Comparative effectiveness of manual therapy and band exercises combined with high-intensity walking for pain, posture, and cardiorespiratory health in older adults: a randomised clinical trial

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11510%2F25%3A10504717" target="_blank" >RIV/00216208:11510/25:10504717 - isvavai.cz</a>

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=3eAShEb8ev" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=3eAShEb8ev</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3389/fmed.2025.1654670" target="_blank" >10.3389/fmed.2025.1654670</a>

Result language

angličtina

Original language name

Comparative effectiveness of manual therapy and band exercises combined with high-intensity walking for pain, posture, and cardiorespiratory health in older adults: a randomised clinical trial

Original language description

Musculoskeletal pain and cardiovascular and pulmonary disorders affect the growing population of older adults. Manual therapy has proven to be effective, however, research using elastic bands is still scarce. The aim of thismanuscript is to compare the effects of elastic band program training versus a manual therapy protocol, both combined with high-intensity walking, on agerelated health parameters, such as pain, posture, and cardiorespiratory variables.Methods: A multicentre randomised clinical trial was conducted on community dwelling older adults with non-specific musculoskeletal pain. Participants were divided into two groups: (1) Manual therapy and high-intensity walking group (MTWG), who received self-assisted manual therapy followed by supervised high-intensity walking and (2) Elastic band and high-intensity walking group (EBWG) who performed resistance exercises with elastic bands and highintensitywalking. Musculoskeletal pressure pain threshold in trapezius muscles,back pain intensity, postural pattern (change in thorax position and chest wallexpansion) and cardiorespiratory variables (heart rate and oxygen saturation,SpO2) were measured before the intervention (T0), after the 4-week programme(T1) and after the 4-week follow-up (T2).Results: A total of 102 older adults (49 in the MTWG and 53 in EBWG) completedthe study and were analysed. Five RM-MANCOVA models were specified. TheEBWG showed significantly higher PPT scores than the MTWG across all data points(p &lt; 0.01); a between-within-subjects effect was found for VAS scores (p &lt; 0.05)(Model A). Statistically significant within-subject differences were found for theleft acromion-to-bed distance scores (p &lt; 0.05) but not for the right-side scores(Model B). Similarly, significant between-subject differences for the upper chestwall were found (p &lt; 0.05), but not for the lower chest wall. However, univariate tests revealed significant within-subject for both the upper and lower chest wall scores. Finally, no significant differences were found in pulmonary function scores (Model D), heart rate (HR) or oxygen saturation scores (Model E).Conclusion: Both protocols reduce pain. Manual therapy helps with non-specific back pain and improves acromion-to-table posture, while elastic band treatment enhances trapezius pressure threshold and upper thoracic expansion. Neither improved lower thoracic mobility or respiratory variables.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30306 - Sport and fitness sciences

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Frontiers in Medicine

ISSN

2296-858X

e-ISSN

2296-858X

Volume of the periodical

12

Issue of the periodical within the volume

Octomber

Country of publishing house

CH - SWITZERLAND

Number of pages

15

Pages from-to

1654670

UT code for WoS article

001614767000001

EID of the result in the Scopus database

2-s2.0-105021508732