scholarly journals Effect of a Combined Walking and Conversation Intervention on Functional Mobility of Nursing Home Residents With Alzheimer Disease

2000 ◽  
Vol 14 (4) ◽  
pp. 196-201 ◽  
Author(s):  
Ruth M. Tappen ◽  
Kathryn E. Roach ◽  
E. Brooks Applegate ◽  
Paula Stowell
2005 ◽  
Vol 19 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Elaine R Peskind ◽  
Debby W Tsuang ◽  
Lauren T Bonner ◽  
Marcella Pascualy ◽  
Robert G Riekse ◽  
...  

2021 ◽  
Vol 15 (2) ◽  
pp. 118-126
Author(s):  
Tatiane Calve ◽  
Ana Maria F. Barela

BACKGROUND: Elderly individuals living in nursing homes are usually inactive and do not seem motivated to engage in physical activity. Therefore, it is important to investigate new possibilities that enable them to be active in these environments. AIM: To investigate the feasibility of a protocol using a non-pedal tricycle in elderly individuals living in nursing homes and its effects on improving endurance, walking speed, and functional mobility. METHOD: Fourteen nursing home residents aged from 60 to 93 years were included in the study protocol. They were randomly allocated into two groups: control (CG) and intervention (IG). The CG kept their routine during the engagement in the study, and the IG, in addition to the routine, used a non-pedal tricycle to move around the nursing home twice a week for 12 weeks. Participants from both groups underwent the 6-minute walk, 10-meter walk, and timed-up and go tests, one week before the first practice session and one week after the last practice session provided to the IG. RESULTS: Before the intervention, there was no group difference in any test, and after the intervention, only IG participants presented an increase in walking distance and walking speed. Both groups did not change their time to conclude the timed-up and go test. CONCLUSION: The use of a non-pedal tricycle seems appropriate in stimulating physical activity in individuals living in nursing homes. Besides the motivation to move around, walking resistance and speed improved.


2020 ◽  
Vol 2 (4) ◽  
pp. 104-107
Author(s):  
R.L. ErdŐs ◽  
I. Jónásné Sztruhár ◽  
A. Simon ◽  
É. Kovács

AbstractPurposeDecline of the sensory and motor systems in older people negatively affects postural control. This increases the risk of falls, which is dangerous for older people in long-term care. Being aware of the quality of postural control and the factors affecting it among elderly people, is crucial in implementing an effective fall-prevention program. This study aimed to measure postural control and the demographic, health-related, and functional factors presumed to be correlated with it among nursing home residents. Another aim was to find valid screening tools based on these factors.Materials and methodsSeventy one nursing home residents were included. Postural control was measured using the Berg Balance Scale. Grip strength, the 30-s chair stand test, and the Timed Up and Go test were used to measure global muscle strength, and functional mobility, respectively. The results of these functional tests were dichotomized using age-specific reference values.ResultsPostural control was significantly worse in those who did not reach the age-specific reference values in any of the three functional tests. Effect sizes were large for functional mobility and medium for muscle strength. Multimorbidity and gender had no effect on postural control in our sample.ConclusionsAmong nursing home residents, postural control is related to functional mobility and muscle strength. Thus, routine testing of these skills among elderly people is an important task of the physiotherapist.


Author(s):  
Esther Acevedo Alcaraz

Nursing homes have the characteristic of being “complete institutions” or “enclosed microcosms” and the quality of life (QoL) in late adulthood is generally perceived as a multidimensional construct. Over recent years, media reports have focused on the deficiencies in nursing home residences, and a subsequent increase in the demand for instruments capable of measuring this construct has arisen. Objective: To compare the quantitative functional mobility, level of independence, depressive symptoms and QoL of nursing home residents compared with home care recipients. Methods: have analyzed the quality of life and physical and psychological disorders 400 people over 60 years old, admitted to nursing homes or living with their families through the implementation of a questionnaire covering three different indices (Barthel Index, Yesavage and WHOQOL-OLD) to assess the degree of dependence of people. Results: has resulted in a significant reduction in quality of life of older people living in nursing homes (p<0.001) compared to older usually live with their families. Our results show that the degree of physical and / or psychological dependence on our largest is the determinant for entry into a nursing home in our community (p>0.001) factor. Conclusions: the current model residences require a change that allows responding to the real needs of our elderly institutionalized.


2018 ◽  
Vol 46 (1-2) ◽  
pp. 60-80 ◽  
Author(s):  
Marinda Henskens ◽  
Ilse M. Nauta ◽  
Marieke C.A. van Eekeren ◽  
Erik J.A. Scherder

Background/Aims: There is no consensus regarding the optimal nonpharmacological intervention to slow down dementia-related decline. We examined whether physical stimulation interventions were effective in reducing cognitive, physical, mood, and behavioral decline in nursing home residents with dementia. Methods: Eighty-seven nursing home residents with dementia were randomly assigned to 3 physical activity interventions: activities of daily living (ADL) training, multicomponent exercise training, or combined multicomponent exercise and ADL training. Outcomes were measured at baseline, and after 3 and 6 months. Results: A 6-month ADL training benefitted executive functions, physical endurance, and depression among men. Exercise training benefitted only grip strength of participants with mild-to-moderate cognitive impairment. A combined training benefitted functional mobility compared to ADL training, depressive symptoms and agitation compared to exercise training, and physical endurance compared to no physical stimulation. Conclusions: ADL training appears to be effective for nursing home residents with moderately severe dementia. It remains unclear whether exercise training is an effective type of stimulation.


2016 ◽  
Vol 28 (12) ◽  
pp. 1975-1987 ◽  
Author(s):  
M. Seijo-Martinez ◽  
J. M. Cancela ◽  
C. Ayán ◽  
S. Varela ◽  
H. Vila

ABSTRACTBackground:Information relating the severity of cognitive decline to the fall risk in institutionalized older adults is still scarce. This study aims to identify potential fall risk factors (medications, behavior, motor function, and neuropsychological disturbances) depending on the severity of cognitive impairment in nursing home residents.Methods:A total of 1,167 nursing home residents (mean age 81.44 ± 8.26 years; 66.4% women) participated in the study. According to the MEC, (the Spanish version of the Mini-Mental State Examination) three levels of cognitive impairment were established: mild (20–24) “MCI”, moderate (14–19) “MOCI”, and severe (≤14) “SCI”. Scores above 24 points indicated the absence cognitive impairment (NCI). Information regarding fall history and fall risk during the previous year was collected using standardized questionnaires and tests.Results:Sixty falls (34%) were registered among NCI participants and 417 (43%) among people with cognitive impairment (MCI: 35%; MOCI: 40%; SCI: 50%). A different fall risk model was observed for MCI, MOCI, SCI, and NCI patients. The results imply that the higher the level of cognitive impairment, the greater the number of falls (F1,481= 113.852; Sig = 0.015), although the level of significance was not maintained when MOCI and SCI participants were compared. Depression, neuropsychiatric disturbances, autonomy constraints in daily life activity performance, and low functional mobility were factors closely associated with fall risk.Conclusion:This study provides evidence indicating that fall risk factors do not hold a direct correlation with the level of cognitive impairment among elderly nursing home care residents.


Author(s):  
Esther Acevedo Alcaraz

Nursing homes have the characteristic of being “complete institutions” or “enclosed microcosms” and the quality of life (QoL) in late adulthood is generally perceived as a multidimensional construct. Over recent years, media reports have focused on the deficiencies in nursing home residences, and a subsequent increase in the demand for instruments capable of measuring this construct has arisen. Objective: To compare the quantitative functional mobility, level of independence, depressive symptoms and QoL of nursing home residents compared with home care recipients. Methods: have analyzed the quality of life and physical and psychological disorders 400 people over 60 years old, admitted to nursing homes or living with their families through the implementation of a questionnaire covering three different indices (Barthel Index, Yesavage and WHOQOL-OLD) to assess the degree of dependence of people. Results: has resulted in a significant reduction in quality of life of older people living in nursing homes (p<0.001) compared to older usually live with their families. Our results show that the degree of physical and / or psychological dependence on our largest is the determinant for entry into a nursing home in our community (p>0.001) factor. Conclusions: the current model residences require a change that allows responding to the real needs of our elderly institutionalized.


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