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Acute and chronic effects of supervised flexibility training in older adults: a comparison of two different conditioning programs
La Greca S, Rapali M, Ciaprini G, Russo L, Vinciguerra MG, Di Giminiani R
International Journal of Environmental Research & Public Health 2022 Dec;19(24):16974
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Flexibility training is a fundamental biological process that improves the quality of life of the elderly by improving the ranges of motion of joints, postural balance and locomotion, and thus reducing the risk of falling. Two different training programs were assessed acutely and after 12 weeks by means of the sit-and-reach test. Thirty-one healthy older adults were randomly divided into three groups: the Experiment I group (Exp) performed strength and static stretching exercises; the Experiment II group performed dynamic and static stretching exercises; and participants assigned to the control group maintained a sedentary lifestyle for the entire period of the study. Flexibility acutely increased in Exp I by the first (delta T0 = 7.63 +/- 1.26%; ES = 0.36; p = 0.002) and second testing sessions (delta T1 = 3.74 +/- 0.91%; ES = 0.20; p = 0.002). Similarly, it increased in Exp II significantly by the first (delta T0 = 14.21 +/- 3.42%; ES = 0.20; p = 0.011) and second testing sessions (delta T1 = 9.63 +/- 4.29%; ES = 0.13; p = 0.005). Flexibility significantly increased over the 12 weeks of training in Exp I (delta T0 - T1 = 9.03 +/- 3.14%; ES = 0.41; p = 0.020) and Exp II (delta T0 - T1 = 22.96 +/- 9.87%; ES = 0.35; p = 0.005). The acute and chronic differences between the two groups were not significant (p > 0.05). These results suggest the effectiveness of different exercise typologies in improving the flexibility of the posterior muscular chains in older adults. Therefore, the selection of a program to optimize training interventions could be based on the physical characteristics of the participants.

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