408 - Muscle strength is an important predictor for limitations in basic activities of daily living among people with severe disability

Objective:This study aimed to identify predictors of limitations in basic activities of daily living (BADL) among people with severe disabilities.Methods:4075 long-term care beneficiaries with severe disabilities in Guangzhou, China, were included during July 2018 and March 2019. BADL was assessed using the Barthel index (BI). Muscle strength was measured by using the Lovett Rating Scale. Age, gender, comorbidities, and muscle strengths were collected as independent variables. Chi-square Automatic Interaction Detector (CHAID) method was used to examine associations between independent variables and item scores of the BI.Results:Muscle strength and history of stroke were parent node and child node for most of BADL limitations, respectively. Upper limb muscle strength (≤ 3) was a major predictor for dependence in feeding, grooming, toileting, dressing, and transfer, while lower limb muscle strength (≤ 3) was a major predictor for limitation in mobility.Conclusions:Muscle strength was the strongest predictor of BADLs among people with severe disability. Muscle strength grading may be optimal for designing supporting strategies for people with severe disabilities.

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The effect of a 24-week training focused on activities of daily living, muscle strengthening, and stability in idiopathic inflammatory myopathies: a monocentric controlled study with follow-up

Arthritis Research & Therapy ◽

10.1186/s13075-021-02544-5 ◽

2021 ◽

Vol 23 (1) ◽

Author(s):

Maja Špiritović ◽

Barbora Heřmánková ◽

Sabína Oreská ◽

Hana Štorkánová ◽

Olga Růžičková ◽

...

Keyword(s):

Muscle Strength ◽

Activities Of Daily Living ◽

Daily Living ◽

Substantial Proportion ◽

Controlled Study ◽

Idiopathic Inflammatory Myopathies ◽

Inflammatory Myopathies ◽

Local Inflammatory Response ◽

Secondary Outcomes

Abstract Background The structural and functional changes of the skeletal muscles in idiopathic inflammatory myopathies (IIM) caused by inflammation and immune changes can be severely disabling. The objective of this study was to assess the effect of a 24-week program combining a supervised training of activities of daily living (ADL), resistance, and stability with home exercise for improving muscle function, compared to a daily home-based exercise representing the regular outpatient care. Methods Fifty-seven patients with IIM were consecutively and non-selectively enrolled in an intervention (IG, n = 30) or control (CG, n = 27) group. Both groups were provided a standard-of-care pharmacological treatment and follow-up. Only the IG underwent the supervised intervention twice a week for 1 h per session. At baseline, 12, 24, and 48 weeks, all patients were assessed by an assessor blinded to the intervention for primary outcomes: muscle strength (Manual Muscle Testing of eight muscle groups [MMT-8]) and endurance (Functional Index-2 [FI-2]), and secondary outcomes: stability and body composition. Secondary outcomes also included questionnaires evaluating disability (Health Assessment Questionnaire [HAQ]), quality of life (Short Form 36 [SF-36]), depression (Beck’s Depression Inventory-II [BDI-II]), and fatigue (Fatigue Impact Scale [FIS]), and analysis of the systemic and local inflammatory response and perceived exertion to assess the safety of the intervention. Results Twenty-seven patients in the IG and 23 in the CG completed the entire program and follow-up. At week 24, compared to deterioration in the CG, we found a significant improvement in the IG in muscle strength (mean % improvement compared to baseline by 26%), endurance (135%), disability (39%), depression (26%), stability (11%), and basal metabolism (2%) and a stabilization of fitness for physical exercise. The improvement was clinically meaningful (a 24-week change by >20%) in most outcomes in a substantial proportion of patients. Although the improvement was still present at 48 weeks, the effect was not sustained during follow-up. No significant increase in the systemic or local expression of inflammatory markers was found throughout the intervention. Conclusions This 24-week supervised intervention focused on ADL training proved to be safe and effective. It not only prevented the progressive deterioration, but also resulted in a significant improvement in muscle strength, endurance, stability, and disability, which was clinically meaningful in a substantial proportion of patients. Trial registration ISRCTN35925199 (retrospectively registered on 22 May 2020).

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The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis

Age and Ageing ◽

10.1093/ageing/aft133 ◽

2013 ◽

Vol 42 (6) ◽

pp. 682-688 ◽

Cited By ~ 34

Author(s):

Tom Crocker ◽

John Young ◽

Anne Forster ◽

Lesley Brown ◽

Seline Ozer ◽

...

Keyword(s):

Systematic Review ◽

Activities Of Daily Living ◽

Daily Living ◽

Long Term Care ◽

Meta Analysis ◽

Physical Rehabilitation ◽

Term Care ◽

Care Facilities

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A Qualitative Study on Coping Strategies Among Patients with Non-Specific Low-Back Pain

Middle East Journal of Rehabilitation and Health ◽

10.5812/mejrh.103387 ◽

2020 ◽

Vol 7 (3) ◽

Author(s):

Adesola Ojo Ojoawo ◽

Taiwo Oluwaseun Arasanmi ◽

Chidozie Emmanuel Mbada

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Activities Of Daily Living ◽

Coping Strategies ◽

Daily Living ◽

Rating Scale ◽

Low Back ◽

Religious Activities ◽

Work Related ◽

And Coping

Background: Non-specific low-back pain (NSLBP) is a common health problem worldwide, but the perception and coping strategies used by patients are underreported. Objectives: The objectives of the study were to evaluate the perception of patients with NSLBP, the ways the pain interrfered with their basic life, and coping strategies employed by them. Methods: Twenty patients consisting of 10 males (50%) and 10 females (50%) participated in this study. A qualitative interview was conducted using a three-section modified structured interview guide by Gwenda. Section A contained sociodemographic information, section B was the numerical pain rating scale, and section C asked questions about the pain duration, the ways of pain interference with the patient’s life, and strategies used to cope with pain. The data were analyzed using thematic content analysis. Results: The results showed that 50% of the patients were within the age range of 58 years or above. Ten (50%) patients perceived that NSLBP was caused by work-related activities and 10% perceived that NSLBP was a spiritual problem. Fifty percent reported that the pain interfered with their activities of daily living, and four (20%) mentioned that NSLBP interfered with their sexual function and religious activities. Concerning the coping strategy, 40% used prayer, 15% usually ignored the pain, and 35% used the conventional approach. Conclusions: It can be concluded that half of the patients with NSLBP perceived NSLBP to be caused by work-related activities. Besides, NSLBP interfered with basic activities of daily living, and about 40% were coping with NSLBP with prayer and spiritual means.

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Review on Pricing Models for Long-term Care Insurance

Malaysian Journal of Science Health & Technology ◽

10.33102/mjosht.v5i1.130 ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Muhammad Syakir Asrulsani ◽

Mazlynda Md Yusuf

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Long Term Care ◽

Financial Burden ◽

Term Care ◽

Protection Mechanism ◽

Long Term Care Insurance ◽

Risk Protection ◽

Care Costs

Funding for long-term care costs among elderly people is a critical matter, especially due to high costs and an unexpected length of time. Placement for long-term care that is funded under Jabatan Kebajikan Masyarakat (JKM) is very limited, hence, the next option is through private nursing homes. However, the cost could be up to RM 2,000 a month for each person. Therefore, Long- Term Care Insurance is an alternative to fund for Long-Term Care costs as it is expected to reduce financial burden during old age. It is a risk protection mechanism for an insured that needs health and financial protection when an individual is unable to do activities of daily living (ADL) or supports in instrumental activities of daily living (IADL). This paper reviews three models that have been used in pricing long-term care insurance. All three models use the equivalent principle of premium to price the insurance policy. However, the probability and assumptions used for each model differ, depending on the insured's needs and profile.

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Contribution of abdominal muscle strength to various activities of daily living of stroke patients with mild paralysis

Journal of Physical Therapy Science ◽

10.1589/jpts.27.815 ◽

2015 ◽

Vol 27 (3) ◽

pp. 815-818 ◽

Cited By ~ 16

Author(s):

Takaaki Fujita ◽

Atsushi Sato ◽

Yui Togashi ◽

Ryuichi Kasahara ◽

Takuro Ohashi ◽

...

Keyword(s):

Muscle Strength ◽

Activities Of Daily Living ◽

Daily Living ◽

Abdominal Muscle ◽

Stroke Patients ◽

Abdominal Muscle Strength

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Influence of Hemoglobin Level on Muscle and Physical Functions, Activities of Daily Living, and Quality of Life in Patients With Hematological Malignancies

Integrative Cancer Therapies ◽

10.1177/1534735419842196 ◽

2019 ◽

Vol 18 ◽

pp. 153473541984219 ◽

Cited By ~ 6

Author(s):

Takuya Fukushima ◽

Jiro Nakano ◽

Shun Ishii ◽

Ayumi Natsuzako ◽

Haruna Kawachi ◽

...

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Activities Of Daily Living ◽

Physical Function ◽

Daily Living ◽

Hematological Malignancies ◽

Physical Symptoms ◽

Significant Difference ◽

Physical Functions

Purpose. Patients with hematological malignancies often present with reduced muscle and physical functions, which are caused by the disease or related treatment. Moreover, patients with hematological malignancies rapidly develop low hemoglobin levels, and this may affect muscle and physical functions. This study aimed to identify the influence of hemoglobin levels on muscle and physical functions in patients with hematological malignancies. Methods. Using a cross-sectional study design, this study included 60 patients with hematological malignancies (mean age = 68.0 ± 10.2 years, women 56.7%) who were hospitalized for chemotherapy- and radiotherapy-related side effects and underwent examination for skeletal muscle mass (SMM), muscle strength, physical function, activities of daily living (ADLs), psychological status, and quality-of-life (QOL), including physical symptoms. Participants were divided into 3 groups according to tertiles of hemoglobin levels: low (n = 19), middle (n = 20), and high (n = 21). Evaluation items were compared among the 3 groups. Results. There was no significant difference among the 3 groups in terms of SMM. The low hemoglobin group showed significantly higher values of fatigue and dyspnea and lower values of muscle strength, ADLs, and QOL than the high hemoglobin group. Conclusions. Hemoglobin levels did not affect SMM; however, muscle weakness, decrease in physical function, physical symptoms such as fatigue and dyspnea, and decline in ADLs and QOL were observed in patients with low hemoglobin levels.

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Associations Between Amantadine Usage, Gait, and Cognition in PSP: A post-hoc Analysis of the Davunetide Trial

Frontiers in Neurology ◽

10.3389/fneur.2020.606925 ◽

2020 ◽

Vol 11 ◽

Author(s):

Marian L. Dale ◽

Barbara H. Brumbach ◽

Adam L. Boxer ◽

Amie L. Hiller

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Rating Scale ◽

Change Score ◽

Categorical Variables ◽

Continuous Variables ◽

Group Status ◽

Chi Square ◽

Neuropsychological Status ◽

Post Hoc

Introduction: Amantadine anecdotally improves gait in progressive supranuclear palsy (PSP) but definitive data is lacking. We investigated associations between amantadine usage, gait, cognition, and activities of daily living in 310 subjects with PSP using data from the davunetide trial.Method: We compared baseline demographics, PSP Rating Scale (PSPRS), Repeat Battery for the Assessment of Neuropsychological Status (RBANS), and Schwab and England Activities of Daily Living (SEADL) scores between subjects taking vs. not taking amantadine using chi-square tests for categorical variables and independent sample t-tests for continuous variables. Using the general linear model (GLM), we tested whether group status predicted total PSPRS, PSPRS-gait and midline, total RBANS, RBANS-attention, and SEADL before and after the 52-weeks follow-up.Results: Subjects taking vs. not taking amantadine were similar at baseline, except subjects taking amantadine had a higher Clinical Global Impression (CGI) Score (p = 0.01). However, the CGI change score did not differ between groups at week 52 (p = 0.10). Using GLM models (controlling for covariates), we found that subjects taking vs. not taking amantadine did not significantly predict total PSPRS, PSPRS-gait and midline, total RBANS, RBANS-attention, or SEADL at baseline, week 52, or the change score between baseline and week 52.Discussion: This post-hoc analysis of the davunetide trial did not find an association between amantadine and gait or cognitive measures in PSP, but was not powered to find such a difference. Future studies should still examine amantadine for symptomatic benefit in multiple PSP subtypes.

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LONG-TERM CARE NEEDS BY CHINESE ELDERLY AND POLICY PRIORITIES IN CHINA

Innovation in Aging ◽

10.1093/geroni/igz038.916 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S244-S244

Author(s):

Juan Juan Sun ◽

Haichao Wu

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Long Term Care ◽

Care Needs ◽

Term Care ◽

Social Survey ◽

Major Chronic Disease ◽

Age Dependent ◽

Physical Functions

Abstract With the life expectancy in China continuing to increase, age-dependent chronic diseases are also likely to increase, as is the number of people with long-term care needs. This study evaluated the Long Term Care (LTC) needs of the Chinese older population and introduced related policy priorities. Using the 2014 and 2016 “China Longitudinal Aging Social Survey”, this study assessed the physical functions of older adults by measuring their ability to perform Activities of Daily Living independently, compared changes within the two years, and explored other related indicators including, Instrumental Activities of Daily Living, major chronic disease, and mental health conditions. The study also discussed the development of long-term care policies in China and highlighted the priorities of these policies.

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