and the 25-question geriatric locomotive function scale were used to assess the risk of locomotive syndrome at baseline, the 8-week midpoint (2 months), and the 17-week endpoint (4 months). Maximal isometric muscle strength of the knee extensors and flexors were measured using a dynamometer with the hip joint angle at 90° of flexion and physical function (the 30-s sit-to-stand, sit-up, 10-meter walk, and grip strength) were evaluated. [Results] The 4-month walking program significantly improved the two-step test and geriatric locomotive function scale scores. This may be attributable to the improvement in knee flexor strength and physical function. [Conclusion] A 4-month program of progressive walking effectively lowered the risk of developing locomotive syndrome in elderly Japanese people by improving knee flexor muscle strength and physical function.</p>

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