Complex Exercise Research Articles

12주 복합운동이 비만중년여성의 비만지표, 심혈관질환 위험인자, 레지스틴 및 심폐체력에 미치는 영향

This study aims to examine the impact of 12-week Combined exercise program on the obesity indicators, cardiovascular risk factors, resistance and cardiopulmonary fitness of obese middle-aged women.<BR> To do so, it experimented 20 middle-aged women with percentage of body fat over 35% after assigning them to experimental group(n=10) and control group(n=10) and let them do aerobic and resistance exercise for 50 to 60 minutes per, 5 times a week during 12 weeks. For data analysis, two-way repeated measures ANOVA was used. The analysis brought forth the findings as follows.<BR> 1. there were interactive effects in % fat, VFA, WHR.<BR> 2. there were interactive effects in FFA, TG, HDL-C, SBP.<BR> 3. there were interactive effects in V̇O₂max, Heart rate at rest.<BR> In conclusion, 12-week complex exercise turned out to have positive impact on obesity indicators, cardiovascular risk factors, cardiopulmonary fitness of obese middle-aged women.

Feminismos en Podemos: contrapoder, discursos y estrategias de lucha

El resurgir en los últimos años de los movimientos feministas en todo el mundo ha llevado a numerosas autoras a hablar de una cuarta ola del feminismo. Este es también el caso de España, donde ha tomado fuerza no solo el movimiento feminista autónomo sino también la participación de grupos y activistas feministas en diferentes protestas, movimientos sociales e incluso partidos políticos. Ejemplo de ello fue la alta implicación de activistas feministas en el movimiento 15-M, muchas de las cuales dieron posteriormente el paso a la representación política, entrando a formar parte de partidos de nueva creación como Podemos. Esta participación constituye una muestra de su compromiso por el cambio social y del reconocimiento de la interseccionalidad de opresiones, pero también exige un complejo ejercicio de reconstrucción y defensa del espacio feminista. Precisamente, en este artículo proponemos el análisis de los debates en torno a propuestas y estrategias que han mantenido las feministas de Podemos que, después de haber militado en movimientos sociales, han decidido colaborar con esta plataforma política.

The sustainable development conundrum in gold mining: Exploring ‘Open, Prior and Independent Deliberate Discussion’ as a community-centered framework

The role of sustainable development in the gold mining industry has received much attention in the last decade. Yet, implementing sustainable development in this industry has become a complex exercise. Cognizant of the shortfalls in existing frameworks such as the lack of supervision and accountability, we propose a new framework to help enhance the potential contribution of gold mining to sustainable development. Based on in-depth interviews and focus group discussions in selected gold mining communities of Ghana, the framework we term ‘Open, Prior, and Independent Deliberate Discussion’ (OPIDD) presents a number of benefits. First, it will help the government take better stock of mining impacts before the commencement of a project. Second, OPIDD will entrench the government's fiduciary role in long-term community development. Third, it offers a benchmark or leverage to negotiate mining agreements that are underpinned by principles of sustainable development. While it could have widespread applicability in resource-rich countries, our proposal draws primarily on insights from Ghana's gold mining industry. We conclude that such a government-led initiative will be effective in revealing the potential developmental benefits of gold mining to host communities and the country at large while making mining companies responsible and accountable.

Effects of Equal Volume Heavy-Resistance Strength Training Versus Strength Endurance Training on Physical Fitness and Sport-Specific Performance in Young Elite Female Rowers.

Strength training is an important means for performance development in young rowers. The purpose of this study was to examine the effects of a 9-week equal volume heavy-resistance strength training (HRST) versus strength endurance training (SET) in addition to regular rowing training on primary (e.g., maximal strength/power) and secondary outcomes (e.g., balance) in young rowers. Twenty-six female elite adolescent rowers were assigned to an HRST (n = 12; age: 13.2 ± 0.5 yrs; maturity-offset: +2.0 ± 0.5 yrs) or a SET group (n = 14; age: 13.1 ± 0.5 yrs; maturity-offset: +2.1 ± 0.5 yrs). HRST and SET comprised lower- (i.e., leg press/knee flexion/extension), upper-limbs (i.e., bench press/pull; lat-pull down), and complex exercises (i.e., rowing ergometer). HRST performed four sets with 12 repetitions per set at an intensity of 75–95% of the one-repetition maximum (1-RM). SET conducted four sets with 30 repetitions per set at 50–60% of the 1-RM. Training volume was matched for overall repetitions × intensity × training per week. Pre-post training, tests were performed for the assessment of primary [i.e., maximal strength (e.g., bench pull/knee flexion/extension 1-RM/isometric handgrip test), muscle power (e.g., medicine-ball push test, triple hop, drop jump, and countermovement jump), anaerobic endurance (400-m run), sport-specific performance (700-m rowing ergometer trial)] and secondary outcomes [dynamic balance (Y-balance test), change-of-direction (CoD) speed (multistage shuttle-run test)]. Adherence rate was >87% and one athlete of each group dropped out. Overall, 24 athletes completed the study and no test or training-related injuries occurred. Significant group × time interactions were observed for maximal strength, muscle power, anaerobic endurance, CoD speed, and sport-specific performance (p ≤ 0.05; 0.45 ≤ d ≤ 1.11). Post hoc analyses indicated larger gains in maximal strength and muscle power following HRST (p ≤ 0.05; 1.81 ≤ d ≤ 3.58) compared with SET (p ≤ 0.05; 1.04 ≤ d ≤ 2.30). Furthermore, SET (p ≤ 0.01; d = 2.08) resulted in larger gains in sport-specific performance compared with HRST (p < 0.05; d = 1.3). Only HRST produced significant pre-post improvements for anaerobic endurance and CoD speed (p ≤ 0.05; 1.84 ≤ d ≤ 4.76). In conclusion, HRST in addition to regular rowing training was more effective than SET to improve selected measures of physical fitness (i.e., maximal strength, muscle power, anaerobic endurance, and CoD speed) and SET was more effective than HRST to enhance sport-specific performance gains in female elite young rowers.

Assessment of training and selected factors on speed and quality of performing different tasks on the endoscopic simulator.

IntroductionOne of the most significant challenges nowadays is to educate and predict the predispositions of young surgeons taking into consideration that every ability has its own learning curve.AimTo determine the influence of selected factors and examine the shape and the length of the learning curve in performing simple tasks on an endoscopic simulator.Material and methodsTwenty students took part in 4 training sessions with a one-week break between sessions. They were training 12 min and performed three tasks at every session on the endoscopic simulator. To identify whether selected factors influence the time of completing tasks, the participants were asked to fill in questionnaires. All participants also completed the Minnesota Manual Dexterity Test (MMDT) to assess hand-eye coordination.ResultsOur research reveals that regardless of activities performed in free time, the shape of the learning curve was logarithmic. Improvement after the fourth session ranged from 50% to 75%. Performing specific activities in the free time did not influence the results achieved on the simulator. No statistically significant correlation between MMDT results and the time to accomplish each task was found.ConclusionsThis study has shown that the length of the learning curve of performing simple tasks is quite short and the shape is logarithmic. It suggests that more complex exercises should be included in the training programme.

Valuing Physical and Social Output: A Rapid Assessment of a London Community Garden

The value of urban farms and gardens in terms of their potential for supplying a healthy diet to local residents is well known. However, the prime objective of these spaces often differs from one of food production with this being the means by which other outputs are achieved. Valuing these spaces that provide diverse benefits is therefore a complex exercise as any measure needs to incorporate their physical as well as their social outputs. Only through such an integrated approach is the true value of these gardens revealed and the scale of their potential for contributing to health agendas made apparent. Social return on investment studies can be heavily resource dependent and the rapid cost benefit approach advanced here suggests that with limited expertise and minimal invasion of volunteer and beneficiary time and space, a public value return on investment ratio can be estimated relatively rapidly using an ‘off the shelf’ tool. For the food growing area of a London community garden, a return on investment of £3 for every £1 invested is calculated. This demonstrates the contribution that community gardens can make to social wellbeing within cities and justifies a call for further recognition of these spaces in urban planning policy.

From Denizen to Citizen: Contesting Representations of Young People and the Voting Age

The point of departure for this article is the failed attempt in Australia in 2018 to lower the voting age below 18. The focus is on citizenship and how particular representations of children and young people are used to justify not giving young people the vote. I draw on the theory of representations developed by Bourdieu (1992), Moscovici (1980) as well as Taylor’s theory of misrecognition (1994) to highlight how particular representations are used in some arguments made by those opposing the enfranchisement of people under 18 years of age. Those representations emphasise alleged deficiencies in young people’s political literacy, capacity for good judgement and experience due largely to a developmental stage in the life cycle they are said to occupy. In assessing these arguments, evidence is provided that demonstrates the various ways young people are being political and well able to engage in complex political processes and exercise good judgment. This raises various issues about how the political capabilities of young people are understood in a context characterized as a crisis of democracy.

근감소증 노인여성들의 15주 복합 운동프로그램이 신체구성, IGF-1 및 고관절 근력에 미치는 영향

본 연구의 목적은 근감소증 노인여성들을 대상으로 15주 복합 운동프로그램 적용에 따른 신체구성, IGF-1 및 고관절 근력에 대한 효과를 분석함으로써 근감소증과 관련하여 노화예방 및 건강수명 연장을 위한 운동프로그램 구성에 필요한 기초자료를 제공하는데 있다. 근감소증 노인여성 16명을 대상으로 측정․분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 신체적 특성과 관련하여 운동군은 체지방률과 WHR는 감소하였고 골격근량은 유의하게 증가하였다. 둘째, IGF-1의 경우에는 운동군에서 약 12.4% 유의하게 증가하였다. 셋째, 고관절 근력은 좌ᐧ우측 고관절의 신전, 굴곡, 외전 및 내전의 근력이 각각 유의하게 증가하였다. 이상의 결과로부터 15주 복합 운동프로그램은 신체구성요인 개선, 근성장 에 관여하는 IGF-1 수치의 증가 등과 같은 생리활성 요인을 긍정적으로 변화시키고 또한 운동학 측면에서 자세 유지 및 조절에 중요한 역할을 하는 고관절 근기능 개선 등의 효과를 유도한 것으로 판단된다. 따라서 복합 운동프로그램은 근감소증 개선, 신체활동 증진, 노화예방 및 건강수명을 연장하는데 있어서 매우 효과적이라고 생각된다.

비만중년여성의 12주 복합운동에 따른 기간별 인슐린 저항성과 GLP-1 변화비교

This study aims to examine the impact of 12-weeks complex exercise program on the body composition, insulin resistance and GLP-1 of obese middle-aged women.BR To do so, it experimented 18 middle-aged women with percentage of body fat over 35% after assigning them to experimental group(n=9) and control group(n=9) and let them do aerobic and resistance exercise for 50 to 60 minutes per, 5 times a week during 12 weeks. For data analysis, two-way repeated measures ANOVA was used. The analysis brought forth the findings as follows.BR 1. there was an interactive effect in % fat, visceral fat area, fat-free mass.BR 2. there was an interactive effect in TC, HDL-C, LDL-C, FFA.BR 3. there was an interactive effect in Insulin and HOMA-IR, but in .GLP-1.BR In conclusion, 12-week complex exercise turned out to have positive impact on the body composition of obese middle-aged women but it didn’t show significant difference in GLP-1. Therefore, the following study is expected to look into the impact of various intensity of exercise and exercising methods.

ICT Psychomotor Teaching Strategy in Oral English Class in Akure, Nigeria

Teaching oral English in an ESL environment is a complex exercise which requires appropriate instructional aids and methods, conducive learning environment, as well as, teacher competence. These requirements can be guaranteed by Information and Communication Technology (ICT). However, how much of ICT facilities are available and functional in secondary schools in an L2 situation in a developing country is an issue. The study examined the effects of ICT on students’ academic performance in oral English in a quasi-experimental design involving experimental and control groups with 200 male and female students from four purposively sampled secondary schools in Akure North Local Government Area of Ondo State, Nigeria. Oral English Achievement Test (OEAT) was developed, validated and used for data collection administered as a pre-test: before the treatment and as post-test: after the treatment, for four-week duration. Three research questions were raised and three hypotheses were tested at α=0.05 level of significance. The data collected were computed using t- test statistics. Study revealed that there is no significant difference between the learning achievements of students in rural and urban schools taught oral English using either ICT tools or chalk and talk strategy. It also showed that using ICT tools as a psychomotor strategy for teaching and learning stimulates learning and promotes better understanding of oral English among secondary school students. The study recommended that ICT facilities be made available for the teaching and learning of oral English in secondary schools and that teachers should be adequately trained to effectively use the facilities.

The value of patient centred care in oncology

The value of health care should be measured as the patient’s well-being. This demands knowledge of patient’s preference. Communication, i.e. delivering messages which can be understood + taking on board requests and priorities) is a complex exercise; even more when interacting with senior patients.It must be a primary career’s privilege to satisfy his/her patient’s requests however; we have much to improve in our interaction with senior cancer patients.

The Effect of a 12-Week Intradialytic Exercise on Patients’ Blood Indices, Physical Performance, and Quality of Life

This study aims to examine the effect of a 12-week intradialytic exercise program on patients’ blood indices, physical performance, and quality of life. Forty-six outpatients who were diagnosed with end-stage renal failure by a nephrologist and received hemodialysis therapy for six months or longer were recruited. The data were analyzed using SPSS and Kruskal-Wallis test was employed to analyze the continuous variables. Among blood indices, Hematocrit decreased significantly after aerobic and complex exercise; hemoglobin dropped only after complex exercise; P and Ca×P increased for a considerable amount only after complex exercise, but the postexamination results show no significant difference. As for physical performance, sit-to-stand (STS)-5 decreased with resistance and complex exercise (p &lt; .01), while there was a significant increase in STS-30 after aerobic, resistance, and complex exercise (p &lt; .01). 6-minute walk test (MWT) grew significantly in all groups (p &lt; .01), but alongside gait speed, and grip strength, it diminished significantly in the non-exercise group (p&lt; .05). When it comes to SF-36, there was a significant rise in the physical component score (PCS) (p&lt; .01) with resistance and complex exercise. In the meantime, mental component summary (MCS) went up significantly after all types of exercises (p &lt; .01). In contrast, Beck depression inventory (BDI) showed a significant decline only with complex exercise (p &lt; .01). To sum up, this study suggests intradialytic complex exercise appears to be effective in enhancing Short Form (SF)-36 and BDI as well as physical performance, which is why we recommend this type of complex exercise program for hemodialysis patients.

Effect of Complex Exercise Programs on Physical Fitness, Activities of Daily Living and Cognitive Status in Frail Elderly

본 연구는 허약 노인을 대상으로 복합운동프로그램 실시에 따른 체력, 일상생활수행능력과 인지상태의 변화를 알아보는데그 목적이 있다. 연구 대상은 21명의 허약노인을 대상으로 하였으며, 복합운동프로그램 운동그룹 12명, 통제그룹 9명으로 구성하였다. 복합운동프로그램은 유산소 운동 중심의 노인건강체조와 인지상태향상과 체력 향상을 위한 4색 래더 운동으로 구성되어 있으며 주2회, 1회 60분 운동을 10주간 실시하였다. 운동 프로그램 적용 전·후에 근력(상지, 하지), 유연성(앉아서 윗몸 앞으로 굽히기), 민첩성(전신반응시간), 보행능력, 협응성(Timed Up and Go test), 일상생활수행능력, 인지상태를 측정하였다. 허약 노인에 복합운동프로그램의실시 유무에 따른 집단 간의 차이를 연구한 결과 운동그룹은 상지근력(악력)에서 통제 그룹과 비교하여 유의한 향상이 있었고, 일상생활수행능력(ADL) 역시 유의한 향상을 나타냈다. 본 연구의 결과를 종합하면 허약 노인의 복합운동프로그램 참여는 근력(악력) 향상에효과가 있으며, 다양한 신체 기능 및 인지상태 저하를 위한 예방 차원에서 효과가 있었다.The purpose of this research was to examine changes in the physical fitness, activities of daily living performance, and cognitive status of the frail elderly by combined exercise programs. The combined exercise program consisted of an aerobic exercise for the elderly and a four-color ladder exercise for improving of cognitive ability and physical fitness. Twenty-one frail elderly participated in this study, they were divided into 12 exercise groups and nine control groups. The exercise group conducted the combined exercise program of 60 minutes, twice a week, for10 weeks, while the control group maintained their normal lives. Strength, flexibility, agility, coordination, ADL and MMSE-K were measured. Exercise group showed significant improvement in grip strength compared to control group. In addition, ADL showed significant improvement only in the exercise group. The results of this study showed that participation in the combined exercise program of the e l derl y was effective in improving the grip strength, and in preventing various physical functions and cognitive conditions decline.

비만여성들의 생리적 기능 및 신체혈액지표변화에 대한 복합운동의 효과

This study aims to examine the effects of obesity, physiological function and body blood index on complex exercise for obese women registered at the Jumping Exercise Center located in S-gu, G-metropolitan city, and this study was conducted with the necessity and purpose of the study in order to see the body changes of obese women for a healthy life and to present it as an exercise program for further improvement. The complex exercise consisted of 60 minutes 3 times a week for 8 weeks in total, and the following conclusions were drawn based on the above results through two measurements before and after the exercise. In physiological function, α-amylase showed a reduced effect, showing a positive effect. In addition, as a result of performing repeated measurement dispersion analysis, it was found that there was an interaction effect only in the measurement period*group. The body blood index showed a positive effect by showing a decrease in TC, but repeated analysis of variance showed that there was no interaction effect in all factors. HDL-C showed an increased effect and showed a positive effect. In addition, as a result of performing repeated measurement dispersion analysis, it was found that there was an interaction effect only in the measurement period*group. LDL-C showed a positive effect with reduced results. In addition, as a result of performing repeated measurement dispersion analysis, it was found that there was an interaction effect between the measurement time and the measurement time*group. TG showed a positive result, showing a reduced result. In addition, as a result of performing repeated measurement dispersion analysis, it was found that there was an interaction effect only between measurement periods*groups. Lastly, in blood sugar, all factors showed an appropriate level, showing a positive effect and no interaction effect. Therefore, it is thought that it is a positive exercise program that can improve the body for women who are worried about obesity. If this exercise is applied in consideration of exercise intensity and time in the long term, it is thought to have a healthy middle and old age.

The effect of targeted resistance training on bench press performance and the alternation of prime mover muscle activation patterns

ABSTRACT Targeted muscle strengthening might improve performance or help overcome training stagnation; therefore, the aim of the present study was to investigate changes in muscle activity patterns before and after six weeks of targeted resistance training. Twenty-seven resistance-trained men were divided into three groups according to their prime mover activity, as measured by surface electromyography during a bench press (BP). Each group underwent a six-week block of targeted exercises for one of the following muscles: anterior deltoid (AD), pectoralis major (PM) or triceps brachii (TB). ANOVA showed that each group increased their 1 repetition maximum (1RM) (p < 0.05) and the activity of the exercised muscle group during an isometric bench press (p < 0.01) and during a dynamic bench press (p < 0.01) at 85% of the 1RM. During the isometric BP, the TB training group had an increase in TB activity in comparison to the other groups. Targeted muscle training is a useful method for muscle activity increase and increasing the maximum strength in complex exercise, when applied in activity-deficient muscle groups. Strengthening the TB elicits changes in all prime movers and results in TB activity domination during a bench press.

Технологии управления процессом обучения спортивным упражнениям, сложным по координации

The article presents the technologies of managing the training of sports exercises, basedon the requirements for the development of their difficulty in complex coordination sports events.Technologies are based on knowledge, consideration and use of mechanisms that control theirradiation, concentration and stabilization of excitation and inhibition processes in the centralnervous system. They are implemented on the basis of biomechanical study of the structural composition of sports exercises, psychological parameters and individual indices of sports fitness of athletes, the impact of multidisciplinary content of sports exercise training. Objective. To develop and substantiate some current technologies for managing the process of learning sports exercises with complex coordination of the motion structure. Methods. Analysis of data of scientific and methodical literature, Internet, pedagogical observation, analysis of competition protocols. Results. Algorithms for using biological feedback as a modern method of self-control have been studied, practical recommendations for coaches and athletes in the process of learning sports exercises have been suggested. It is established that biological feedback is realized on the basis of and in combination with transfer technology, linearly branched programming of educational material taking into account individual indices of sports fitness of those engaged. They allow efficient development of knowledge, motor skills and abilities in the process of learning basic, complex and high difficulty exercises.

The Effect of Complex Exercises on Some Motor Abilities and Enduring the Skillful Performance of Football Players

The Effect of Complex Exercises on Some Motor Abilities and Enduring the Skillful Performance of Football Players

Effects of 8-Week High Intensity Combined Exercise on Body Composition, Blood Lipid and CRP in Obese Middle Aged Men

Background/Objectives: This study was built up to delve into the effects of high-intensity combined exercise on body composition, blood lipid and CRP for 8 weeks obese men living in Korea. For this purpose, treatment effects were divided into 8 weeks high intensity complex exercise group and control group.Method/Statistical Analysis: The purpose of this research was to study obesity men in their 50s. The study selected subjects who did not participate in periodic physical activity program in the last year. A total of 16 subjects were divided into 8 high-intensity combined exercise group and 8 control group. Basic statistical analysis was performed on high intensity combined exercise group and control group. 2-way ANOVA was performed to investigate the effects of 8 weeks high intensity compound exercise.Findings: 8 weeks of high-intensity combined exercise among obese middle-aged men in their 50s showed significant differences in body weight, muscle mass, body fat (%) and WHR, and significant differences in TG, TC, HDL-C, and LDL-C in blood lipids. The CRP showed significant interaction effects in the high intensity combined exercise group and the control group.Improvements/Applications: High intensity combined exercise showed positive changes in body composition, blood lipid and CRP in middle-aged men. This suggests that high-intensity exercise may have effect tomen in their 50s with extended life.

Comparison of human versus digital instructions for exercise in patients with hip osteoarthritis: results of a non-inferiority randomized cross-over trial

Purpose: The global burden of hip and knee osteoarthritis (OA) was ranked as the 11th highest contributor to global disability. Exercise has been shown to be effective to decrease pain and increase physical function. In this regard it is particularly important to enable patients to perform physical exercises in the best possible health-promoting and low-risk manner, taking into account their own physical condition. Face-to-face supervision is the gold standard for exercise guidance at the initiation of an exercise regime. However the age of digital media provides new opportunities to guide patients. It is crucial to evaluate if this type of intervention is not inferior to a personal contact with a trainer.The aim of this study is to evaluate whether instruction and guidance via a digital application, which is based on an evidence-based exercise regime, is not inferior to supervision by a physiotherapist with regard to movement quality, control competence for physical training and exercise-specific self-efficacy. Methods: Patients with clinically hip OA were recruited via print advertisements. The intervention was a training session consisting of four exercises with different focuses: mobility, strength and balance. One session was guided by a physiotherapist (P). The other session was guided by a digital application (A), including a pedagogical agent to foster training knowledge, videos for exercise instructions, and feedback mechanisms allowing adaptation of training intensity. Outcomes of interest were movement quality (MQ), exercise specific self-efficacy (ESE) and control competence for physical training (CCPT). MQ was assessed by rating the video recorded exercises. ESE and CCPT were assessed prior and after each training session via self-administered questionnaires. Participants were randomly assigned to one of two exercise treatment sequences. One sequence started with the digital application, the other sequence started with the intervention supervised by a physiotherapist. The wash-out phase between sessions was set to a minimum of three weeks. Participants, assessors and statisticians were not blinded to the treatment sequence and the type of intervention. Participants did not know which start sequence they were assigned to before the start of session 1. The digital’s application non-inferiority is given if the upper limit of the 95%-Confidence Interval (CI) of the effect size Hedges GIG for independent groups does not exceed the non-inferiority margin of G IG <0.2. Results: 54 participants started the first training session (32 female, 22 male; mean age 62.4, SD 8.2 years). Both start sequences were similar in size (PA: n=26; AP: n=28). 7 subjects did not attend the second training session (PA: n=3; AP: n=4). 47 people completed both training sessions. The individual time period between T1 and T2 was 27 to 42 days with an average time of 34.7 days. The app is inferior to the physiotherapist in all outcomes considered, except MQ of the mobility exercise (GIG=-0.13, CI -0.16, -0.09). In contrast to the strengthening exercises in two positions (supine GIG=0.75, CI 0.70, 0.81; table GIG=1.19, CI 1.13, 1.25)), MQ of balance exercise is close to non-inferiority (GIG= 0.15, CI 0.13, 0.20). ESE shows a strong effect on the side of the physiotherapist (GIG = 0.84, 95% CI 0.78, 0.89). In terms of CCPT the app is only slightly inferior to the physiotherapist (GIG=0.18, 95% 0.13, 0.22). Conclusions: Despite the absence of non-inferiority in almost any measure of interest, ESE and CCPT do also improve by the use of the app and MQ is acceptable for exercises that are easy to conduct. However relevant differences in movement quality are present in challenging tasks. The digital app therefore opens up possibilities for a supplementary tool to support the patient in independent home training for less complex exercises; however it cannot replace a physiotherapist equivalently. The trial was registered in the German Clinical Trial Register (DRKS00015759) and funded by the Leibniz-WissenschaftsCampus Tuebingen "Cognitive Interface" with funds from the Ministry of Science, Research and the Arts Baden-Wuerttemberg.

A home-based exercise program focused on proprioception to reduce falls in frail and pre-frail community-dwelling older adults

Frailty and falls are closely associated with each other as well as with disability, hospitalization, and death. Exercise can reduce these risks in both robust and frail older people. This before-after, non-randomized intervention study assessed a one-year proprioception training program with individual daily home exercises in 564 community-dwelling people aged 70 years and over, with different frailty phenotypes. After the exercise program, we observed a moderate reduction in the mean number of falls, fear of falls, body mass index and body fat percentage in frail and pre-frail participants. These results suggest that a home proprioception program may be a viable alternative to complex multicomponent exercise programs in settings where these are not feasible, since home proprioception can reach a larger population at a lower cost, and it affords clear benefits.