The immediate effects of foot self-massage in combination with exercise using tennis balls on balance performance in community-dwelling older adults

Main Article Content

Panida Hanphitakphong
Somruthai Poomsalood

Abstract

Objectives: To determine immediate effects of foot self-massage in combination with exercise using tennis balls on balance performance in community-dwelling older adults


Materials and methods: This study was a quasi-experimental before/after study without a control group. Thirty healthy elderly adults both male and female (average age: 69.23±7.00 years, BMI: 23.05±3.82 kg/m2) were participated. Participants performed foot self-massage combined with tennis ball exercise for 10 positions under researcher’s supervision. Timed up and go test (TUG) and functional reach test (FRT) were used to assess functional balance before and after foot massage and exercise. Participants also provided satisfaction survey on the equipment and foot massage with exercise program after post-test. Data was analyzed by Wilcoxon signed-rank test and dependent t-test to compare differences between pre- and post-test of TUG and FRT respectively. An alpha level of p<0.05 was used to test statistical significance.


Results: The results presented that TUG significantly decreased at the end of the study (pre-test: 11.06±2.72 s, post-test: 9.92±2.65 s, p=0.000). FRT also showed a significant increase between pre- and the post-test (pre-test:26.58±6.66 cm, post-test:32.28±6.4 cm,p=0.000). Survey score was 4.53±0.63 out of 5 which classified as very satisfied.


Conclusion: Findings from this study demonstrated that foot self-massage combined with tennis ball exercise may improve functional balance and also build comfort for foot in elderly.


Journal of Associated Medical Sciences 2017; 50(1): 100-113. Doi: 10.14456/jams.2017.9

Article Details

How to Cite
Hanphitakphong, P., & Poomsalood, S. (2017). The immediate effects of foot self-massage in combination with exercise using tennis balls on balance performance in community-dwelling older adults. Journal of Associated Medical Sciences, 50(1), 100. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/74324
Section
Research Articles

References

1. Branch JS, Simonsick EM, Kritchevsky S, Yaffe K, Newman AB. The associated between physical function and lifestyle activity and exercise in the health, aging and body composition study. J Am Geriatr Soc 2004; 52: 502-9.

2. Jitapunkul S, Bunnag S, Ebrahim S. Health care for elderly people in developing countries: a case study of Thailand. Age Ageing 1993; 22: 377-81.

3. Era P, Heikkinen E, Guuse-Nilsson I, Schroll M. Postural balance in elderly people: change over a five-year follow-up and its predictive value for survival. Aging Clin Exp Res 2002; 14: 37-46.

4. Mazzeo RS, Cavanagh P, Evans WJ, Fiatarone M, Hagberg J, MaAuley E. Position stand exercise and physical activity for older adults. Med Sci Sports Exerc 1998; 30: 992-1008. doi: 10.1097/00005768-199806000-00033

5. Saenphan S, Sungkarat S, Boripuntakul S, Watcharasaksilp K. Effects of home-based Tai Chi training on balance in older adults with mild cognitive impairment. Bull Chiang Mai Assoc Med Sci 2016; 4(1): 124-33 (in Thai).

6. Patla AE, Frank JS, Winter DA, Rietdyk S, Prentice S, Prasad S. Age-related changes in balance control system: initiation of stepping. Clin Biomech 1992; 8: 179-84.doi: 10.1016/0268-0033(93)90012-7.

7. Boonyarat S, Nualnetr N, Eungpinichpong W. Emasithi A. Effects of a physical therapy program based on client-centered approach on functional balance in the elderly. JMTPT 2009; 21(1): 57-73 (in Thai).

8. Nualnetr N, Sriruang J, Boonmat R, Chaiyamoon A, Boonyarat S. Assessment of risk of falling in community-dwelling elderly by using the Thai fall risk assessment tool and the berg balance scale. JMTPT 2010; 22(2): 179-87 (in Thai).

9. Thiamwong L. Fall prevention for community-dwelling older adults. GMM 2004; 5(2): 42-7.

10. Tousignant M, Corriveau H, Roy PM, Desrosiers J, Dubuc N, Hebert R, et al. The effect of supervised tai chi intervention compared to a physiotherapy program on fall-related clinical outcomes: a randomized clinical trial. Disabil Rehabil 2012; 34(3): 196-201.doi: 10.3109/09638288.2011.591891.

11. Hong Y, Li JX, Robinson PD. Balance control, flexibility, and cardiorespiratory fitness among older tai chi practitioners. Br J Sports Med. 2000; 34: 29–34.

12. Lapanantasin S, Kumban W, Maneesai P, Kongkwamsuk S. Effects of balance training by group exercise program and balance training device in Thai elderly women. TJPT 2009; 31(3): 112-22 (in Thai).

13. deOliveria MR, daSilva RA, Dascal JB, Teixeira DC. Effect of different types of exercise on postural balance in elderly women: a randomized controlled trial. Arch Gerontol Geriatr 2014; 59: 506–14.doi: 10.1016/j.archger.2014.08.009.

14. Hirase T, Inokuchi S, Matsusaka N, Okita M. Effects of a balance training program using a foam rubber pad in community – based older adults: a randomized controlled trial. J Geriatr Phys Ther 2015; 38(2): 62-70.doi: 10.1519/JPT.0000000000000023.

15. Barnett A, Smith B, Lord SR, Williams M, Baumand A. Community-based group exercise improves balance and reduces falls in at risk older people: a randomised controlled trial. Age Aging 2003; 32: 407-14.

16. Nitz JC, Choy NL. The efficacy of a specific balance-strategy training programme for preventing falls among older people: a pilot randomized controlled trial. Age Aging 2004; 33: 52-8.

17. Garriga MG, Guerra M, Pages E, Manini TM, Jimenez R, Unnithan VB. The effect of functional circuit training on physical frailty in frail older adults: a randomized controlled trial. J Aging Phys Act 2010; 18: 401-24.

18. Vaillant J, Rouland A, Martigne P, Braujou R, Nissen MJ, Vuillerme N, et al. Massage and mobilization of the feet and ankles in elderly adults: effects on clinical balance performance. Manual Ther. 2009; 14(6): 661-4.doi: 10.1016/j.math.2009.03.004.

19. Namkorn P. Effects of foot massage on functional mobility and balance performance in the elderly [Masterthesis]. Khon Kaen:Khon Kaen University; 2013 (in Thai).

20. ChoopeakJ. Effects of supportive-educative program in promoting Thai traditional walking exercise on physical fitness, self-care agency, and percieved health status among the elderly in the community: a case study of Panomwang Subdistrict, Phatthalung Province [Master thesis]. Songkla: Prince of Songkla University; 2010 (in Thai).

21. Boonyarom O, Somthavil S, Srisupornkornkul K, Kowittayanon K , Jaepanya S, Boonyong K, et al. Effects of foot reflexology by coconut shells walking on balance. JAHS 2015; 2(2): 75.

22. Chananchida Yuktirat, Nichanant Sermsri. The design and development of foot massage plate from coconut shell. ISSRI 2014; 8(4): 197-99.

23. Borisut S, Kong-in W, Naka K. The comparison of foot care knowledge program and the program of foot care knowledge integrating with coconut shell stepping on foot numbness in persons with type 2 diabetes. J Nurs Sci 2009; 21(1): 94-105 (in Thai).

24. Grieve R, Goodwin F, Alfaki M, Bourton AJ, Jeffries C, Scott H. The immediate effect of bilateral selfmyofascial release on the plantar surface of the feet on hamstring and lumbar spine flexibility: a pilot randomised controlled trial. J Bodyw Mov Ther 2015; 19: 544-52.doi: 10.1016/j.jbmt.2014.12.004

25. GulsatitpornS. Physical therapy in older adults. 2nd ed. Bangkok: Offset Press Co., Ltd.; 2009(in Thai).

26. SungkaratS. Neurorehabilitation of brain disorders: from theory to practice. Chiang Mai: Siampimnana Co. Ltd.; 2015 (in Thai).

27. Tantisuwat A, Chamonchant D, Boonyong S. Multi-directional Reach Test: An Investigation of the Limits of Stability of People Aged between 20–79 Years. J Phys Ther Sci 2014; 26: 877–80. doi: 10.1589/jpts.26.877.

28. Behm DG, Bambury A, Cahill F, Power K. Effect of acute static stretching on force, balance, reaction time and movement time. Med Sci Sports Exerc 2014; 36: 1397-402.

29. Kaur J, Kaur S, Bhardwaj N. Effect of foot massage and reflexology on physiological parameters of critically ill patients. Nursing Midwifery Res J2012; 8(3): 223-33.