scholarly journals An online functional assessment experience in individuals over 65+ during Covid 19 pandemics: physiotherapist opinion & participant opinion

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
E Yilmaz ◽  
B Akinci ◽  
G Utku ◽  
E Erdinc ◽  
I Atmaca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
The Elderly ◽  
Online Assessment ◽  
Timed Up And Go ◽  
Stand Test ◽  
Testing Environment ◽  
Sit To Stand ◽  
The Mean ◽  
Assessment Session

Abstract Funding Acknowledgements Type of funding sources: None. Background The quarantine during COVID-19 pandemic affects the clinical visits of elderly people. Since, telehealth gained importance, it is essential to adapt routine visits to the tele-assessment for elderly people especially in high risk factor for both functional impairment and fall risks. Our aim was to present our online assessment experiences in the elderly who underwent particular home quarantine during COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) those never attended an online assessment before were invited to a video-conference based assessment session. It was advised that a relative of the participant or caregiver must attend the online assessment session and follow the instructions of the physiotherapist. The assessments were conducted in the following sequence over seven main topics that are important in terms of functionality in the elderly: (1) physical activity were questioned using International Physical Activity Questionnaire-Short Form, (2) the functional performance were tested with 30 seconds Sit-to-Stand test (SST), (3) participation to the daily living activities with KATZ Index, (4) coronavirus anxiety with Coronavirus Anxiety Scale (CAS), (5) fear of falling with Falls Efficacy Scale, (6) the balance and mobility with Timed-Up and Go test (TUG) in a 3-meter corridor, and (7) frailty with Clinical Frailty Scale. The assessments were done by six physiotherapists (one PhD, 2 MSc, and 3 BSc). The opinions of the participants and physiotherapists regarding their experiences were noted. Result: All participants were finished the assessment and not reported adverse events. The mean of all outcomes showed in Table 1. The mean assessment time was 23.26 ±6.89 minutes. The bad internet connection reported in only one session. Seven of the participants (21.2%) mentioned that SST or TUG were somewhat effortful despite their short duration. The physiotherapists also reported that ensuring an appropriate testing environment for the sit to stand test and Timed-Up and Go test were not always possible. In addition, the sit-to stand test Two of the participants (6 %) were felt discomfort from the questions of CAS. Twenty-one (63.6 %) online assessment were rated as "good" while 12 (36.4 %) were rated as "fair" by the relative of the participant or caregiver in terms of preparing the tools (chair etc.) and testing environment. No problem reported by both therapists and participants related to the questions of IPAQ-SF, CFS, KATZ or FES. Conclusion: This study indicated that an online tele-assessment session is safe and applicable in elderly who underwent home quarantine during COVID-19 pandemic. It was observed that an application of survey based assessments were easier than functional assessments. The results of this study offer an exemplary tele-assessment session for elderly people. Future studies may focus the consistency of the tele-assessment and clinic based assessment results.

scholarly journals FACTORS LINKED TO THE PRACTICE OF PHYSICAL ACTIVITY AMONG THE ELDERLY IN SOUTHERN BRAZIL

2019 ◽  
Vol 25 (3) ◽  
pp. 216-219
Author(s):  
Alisson Padilha de Lima ◽  
Ezequiel Vitório Lini ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring ◽  
Fabrício Bruno Cardoso
Keyword(s):  
Physical Activity ◽  
Urban Environment ◽  
Elderly People ◽  
The Elderly ◽  
Population Based ◽  
Level Of Evidence ◽  
Population Based Study ◽  
Multivariable Analyses ◽  
The Mean ◽  
The City

ABSTRACT Introduction The increase in chronic diseases and physical inactivity are major public health problems among elderly populations worldwide. Objective This article aimed to determine the prevalence and factors associated with the practice of physical activity (PA) among elderly people living in urban environment. Methods A cross-population-based study was conducted in 2014, with 196 elderly people aged ≥ 60 years of age living in urban environment in the city of Passo Fundo, in the State of Rio Grande do Sul. Gross and multivariable analyses were conducted using Poisson regression, estimating the ratios of gross and adjusted prevalence and calculating their respective 95% confidence intervals. Results The mean age was 71.3 (± 8.4). The gross prevalence for the practice of PA was 56.1%. After adjusted analysis, only the variable independent in activities of daily living (ADLs) remained significant (95% CI 1.05 to 4.83) (p = 0.037). Conclusions This research showed an association between the practice of PA and independence in ADLs. Level of Evidence II, Economic and decision analysis - Development of economic model or decision.

scholarly journals The Effect of Educational Intervention on the Physical Activity of the Elderly

2019 ◽  
Author(s):  
Fatemeh Masroor ◽  
Ehteramsadat Ilali ◽  
Nouroeddin Mousavinasab ◽  
Zohreh Taraghi
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Educational Intervention ◽  
Rapid Assessment ◽  
Intervention Group ◽  
The Elderly ◽  
Educational Interventions ◽  
T Test ◽  
Control Group ◽  
The Mean

Background and Purpose: Changing the physical activity pattern is an important factor in reducing mortality and increasing longevity. The aim of the current study was to determine the effect of educational intervention on physical activity of elderly people. Materials and Methods: In this quasi-experimental study, 80 elderly people from two rural health centers in Ghaemshahr city were selected and assigned to intervention (n=40) and control (n=40) groups. The elderly in the intervention group received 4 training sessions of 30 to 45 minutes in a month, while the control group did not receive such training. Before and one month after the intervention, Rapid Assessment of Physical Activity (RAPA) questionnaire was completed by both groups. The collected data were analyzed using chi square, paired sample t-test, independent sample t-test and ANCOVA. Results: The mean total score of RAPA, before intervention, in the control group was significantly higher than the intervention group (P = 0.017). However, after the intervention, the mean total score in the intervention group was significantly higher than the control group (P <0.001).  One month after the intervention, the mean of the RAPA score in the intervention group significantly changed from 2.1 to 4.95 (P <0.001), however, the mean change in the RAPA score in the control group (from 2.4 to 2.5) was not significant (P = 0.352). Conclusion: Given the effect of educational intervention on the physical activity of the elderly, the design of such educational interventions is recommended.

scholarly journals Relation between functional mobility and muscle strength of the elderly in a public physical activities program

2021 ◽  
pp. 47886-47889
Keyword(s):  
Physical Activity ◽  
Muscle Strength ◽  
Elderly People ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
Physical Activities ◽  
The Body ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Rehabilitation Programs

Objective: to verify the relationship between functional mobility and muscle strength in a group of elderly people participating in a public program of physical activities, called “Programa Mexa-se”, in the Joinville/SC city. Methods: This was a quantitative, correlational descriptive study, carried out in a non-probabilistic, intentional type. Included a random sample of 42 elderly people (27 women and 15 men), aged between 60 and 75 years, to whom two balance tests were applied: the Sit and Stand Test (TSL) and the Timed Up and Go Test (TUGT). The elderly also answered a questionnaire about sociodemographic factors, health and physical activity. Results: Statistically significant (p<0.05) relationships were found for TUGT, evidencing that there is astatistically significant correlation between TUGT and TSL (p <0.022). Regarding the values obtained for TSL with TVM, it also observeda significant correlation (p <0.000), as well as toTUGT and TVM (p <0.003). Conclusion: This study showeda correlation between the functional mobility of the elderly through TSL and TVM tests result. Alsodemonstrated that the group participating in the program had positive resultsregarding the level of physical activity practiced. This results indicates the importance of optimization in the prevention and rehabilitation programs for the elderly, to maintain the functional mobility of elderly community members and reduce the body mass index.

scholarly journals Effect of Education on Physical Activity among the Rural Elderly in Zabol City

2018 ◽  
Author(s):  
Mohammad Saeed Jadgal ◽  
Saeedeh Sadeghi ◽  
Ehsan Movahed ◽  
Moradali Zareipour ◽  
Sayed Mostafa Davoodi
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Educational Intervention ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
Post Intervention ◽  
The Mean ◽  
Knowledge And Practice ◽  
And Control

Introduction: One of the most important causes of chronic diseases in elderly people is lack of physical activity. Studies have shown that lack of physical activity in the elderly causes osteoporosis, obesity, depression and sudden death from cardiovascular disease, type 2 diabetes and colon cancer. The aim of this study was to determine the effect of an educational intervention on knowledge and practice of physical activity among the rural elderly in Zabol city. Methods: In this semi-experimental study, 200 elderly people over 60 years of age living in rural areas of Zabol city who were selected by multi-stage random sampling were divided into two groups: intervention and control. The data collection instrument was a researcher- made questionnaire that comprised 3 parts: demographic and background variables, knowledge and practice. Before the intervention, the questionnaires were completed by intervention and control group. The educational content for the intervention group was the Healthy Lifestyle Handbook and face-to-face training which included a practical representation of six smooth movements. However, no intervention was performed in the control group. After 2 months, the same questionnaire was completed again and the data were analyzed using SPSS software. Results: Before the intervention, there was no difference in the mean score of knowledge and practice of the participants, but these differences were significant in the post intervention (p < 0.001). The mean of knowledge and practice scores in the control group in pre-intervention stage was 35.17 ± 2.05 and 6.24 ± 2.82, respectively, Which was 35.59 ± 1.82 and 5.91 ± 2.64 in the post-intervention phase, respectively, But the mean score of knowledge and practice in the intervention group in pre intervention stage increased from 35.6 ± 2.47 and 6.73 ± 3.43 to 37.85 ± 1.38, and 12.83 ± 9.09 in the post-intervention phase, respectively. Conclusion: Educational intervention is effective in increasing awareness and overall level of physical activity among the elderly.

scholarly journals The frailty and falling in related with functional performance, balance and physical activity in elderly during Covid-19 pandemics

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
G Utku ◽  
B Akinci ◽  
E Yilmaz ◽  
E Erdinc ◽  
I Atmaca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly Women ◽  
Fear Of Falling ◽  
Functional Performance ◽  
Short Form ◽  
The Elderly ◽  
Activity Level ◽  
Timed Up And Go ◽  
Sit To Stand ◽  
Frailty Score

Abstract Funding Acknowledgements Type of funding sources: None. Background Falls and frailty are main causes of morbidity and frequenty associated with functional performance, balance and physical activity. The restrictions imposed by the COVID-19 pandemic force the elderly to spend most of their time at home which may cause further functional problems. Therefore, identifying the risk factors during the pandemic can help to prevent the elderly from frailty and falls. Aim: Our aims are to investigate the clinical frailty profile and falls in relation to functional performance, balance, fear of falling and physical activity and to compare these parameters of the elderly with and without falling history during the COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) who have never had COVID-19 were included in the study. The participants were invited to an online video-conference based assessment. The number of falls during the last year were asked. Clinical frailty severity was assessed with Clinical Frailty Scale. The fear of falling were assessed using Falls Efficacy Scale (FES). The functional performance of the participants were tested with 30 seconds Sit-to-Stand test. The balance and mobility was evaluated with Timed-Up and Go test in a 3 meter corridor. The physical activity level of the participants were questioned using International Physical Activity Questionnaire-Short Form (IPAQ-SF) and vigorous level of physical activity (VPA), moderate level of physical activity (MPA) and walking were also calculated. Results: The mean scores of the outcomes among participants were shown in Table 1. Clinical frailty was significantly higher in women compared to men (p = 0.08). Clinical frailty score, fear of falling and sit to stand performance were significantly worse in fallers. There were negative weak to moderate correlations between frailty and sit to stand performance (p = 0.001) and MPA (p = 0,016). The clinical frailty was also positively correlated with FES (p &lt; 0.001). FES showed positive correlation with Time-Up and Go performance (p = 0.001) and negative correlation with sit to stand performance (p &lt; 0.001) and MPA (p = 0,036). Conclusion: Our results demonstrated that; clinical frailty, fear of falling and sit to stand performance were associated with the fall history in elderly. In addition, clinical frailty score were higher in women. Our results indicate that, people who have fall history may tend to be frailer and may have lower functional performance, balance and physical activity. The encouragement of the elderly to increased physical activity and exercise program may decrease the frailty score and falling risk especially in elderly women during COVID-19 pandemics.

scholarly journals Relationship between lower-limb muscle strength and frailty among elderly people

2012 ◽  
Vol 130 (2) ◽  
pp. 102-108 ◽  
Author(s):  
Fernanda Sotello Batista ◽  
Grace Angelica de Oliveira Gomes ◽  
Anita Liberalesso Neri ◽  
Maria Elena Guariento ◽  
Fernanda Aparecida Cintra ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Elderly People ◽  
Lower Limb ◽  
The Elderly ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Convenience Sample ◽  
Stand Test ◽  
Sit To Stand ◽  
Frailty Criteria

CONTEXT AND OBJECTIVE: Sarcopenia is the main factor involved in the development of frailty syndrome. The aims here were to investigate relationships between lower-limb muscle strength and the variables of sex, age and frailty criteria; compare lower-limb muscle strength with each frailty criterion; and assess the power of each criterion for estimating the risk of frailty among elderly outpatients. DESIGN AND SETTING: Cross-sectional study at the Geriatrics Outpatient Clinic of a university hospital in Campinas. METHOD: A non-probabilistic convenience sample of 150 elderly people of both sexes who were followed up as outpatients was assessed. Sociodemographic data (sex and age) and physical health data (frailty criteria and the five-times sit-to-stand test) were gathered. Descriptive, comparative and multivariate logistic regression analyses were performed. RESULTS: The majority of the elderly people (77.3%) were 70 years of age or over, with predominance of females (64.2%) and had a low score for the five-times sit-to-stand test (81.4% scored 0 or 1); 55.3% of the elderly people presented three or more frailty criteria. A significant association was found between lower-limb muscle strength and the variables of age and number of frailty criteria. CONCLUSIONS: Lower levels of lower-limb muscle strength were associated with advanced age and greater presence of signs of frailty. Moreover, lower-limb muscle strength was also associated with the criteria of reduced walking speed criteria and hand-grip strength.

Forms of physical activity of the elderly

2020 ◽  
Vol 18 (3) ◽  
pp. 221-228
Author(s):  
Piotr Czarnecki ◽  
◽  
Justyna Podgórska-Bednarz ◽  
Lidia Perenc ◽  
◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Population Aging ◽  
Human Life ◽  
Good Health ◽  
The Elderly ◽  
Polish Society ◽  
Central Statistical ◽  
Key Phrases ◽  
The Impact

Introduction. Physical activity is known to be an important factor influencing health throughout human life. This issue has become crucial for public health due to the aging of the population in both developed and developing countries. Aim. is to present a literature review on the forms of physical activity undertaken by the elderly, as well as on issues related to physical activity and the population aging. Material and methods. The study was prepared on the basis of a review of Polish and foreign literature. The following databases and data sources were used: EBSCO, ScienceDirect and Google Scholar. An additional source of data were the websites of the Central Statistical Office. Strictly defined key phrases were used during the collection of literature. The work has been divided into thematic subsections on the aging of the society, the impact of physical activity on health and the main topic, i.e. forms of physical activity selected by the elderly. Analysis of the literature. The number of elderly people in Polish society has increased by almost 3.7 million over three decades. Therefore, an important topic is prophylaxis aimed at increasing the number of days in good health, largely covering the broadly understood activation of the elderly. The available data indicate that only 12% of elderly people undertake physical activity once a week. The most common form of spending free time actively is walking (as many as 73% of people in this population declare this form of physical activity in one of the presented studies). Conclusion. Organized forms of physical activity are undertaken much less frequently by the analyzed age group mainly due to financial limitations and limited availability of sports infrastructure.

scholarly journals Effectiveness of Text Messaging as an Incentive to Maintain Physical Activity after Cardiac Rehabilitation: A Randomized Controlled Pilot Study

2021 ◽  
Vol 18 (12) ◽  
pp. 6645
Author(s):  
Giulia Foccardi ◽  
Marco Vecchiato ◽  
Daniel Neunhaeuserer ◽  
Michele Mezzaro ◽  
Giulia Quinto ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Exercise Testing ◽  
Text Messages ◽  
Control Group ◽  
Stand Test ◽  
Randomized Controlled ◽  
Sit To Stand ◽  
Significant Difference

Although the efficacy of cardiac rehabilitation (CR) is proven, the need to improve patients’ adherence has emerged. There are only a few studies that have investigated the effect of sending text messages after a CR period to stimulate subjects’ ongoing engagement in regular physical activity (PA). A randomized controlled pilot trial was conducted after CR, sending a daily PA text message reminder to an intervention group (IG), which was compared with a usual care control group (CG) during three months of follow-up. Thirty-two subjects were assessed pre- and post-study intervention with GPAQ, submaximal iso-watt exercise testing, a 30 s sit-to-stand test, a bilateral arm curl test, and a final survey on a seven-point Likert scale. A statistically significant difference in the increase of moderate PA time (Δ 244.7 (95% CI 189.1, 300.4) minutes, p < 0.001) and in the reduction of sedentary behavior time (Δ −77.5 (95% CI 104.9, −50.1) minutes, p = 0.004) was shown when the IG was compared with the CG. This was associated with an improvement in heart rate, blood pressure, and patients’ Borg rating on the category ratio scale 10 (CR10) in iso-watt exercise testing (all p < 0.05). Furthermore, only the IG did not show a worsening of the strength parameters in the follow-up leading to a change of the 30 s sit-to-stand test with a difference of +2.2 (95% CI 1.23, 3.17) repetitions compared to CG (p = 0.03). The telemedical intervention has been appreciated by the IG, whose willingness to continue with regular PA emerged to be superior compared to the CG. Text messages are an effective and inexpensive adjuvant after phase 2 CR that improves adherence to regular PA. Further studies are needed to confirm these results in a larger patient population and in the long term.

Physical activity and cognitive impairment among the elderly in some districts of Ha Nam province in 2018

2021 ◽  
Vol 30 (4) ◽  
pp. 35-41
Author(s):  
Hoang Thi Hai Van ◽  
Dao Anh Son ◽  
Pham Quang Thai
Keyword(s):  
Physical Activity ◽  
Cognitive Impairment ◽  
Elderly People ◽  
The Elderly ◽  
Physical Activities ◽  
International Standards ◽  
Cognitive Screening ◽  
Group Exercise ◽  
Research Subjects ◽  
Significant Difference

The study was conducted on 1,210 elderly people (aged 60 and older) with the purpose of understanding physical activity and cognitive impairment among elderly people in some districts of Ha Nam province in 2018. The results showed that the percentage of elderly people with symptoms of cognitive impairment was high, accounting for 46.36%. There was a significant difference between the rate of cognitive impairment of the group who exercised frequently (41.92%) and that of the group who did not exercise (51.62%) (p<0.05). Compared to the Non-exercise group, the risks of cognitive impairment of group exercise 15 - 45 minutes/week (OR = 0.69; 95% CI: 0.51 - 0.93); group exercise 45 - 90 minute/week group (OR = 0.61; 95% CI: 0.44 - 0.84) and group exercise Over 90 minutes/week (OR = 0.43; 95% CI: 0.27 - 0.67) were all significantly lower. The more time the research subjects exercise, the lower their risk of developing cognitive impairment became. Our finding suggests that physical activities may delay or prevent the onset of cognitive impairment in elderly people. It is necessary to expand research, continue to apply the cognitive screening test based on international standards, while guiding and encouraging elderly people to carry out physical activities according to their capabilities and international recommendations.

Optimal frequency of whole body vibration training for improving balance and physical performance in the older people with chronic stroke: A randomized controlled trial

2021 ◽  
pp. 026921552110505
Author(s):  
Ning Wei ◽  
Mengying Cai
Keyword(s):  
Older People ◽  
Physical Performance ◽  
High Frequency ◽  
Low Frequency ◽  
Chronic Stroke ◽  
Whole Body ◽  
Timed Up And Go ◽  
Stand Test ◽  
Sit To Stand ◽  
Frequency Group

Objective To explore the optimal frequency of whole-body vibration training for improving the balance and physical performance in older people with chronic stroke. Design a single-blind randomized controlled trial. Setting Two rehabilitation units in the Wuhan Brain Hospital in China. Participants A total of 78 seniors with chronic stroke. Interventions Low-frequency group (13 Hz), high-frequency group (26 Hz), and zero-frequency group (Standing on the vibration platform with 0 Hz) for 10 sessions of side-alternating WBV training. Main measures The timed-up-and-go test, five-repetition sit-to-stand test, 10-metre walking test, and Berg balance scale were assessed pre- and post-intervention. Results Significant time × group interaction effects in five-repetition sit-to-stand test (p = 0.014) and timed-up-and-go test at self-preferred speed (p = 0.028) were observed. The high-frequency group outperformed the zero-frequency group in both five-repetition sit-to-stand test (p = 0.039) and timed-up-and-go test at self-preferred speed (p = 0.024) after 10-sessions training. The low-frequency group displayed only a significant improvement in five-repetition sit-to-stand test after training (p = 0.028). No significant within- or between-group changes were observed in the Berg balance scale and walking speed (p > 0.05). No significant group-difference were found between low-frequency and high-frequency groups. No adverse events were reported during study. Conclusions Compared with 13 Hz, 26 Hz had no more benefits on balance and physical performance in older people with chronic stroke.

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