The Keio Journal of Medicine

Abstract
Ef?cacy of training program for ambulatory competence in elderly women
Jun Iwamoto, Yohei Otaka, Kazuhiko Kudo, Tsuyoshi Takeda, Mitsuyoshi Uzawa and Kiyoshi Hirabayashi

The optimal prevention of osteoporotic fractures in the elderly consists of increasing the bone density and preventing falls. We report on the ef?cacy of training program to promote ambulatory competence in elderly women. Twenty-?ve elderly women were enrolled in our training program, which is a three-month program consisting of dynamic balance training with Galileo 900 (Novotec, Pforzheim, Germany) once a week, combined with daily static balance (standing on one leg like a ?amingo) and resistance (half-squat) trainings. The mean age of the participants was 72.8 years (range, 61?86 years). After 3 months of training, the step length, knee extensor muscle strength, and maximum standing time on one leg were signi?cantly increased, while the walking speed and hip ?exor muscle strength were not signi?cantly altered. During the study period, no serious adverse events such as new vertebral fractures or adverse cardiovascular symptoms were observed in any participant. The present preliminary study shows that our training program may have the potential to promote ambulatory competence in elderly women. (Keio J Med 53 (2): 85?89, June 2004)