The performance of balance exercises during daily tooth brushing is not sufficient to improve balance and muscle strength in healthy older adults.

BACKGROUND: High prevalence rates have been reported for physical inactivity, mobility limitations, and falls in older adults. Home-based exercise might be an adequate means to increase physical activity by improving health- (i.e., muscle strength) and skill-related components of physical fitness (i.e., balance), particularly in times of restricted physical activity due to pandemics. OBJECTIVE: The objective of this study was to examine the effects of home-based balance exercises conducted during daily tooth brushing on measures of balance and muscle strength in healthy older adults. METHODS: Fifty-one older adults were randomly assigned to a balance exercise group (n = 27; age: 65.1 ± 1.1 years) or a passive control group (n = 24; age: 66.2 ± 3.3 years). The intervention group conducted balance exercises over a period of eight weeks twice daily for three minutes each during their daily tooth brushing routine. Pre- and post-intervention, tests were included for the assessment of static steady-state balance (i.e., Romberg test), dynamic steady-state balance (i.e., 10-m single and dual-task walk test using a cognitive and motor interference task), proactive balance (i.e., Timed-Up-and-Go Test [TUG], Functional-Reach-Test [FRT]), and muscle strength (i.e., Chair-Rise-Test [CRT]). RESULTS: Irrespective of group, the statistical analysis revealed significant main effects for time (pre vs. post) for dual-task gait speed (p < .001, 1.12 ≤ d ≤ 2.65), TUG (p < .001, d = 1.17), FRT (p = .002, d = 0.92), and CRT (p = .002, d = 0.94) but not for single-task gait speed and for the Romberg-Test. No significant group × time interactions were found for any of the investigated variables. CONCLUSIONS: The applied lifestyle balance training program conducted twice daily during tooth brushing routines appears not to be sufficient in terms of exercise dosage and difficulty level to enhance balance and muscle strength in healthy adults aged 60-72 years. Consequently, structured balance training programs using higher exercise dosages and/or more difficult balance tasks are recommended for older adults to improve balance and muscle strength.

The effect of alginates on the hydration of calcium aluminate cement.

The hydration of calcium aluminate cement (CAC) in the presence of sodium alginate which is known to slightly retard Portland cement, was studied using heat flow calorimetry and mortar strength testing. Most surprisingly, addition of alginate resulted in an earlier occurrence of the maximal heat release as well as an increased early strength, thus confirming that in CAC alginate acts as accelerator. The thickening effect of alginate was effectively compensated using a superplasticizer while retaining its accelerating property. An investigation of the pore solution composition indicated that in the presence of alginate the concentration of calcium ions was reduced. Such effect normally causes retardation of cement hydration and should delay the formation of C-A-H phases. Apparently, the strong calcium ion complexing ability of alginate promotes the formation of C-A-H via e.g. a templating effect. A combined application of alginates and lithium salts presents a viable option to reduce the lithium consumption in CAC acceleration.

Differential effects of ballistic versus sensorimotor training on rate of force development and neural activation in humans.

Balancing exercises on instable bases (sensorimotor training [SMT]) are often used in the rehabilitation process of an injured athlete to restore joint function. Recently it was shown that SMT was able to enhance rate of force development (RFD) in a maximal voluntary muscle contraction. The purpose of this study was to compare adaptations on strength capacity following ballistic strength training (BST) with those following an SMT during a training period of 1 microcycle (4 weeks). Maximum voluntary isometric strength (MVC), maximum RFD (RFDmax) and the corresponding neural activation of M. soleus (SOL), M. gastrocnemius (GAS), and M. tibialis anterior (TIB) were measured during plantar flexion in 33 healthy subjects. The subjects were randomly assigned to a SMT, BST, or control group. RFDmax increased significantly stronger following BST (48 +/- 16%; p < 0.01) compared to SMT (14 +/- 5%; p < 0.05), whereas MVC remained unchanged in both groups. Median frequencies of the electromyographic power spectrum during the first 200 ms of contraction for GAS increased following both BST (45 +/- 21%; p < 0.05) and SMT (45 +/- 22%; p < 0.05), but median frequencies for SOL increased only after SMT (13 +/- 4%; p < 0.05). Additionally, mean amplitude voltage increased following BST for SOL (38 +/- 12%; p < 0.01) and for GAS (73 +/- 23%; p < 0.01) during the first 100 ms, whereas it remained unchanged after SMT. It is concluded that BST and SMT may induce different neural adaptations that specifically affect recruitment and discharge rates of motor units at the beginning of voluntary contraction. Specific neural adaptations indicate that SMT might be used complementarily to BST, especially in sports that require contractile explosive properties in situations with high postural demands, e.g., during jumps in ball sports.