scholarly journals Strategies to Support Physical Activity Participation in Older Adults With Heart Failure

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 454-454
Author(s):  
Katherine Hall ◽  
Amy Pastva ◽  
Heather King ◽  
Sean Lowers ◽  
Julie Miller ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Older Adults ◽  
Exercise Program ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Exercise Rehabilitation ◽  
Supervised Exercise ◽  
Home Based ◽  
Health Burdens

Abstract Physical activity (PA) is recommended for people living with heart failure (HF). Despite evidence of its benefits, participation in PA is low in this population, putting them at risk for loss of functional independence and additional health burdens. The aim of this pilot study was to ask older adults living with stable, chronic HF to identify strategies to support regular PA. Patients in an outpatient HF rehabilitation program were recruited to participate in focus groups about their PA knowledge, attitudes, and preferences as part of a stakeholder engagement project. At the beginning of the focus group, participants completed a questionnaire listing 8 potential strategies to optimize PA, and were asked to identify the top 4 strategies that they thought would be most beneficial to support regular PA participation. This was the focus of the current analysis. Thirteen adults with HF (M age=65; 46% female; 62% African American; M BMI=32.6 kg/m2) were enrolled. Top-rated strategies endorsed by participants to support long-term adherence to PA included provision of an exercise guide to support home-based exercise and supplement health provider-supervised exercise sessions (69%), group education classes (64%), completion of fitness assessments at regular intervals (62%), and provision of a transition pathway from an exercise rehabilitation program to a community-based exercise program (62%). The remaining strategies were endorsed by fewer than 50% of participants, and included remote delivery and support options. These results have important implications for future program development and implementation efforts to support PA among older adults with stable, chronic HF.

Exercise rehabilitation for peripheral artery disease: An exercise physiology perspective with special emphasis on the emerging trend of home-based exercise

VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 405-417 ◽  
Author(s):  
Andrew W. Gardner
Keyword(s):  
Peripheral Artery Disease ◽  
Exercise Physiology ◽  
Exercise Program ◽  
Functional Independence ◽  
Primary Treatment ◽  
Peripheral Artery ◽  
Exercise Rehabilitation ◽  
Supervised Exercise ◽  
Home Based ◽  
Artery Disease

Abstract. Peripheral artery disease (PAD) is a significant medical concern that is highly prevalent, costly, and deadly. Additionally, patients with PAD have significant impairments in functional independence and health-related quality of life due to leg symptoms and ambulatory dysfunction. Exercise therapy is a primary treatment for patients with PAD, as ambulatory outcome measures improve following a program of exercise rehabilitation. This review describes the outcomes that improve with exercise, the potential mechanisms for improved leg symptoms, key exercise program considerations for training patients with PAD with walking-based exercise, other exercise modalities that have been utilised, the use of on-site supervised exercise programs, and a major focus on historical and contemporary trials on conducting home-based, minimally supervised exercise program to treat PAD. The review concludes with recommendations for future exercise trials, with particular emphasis on reported greater details of the exercise prescription to more accurately quantify the total exercise dose of the program.

scholarly journals Impact of the Home Confinement Related to COVID-19 on the Device-Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ángel I. Fernández-García ◽  
Jorge Marin-Puyalto ◽  
Alba Gómez-Cabello ◽  
Ángel Matute-Llorente ◽  
Jorge Subías-Perié ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behaviour ◽  
Repeated Measures ◽  
Sedentary Time ◽  
Exercise Program ◽  
Sedentary Behaviours ◽  
Home Based ◽  
Phase 0 ◽  
Sedentary Bouts

The main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to the COVID-19 pandemic, home confinement, and phase-0 of the deescalation. We also aimed to analyse the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic. A total of 18 noninstitutionalized older adults( 78.4 ± 6.0  y.), members of the Spanish cohort of the EXERNET-Elder 3.0 project, participated in the study. They were recommended to perform an exercise prescription based on resistance, balance, and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity, sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods. During home quarantine, older adults spent more time in sedentary behaviours ( 71.6 ± 5.3 % ) in comparison with either the situation prior to the pandemic ( 65.5 ± 6.7 % ) or the ending of isolation ( 67.7 ± 7.1 % ) (all p < 0.05 ). Moreover, participants performed less bouts of physical activity and with a shorter duration during home quarantine (both p < 0.05 ). Additionally, no differences in the physical activity behaviours were found between the situation prior to the pandemic and the phase-0 of deescalation. According to our results, the home confinement could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.

Older Adults’ Experiences With the Visual Physio-Feedback Technology and Peer-Led Combined Group and Home-Based Exercises

2020 ◽  
pp. 1-8
Author(s):  
Ladda Thiamwong
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Program ◽  
Program Completion ◽  
Study Approach ◽  
Home Based ◽  
Cognitive Reframing ◽  
Program Intervention ◽  
Physical Activity Adherence ◽  
Peer Coach

This study aimed to explore older adults’ experience with an in-home Physio-feEdback and Exercise pRogram and explore whether the Physio-feEdback and Exercise pRogram intervention influenced their physical activity adherence. A qualitative study approach was employed, and data were collected using exercise logs, observations, focus groups, and open-ended questions after the program completion. Nineteen participants who engaged in an 8-week Physio-feEdback and Exercise pRogram intervention participated in this study. Thematic analysis was used. Three major concepts of the self-determination theory, including competence, relatedness, and autonomy, were used as guidelines for coding. Results reveal three themes, including: (a) competence-alignment of body and mind and increased awareness about fall risk, (b) relatedness-relationship with peer coach and having fun with friends, and (c) autonomy-integration of exercise into daily activities for staying physically and socially active. Individuals’ need for competence and autonomy can be supported by giving physio-feedback, cognitive reframing, and peer-led exercise, which can enhance physical activity and prevent falls.

scholarly journals Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture

2021 ◽  
Vol 18 (10) ◽  
pp. 5493
Author(s):  
Mariana Ortiz-Piña ◽  
Pablo Molina-Garcia ◽  
Pedro Femia ◽  
Maureen C. Ashe ◽  
Lydia Martín-Martín ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Functional Recovery ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Control Group ◽  
Control Groups ◽  
Timed Up And Go ◽  
Home Based

This study aimed to examine the effect of a multidisciplinary tele-rehabilitation program on functional recovery of older adults with hip fracture compared with home-based in-person rehabilitation. In this single-blinded, non-randomized clinical trial, we included older with hip fracture. The tele-rehabilitation group received a 12-week tele-rehabilitation program (supervised by their family caregivers). The control group received the usual postoperative rehabilitation provided by the Andalusian health system (Spain). The primary outcome was the patient-reported functional status assessed with the Functional Independence Measure. We also measured performance-based functional recovery using the Timed Up and Go Test and Short Physical Performance Battery. We performed both a per-protocol (62 participants; 28 tele-rehabilitation and 34 control groups) and an intention-to-treat analysis (71 participants; 35 tele-rehabilitation and 36 control groups). Participants who used the tele-rehabilitation program had higher Functional Independence Measure scores (high effect size: 0.98 Cohen’s d; p < 0.001) and better performance in the Timed Up and Go Test (medium effect size: 0.63 Cohen’s d; p = 0.025) compared with the control group. Differences between groups post-intervention were not statistically significant in the Short Physical Performance Battery. The tele-rehabilitation intervention proposed in this study is a valuable treatment option in the recovery process for older adults with hip fracture. ClinicalTrials.gov Identifier: NCT02968589.

scholarly journals Feasibility, Usability and Enjoyment of a Home-based, Multi-component Exercise Program for Musculoskeletal Health Delivered via a Tablet Computer Exercise App for Community-dwelling Older Adults: An 8-week Prospective Pilot Study (Preprint)

2020 ◽  
Author(s):  
Robin M Daly ◽  
Jenny Gianoudis ◽  
Travis Hall ◽  
Niamh Mundell ◽  
Ralph Maddison
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Prescription ◽  
Exercise Program ◽  
Community Dwelling ◽  
Tablet Computer ◽  
Musculoskeletal Health ◽  
Home Based ◽  
Community Dwelling Older Adults ◽  
Activity Enjoyment

BACKGROUND Many older adults choose and prefer to exercise at home, but to attain the greatest benefits the correct type and dose should be prescribed and adherence maintained. Advances in digital health technologies now provide the opportunity for exercise professionals to deliver and monitor personalized, evidence-based exercise programs to anyone at anytime. OBJECTIVE To evaluate the feasibility, usability and enjoyment of an online exercise prescription application as a platform for exercise professionals to remotely deliver and monitor an individually-tailored, home-based multi-component exercise program (delivered through tablet computers) to older adults living independently in the community. METHODS This was an 8-week, prospective single-arm pilot study in 20 adults aged ≥65 years living independently in the community [10 who owned a tablet computer (tablet owners) and 10 who did not (tablet non-owners)]. All participants were prescribed a home-based, muscle strengthening, weight-bearing impact and challenging balance/mobility program (3 days/week) using a commercial exercise prescription application (app) on a tablet computer. Study endpoints were feasibility (retention, adherence, adverse events), usability (System Usability Scale), physical activity enjoyment (Physical Activity Enjoyment Scale), changes in lower extremity function [Short Physical Performance Battery (SPPB)], and level of physical activity (questionnaire). Process measures related to participants’ experiences and perceptions of the exercise program and online application were also included. RESULTS A total of 19 participants (mean age 70 years) completed the study (19 of 20, 95%) and mean adherence to the exercise program was 84% (95% CI, 70, 97). There were two minor adverse events in two participants from 401 completed sessions. Mean weekly walking time increased by 78 minutes [(95% CI, 0, 156), P=.049] and moderate-vigorous physical activity time by 41 minutes [(95% CI, -8, 90), P=.09]. For SPPB scores, there was a 0.3 point [(95% CI, -0.1, 0.7), P=.17] modest sized (effect size, d=0.42) improvement after 8 weeks. Mean system usability was high (mean  SD, 86  10 with 100 best imaginable]. There was no change in overall physical activity enjoyment scores after 8 weeks, but participants reported that they enjoyed using the online exercise app and the exercise program (median score 4 on a 5-point Likert scale). For all measures, there were no differences between previous tablet owners and non-owners. CONCLUSIONS This pilot feasibility study indicates that it is safe and feasible for community-dwelling older adults to participate in a home-based, multi-component exercise program targeting musculoskeletal health and function that was delivered and monitored remotely by exercise professionals using a tablet-based exercise prescription app.

Physical Activity: Physical Activity in the Management of Osteoarthritis of the Knee and Hip

2007 ◽  
Vol 1 (4) ◽  
pp. 264-266 ◽  
Author(s):  
Robert F. Zoeller
Keyword(s):  
Physical Activity ◽  
Strength Training ◽  
Physical Function ◽  
Functional Decline ◽  
Exercise Program ◽  
Osteoarthritis Of The Knee ◽  
Exercise Programs ◽  
Exercise Interventions ◽  
Supervised Exercise ◽  
Home Based

Symptomatic osteoarthritis (OA) affects more than 4 million adults in this country and is associated with joint degeneration, chronic pain, muscle atrophy, decreased mobility, poor balance, and physical disability. The prevalence of comorbid conditions such as heart disease, hypertension, and obesity is greater in those with symptomatic OA. Obesity is a risk factor for OA, and weight loss has been shown to reduce pain and improve physical function. The role of physical activity/inactivity in the development of OA is not clear. Limited evidence suggests that a sedentary lifestyle may increase the risk for OA, while high levels of physical activity have also been suggested to contribute to the development of OA. Regular aerobic exercise may moderate the functional decline associated with OA. Both aerobic and strength training have been reported to reduce pain and improve physical function in persons with knee and hip OA, although very few studies have specifically examined the effects of regular physical activity on the OA hip. While it is generally recommended that exercise programs for OA incorporate both aerobic and strength-training activities, no studies have been performed to evaluate the efficacy of combining these 2 modes of exercise compared with either alone. Little work has been done to determine the optimal exercise program for individuals with OA. One study suggests that exercise interventions should be performed a minimum of 3 days per week for a duration of at least 35 minutes. Exercise programs should be individualized based on the patient's preferences, abilities, limitations, and comorbidities. It is recommended that exercise programs for OA incorporate strategies designed to promote adherence. Home-based exercise appears to be as effective as supervised exercise programs.

scholarly journals Translating Behavior Change Principles Into a Blended Exercise Intervention for Older Adults: Design Study (Preprint)

2017 ◽  
Author(s):  
Sumit Mehra ◽  
Bart Visser ◽  
Tessa Dadema ◽  
Jantine van den Helder ◽  
Raoul HH Engelbert ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Behavior Change ◽  
Self Regulation ◽  
Exercise Program ◽  
Age Related ◽  
Home Based ◽  
Change Principles ◽  
Remote Feedback ◽  
Blended Intervention

BACKGROUND Physical activity can prevent or delay age-related impairments and prolong the ability of older adults to live independently. Community-based programs typically offer classes where older adults can exercise only once a week under the guidance of an instructor. The health benefits of such programs vary. Exercise frequency and the duration of the program play a key role in realizing effectiveness. An auxiliary home-based exercise program can provide older adults the opportunity to exercise more regularly over a prolonged period of time in the convenience of their own homes. Furthermore, mobile electronic devices can be used to motivate and remotely guide older adults to exercise in a safe manner. Such a blended intervention, where technology is combined with personal guidance, needs to incorporate behavior change principles to ensure effectiveness. OBJECTIVE The aim of this study was to identify theory-based components of a blended intervention that supports older adults to exercise at home. METHODS The Medical Research Council framework was used to develop the blended intervention. Insights from focus group, expert panels, and literature were combined into leading design considerations. RESULTS A client-server system had been developed that combined a tablet app with a database in the cloud and a Web-based dashboard that can be used by a personal coach to remotely monitor and guide older adults. The app contains several components that facilitate behavior change—an interactive module for goal setting, the ability to draw up a personal training schedule from a library containing over 50 exercise videos, progress monitoring, and possibilities to receive remote feedback and guidance of a personal coach. CONCLUSIONS An evidence-based blended intervention was designed to promote physical activity among older adults. The underlying design choices were underpinned by behavior change techniques that are rooted in self-regulation. Key components of the tablet-supported intervention were a tailored program that accommodates individual needs, demonstrations of functional exercises, monitoring, and remote feedback. The blended approach combines the convenience of a home-based exercise program for older adults with the strengths of mobile health and personal guidance.

scholarly journals IMPACT OF PHYSIOTHERAPY PROGRAMME ON QUALITY OF LIFE AND FUNCTIONAL INDEPENDENCE POST ANTERIOR MEDIASTINAL TUMOUR WITH MYASTHENIA GRAVIS

2021 ◽  
Vol 10 (6) ◽  
pp. 3856-3859
Author(s):  
Chaitanya Ajay Kulkarni
Keyword(s):  
Quality Of Life ◽  
Myasthenia Gravis ◽  
Exercise Program ◽  
Neck Region ◽  
Active Role ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Early Recovery ◽  
Supervised Exercise

A thymoma occurs in approximately 15 per cent of adult diagnosed with Myasthenia gravis (MG). Recent studies have supported the active role of structured physiotherapy rehabilitation program post MG and its complicating symptoms. A male patient, 61 years old, was admitted to the physiotherapy out-patient department with present complains of lump in neck region with generalised weakness and early fatigability. From past two months, the patient faced difficulty in both basic and instrumental activities of daily living such as swallowing, transportation and regular hand movements. Investigation for the patient was carried out in which chest X-ray, CT chest and serum Ach R (positive) was done and was diagnosed with thymoma. Restricted muscle examination of the shoulder and scapular muscle was positive showing symptoms of chest pain and was rated 3/5 with associated discomfort giving away fatigue. The patient was operated for thymectomy which was an elective surgical procedure, operated under general an aesthesia for a duration of approximately 4 hrs. The patient was then referred for post-operative physiotherapy rehabilitation with incisional pain, cough with expectoration, early fatigue and reduced upper limb strength. The patient had a history of Type II Diabetes Mellitus. The focus of the physiotherapy rehabilitation program included airway clearance techniques, monitored graded bed mobilization, aerobic training and progressive resistance training. There was a significant improvement in the patient after 6 weeks of physiotherapy rehabilitation program. The early excision of thymoma with prompt tailor made supervised exercise program helps in early recovery and achievement of functional goal thus improving the quality of life and functional independence.

scholarly journals The effects of supervision on three different exercises modalities (supervised vs. home vs. supervised+home) in older adults: Randomized controlled trial protocol

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259827
Author(s):  
Sabrine Nayara Costa ◽  
Luis Henrique Boiko Ferreira ◽  
Paulo Cesar Barauce Bento
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Clinical Trial ◽  
Physical Function ◽  
Exercise Program ◽  
Secondary Outcome ◽  
Randomized Controlled ◽  
Supervised Exercise ◽  
Home Based

Background Multicomponent physical exercise programs are a viable strategy for treating physical decline resulting from the aging process in older populations and can be applied in supervised and home-based modalities. However, the magnitude of the intervention effects in terms of physical function development may vary according to the modalities application due to different supervision degrees. Objective This study aims to compare the effects of supervision in a multicomponent exercise program in different application modalities (supervised vs. home vs. supervised+home) in neuromuscular adaptations, muscle strength, gait, physical function, and quality of life, analyzing the differences between intensity, volume, and density of home and supervised sessions in community older adults. Methods This protocol is a randomized controlled clinical trial with a sample of 66 older adults divided into three groups: supervised exercise (SUP = 22), home-based exercise (HB = 22), and supervised plus home-based exercise (SUP+HB = 22). The multicomponent exercise program will last 12 weeks, three times per week, for 60 min per session and include warm-up, balance, muscle-strengthening, gait, and flexibility exercises. The study’s primary outcomes will be neuromuscular function, composed of the assessment of muscle isokinetic strength, muscle architecture, and neuromuscular electrical activation. The secondary outcome will be physical function, usual and maximum gait speed with and without dual-task, and quality of life. All outcomes will be assessed at baseline and post-intervention (week 12). Conclusion This study will be the first clinical trial to examine the effects of different supervision levels on home-based exercises compared to supervised protocols. The results of this study will be essentials for planning coherent and viable home-based programs for older adults. Trial registration Brazilian Registry of Clinical Trials. Number RBR- 7MZ2KR. https://apps.who.int/trialsearch/Trial2.aspx?TrialID=RBR-7mz2kr.

Sign in / Sign up

Export Citation Format

Share Document