scholarly journals P115: Limiting functional decline in seniors evaluated for minor injuries in the ED

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S117
Author(s):  
M. Sirois ◽  
R. Daoust ◽  
M. Émond ◽  
J. Blais ◽  
M. Aubertin-Leheudre ◽  
...  

Introduction: In its prospective cohorts of independent seniors with minor injuries, the CETIe (Canadian Emergency Team Initiative) has shown that minor injuries trigger a spiral of mobility and functional decline in 18% of those seniors up to 6 months post-injury. Because of their effects on multiple physiological systems, multicomponent mobility interventions with physical exercises are among the best methods to limit frailty and improve mobility & function in seniors. Methods: Pilot clinical trial among 4 groups of seniors, discharged home post-ED consultation for minor injuries. Interventions: 2x 1 hour /week/12 weeks with muscle strengthening, functional and balance exercises under kinesiology supervision either at home (Jintronix tele-rehabilitation platform) or at community-based programs (YWCA, PIED) vs usual ED-discharge (CONTROL). Measures: Functional Status in ADLs (Older American Ressources Scale); Global physical & social functioning (SF-12 questionnaire), physical activity level (RAPA questionnaire) at initial ED visit and at 3 months. Results: 135 seniors were included (Controls: n=50; PIED: n=28; Jintronix: n=27; YWCA: n=18). Mean age was 72.6±6.2 years, 45% were prefrail, 86% and 8% had a fall or motor vehicle-related injuries (e.g. fractures: 30%; contusions: 37%). Intervention could start as early as 7 days post-injury. Seniors in interventions (Home, YWCA or PIED) maintained or improved their functional status (84% vs 60%, p≤0.05), their physical (73% vs 59%, p=0.05) and social (45% vs 23%, p≤0.05) functioning. While 21% of CONTROLs improved their physical activity level three months post-injury, 46% of seniors in intervention did (p≤0.05). Conclusion: Exercises-based interventions can help improve seniors’ function and mobility after a minor injury.

2018 ◽  
Vol 63 (8) ◽  
pp. 1002-1008 ◽  
Author(s):  
Andrea A Morita ◽  
Laís K O Silva ◽  
Gianna W Bisca ◽  
Joice M Oliveira ◽  
Nidia A Hernandes ◽  
...  

1997 ◽  
Vol 13 (3) ◽  
pp. 195-205 ◽  
Author(s):  
Marit Sorensen

Adherence to lifestyle changes - beginning to exercise, for example - is assumed to be mediated by self-referent thoughts. This paper describes a pilot study and three studies conducted to develop and validate a questionnaire for adults to determine their self-perceptions related to health-oriented exercise. The pilot study identified items pertinent to the domains considered important in this context, and began the process of selecting items. Study 2 examined the factor structure, reduced the number of items, determined the internal consistency of the factors, and explored the discriminative validity of the questionnaire as to physical activity level and gender. Four factors with a total of 24 items were accepted, measuring mastery of exercise, body perception, social comfort/discomfort in the exercise setting, and perception of fitness. All subscales had acceptable internal consistencies. Preliminary validity was demonstrated by confirming hypothesized differences in scores as to gender, age, and physical activity level. The third study examined and demonstrated convergent validity with similar existing subscales. The fourth study examined an English-language version of the questionnaire, confirming the existence of the factors and providing preliminary psychometric evidence of the viability of the questionnaire.


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