scholarly journals Thai dance exercises benefited functional mobility and fall rates among community-dwelling older individuals

2019 ◽  
Vol 40 (01) ◽  
pp. 19-27 ◽  
Author(s):  
Chonticha Kaewjoho ◽  
Lugkana Mato ◽  
Thiwabhorn Thaweewannakij ◽  
Saowanee Nakmareong ◽  
Supaporn Phadungkit ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Program ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Older Individuals ◽  
Quasi Experimental ◽  
Fall Rates ◽  
Community Dwelling Older Adults

Background: With dramatic increase in the number of older individuals, special efforts have been made to promote the levels of independence and reduce fall rates among these individuals. Objective: To investigate the effects of Thai dance exercises over 6 weeks on functional mobility and fall rates in community-dwelling older individuals. Methods: Sixty-one community-dwelling older adults were interviewed and assessed for their demographics and fall data during 6 months prior to participation in the study. Then they completed the quasi-experimental Thai dance exercise program for 50 minutes[Formula: see text]day, 3 days[Formula: see text]week over 6 weeks. Their functional mobility relating to levels of independence and safety were assessed prior to training, at 3-week and 6-week training. After completing the program at 6 weeks, participants were prospectively monitored for fall data over 6 months. Results: Participants improved their functional mobility significantly after 3- and 6-week training [Formula: see text]. The number of faller individuals obviously decreased from 35% [Formula: see text] prior to training to only 8% [Formula: see text] after training [Formula: see text]. Conclusion: The current findings further extend benefits of Thai dance as an alternative musical exercise program to promote levels of independence and safety among community-dwelling older adults.

scholarly journals Multicomponent Exercise on Physical Function, Cognition and Hemodynamic Parameters of Community-Dwelling Older Adults: A Quasi-Experimental Study

2019 ◽  
Vol 16 (12) ◽  
pp. 2184 ◽  
Author(s):  
Ivan de Oliveira Gonçalves ◽  
Alexandre Nunes Bandeira ◽  
Hélio José Coelho-Júnior ◽  
Samuel da Silva Aguiar ◽  
Samuel Minucci Camargo ◽  
...  
Keyword(s):  
Older Adults ◽  
Experimental Study ◽  
Exercise Program ◽  
Community Dwelling ◽  
Moderate Intensity ◽  
Hemodynamic Parameters ◽  
Before And After ◽  
Quasi Experimental ◽  
Walking Speeds ◽  
Community Dwelling Older Adults

This paper reports on a quasi-experimental study that aimed to identify changes in muscle function (i.e., mobility, maximal walking speed, lower limb muscle strength, balance, and transfer capacity), cognition (i.e., executive function) and hemodynamic parameters of community-dwelling Brazilian older adults during a six-month multicomponent exercise program (MCEP). A total of 436 community-dwelling older adults performed functional, cognitive and hemodynamic assessments before and after a six-month MCEP. The program of exercise was performed twice a week over 26 weeks at moderate intensity. Results indicate that balance, mobility (i.e., usual and maximal walking speeds) and transfer capacity (p < 0.05) were significantly improved after the MCEP. Moreover, all hemodynamic parameters (i.e., systolic, diastolic and mean arterial pressures), except for heart rate (p > 0.05), were significantly reduced after the intervention. The current findings indicate that a six-month MCEP may provide physical and hemodynamic benefits in community-dwelling older adults. Nevertheless, our findings need to be confirmed in larger samples and better designed studies.

scholarly journals Towards Using the Instrumented Timed Up-and-Go Test for Screening of Sensory System Performance for Balance Control in Older Adults

Sensors ◽  
2019 ◽  
Vol 19 (3) ◽  
pp. 622 ◽  
Author(s):  
Thomas Gerhardy ◽  
Katharina Gordt ◽  
Carl-Philipp Jansen ◽  
Michael Schwenk
Keyword(s):  
Older Adults ◽  
System Performance ◽  
Fall Risk ◽  
Balance Control ◽  
Sensory System ◽  
Sensory Systems ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Community Dwelling Older Adults

Background: Decreasing performance of the sensory systems’ for balance control, including the visual, somatosensory and vestibular system, is associated with increased fall risk in older adults. A smartphone-based version of the Timed Up-and-Go (mTUG) may allow screening sensory balance impairments through mTUG subphases. The association between mTUG subphases and sensory system performance is examined. Methods: Functional mobility of forty-one community-dwelling older adults (>55 years) was measured using a validated mTUG. Duration of mTUG and its subphases ‘sit-to-walk’, ‘walking’, ‘turning’, ‘turn-to-sit’ and ‘sit-down’ were extracted. Sensory systems’ performance was quantified by validated posturography during standing (30 s) under different conditions. Visual, somatosensory and vestibular control ratios (CR) were calculated from posturography and correlated with mTUG subphases. Results: Vestibular CR correlated with mTUG total time (r = 0.54; p < 0.01), subphases ‘walking’ (r = 0.56; p < 0.01), and ‘turning’ (r = 0.43; p = 0.01). Somatosensory CR correlated with mTUG total time (r = 0.52; p = 0.01), subphases ‘walking’ (r = 0.52; p < 0.01) and ‘turning’ (r = 0.44; p < 0.01). Conclusions: Supporting the proposed approach, results indicate an association between specific mTUG subphases and sensory system performance. mTUG subphases ‘walking’ and ‘turning’ may allow screening for sensory system deterioration. This is a first step towards an objective, detailed and expeditious balance control assessment, however needing validation in a larger study.

Improving health literacy and medication compliance through comic books: a quasi-experimental study of Chinese community-dwelling older adults

2018 ◽  
Vol 25 (4) ◽  
pp. 67-78 ◽  
Author(s):  
Angela Y. M. Leung ◽  
Isaac S. H. Leung ◽  
Justina Y. W. Liu ◽  
Sylvia Ting ◽  
Selina Lo
Keyword(s):  
Older Adults ◽  
Experimental Study ◽  
Health Literacy ◽  
Comic Books ◽  
Medication Compliance ◽  
Comic Book ◽  
Community Dwelling ◽  
Quasi Experimental ◽  
Community Dwelling Older Adults ◽  
Post Assessment

Background: This study aims to investigate the effect of two interventions (verbal advice and comic books) on health literacy and medication compliance among older adults living in 15 public estates in Hong Kong. Methods: This is a two-phase multi-site quasi-experimental study with a pre-and-post design with four measurement points (T1–T4). In both phases, the two interventions were conducted by trained medical/nursing/pharmacy students. Two home visits were carried out in each phase. After the baseline measurement at Time 1 (T1), students verbally advised the older adult participants on how to read, understand, and interpret information on drug labels and how to store drugs properly. A post-assessment was conducted at T2. One year later, another pre-assessment was conducted at T3, and then students used a comic book to educate the older adults. A post-assessment was carried out at T4 after the use of the comic book. Health literacy was measured using the 24-item Chinese Health Literacy Scale for Chronic Care and medication compliance was measured using the Medication Compliance, Knowledge and Storage scale. Generalised Linear Mixed Models were used. Results: A total of 165 subjects were included. The majority (60.6%) were female, aged from 67 to 96. About half (47.3%) had received no formal education. Controlling for age and cognition, there was a significant increase in health literacy after the use of the comic book (coefficient = 2.742, p = 0.001). There was also a significant improvement in medication compliance (total score) (coefficient = −1.018, p < 0.001), reduced knowledge deficiency (coefficient = −0.236, p < 0.05), and reduced storage problems (coefficient = −0.293, p = 0.001) after using comic books. Conclusion: Comic books are a good strategy to improve the health literacy level and medication compliance of community-dwelling older adults.

scholarly journals Fall Awareness Behaviour And Its Associated Factors Among Community Dwelling Older Adults

2020 ◽  
Author(s):  
GOH JING WEN ◽  
Devinder Kaur Ajit Singh ◽  
NORMALA MESBAH ◽  
ANIS AFIFA MOHD HANAFI ◽  
ADLYN FARHANA AZWAN
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Linear Regression Analysis ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Mortality And Morbidity ◽  
Falls In Older Adults ◽  
Causes Of Mortality ◽  
Community Dwelling Older Adults

Abstract Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors. A total of 140 community dwelling older adults (mean age of 70.69±4.3 years) participated in this study. Physical performance was assessed using timed up and go(TUG), gait speed(GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviours and fall prevention knowledge respectively. Stepwise linear regression analysis showed that the practice of fall awareness behaviours (R2=.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p<.001], having lower BMI [95% C.I: -0.692 to -0.135, p<.05], living with family [95% C.I: 0.022 to 5.953, p<.05] and those having higher functional mobility [95% C.I: -2.008 to -0.164, p<.05]. Fall awareness behaviours should be emphasized among older females, those with lower functional mobility, higher BMI and living alone.

scholarly journals Potential Implications of Mail Delivery Conversion on Older Adults’ Risk of Falls in The Winter

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Jovana Sibalija ◽  
Mallory L. Ciminsky ◽  
Katharine Fuchigami ◽  
Marie-Helene L.S. He ◽  
Yuyuan Chen ◽  
...  
Keyword(s):  
Older Adults ◽  
Urban Areas ◽  
Elderly Population ◽  
The Elderly ◽  
Home Delivery ◽  
Community Dwelling ◽  
Scoping Literature Review ◽  
Risk Of Falls ◽  
Fall Rates ◽  
Community Dwelling Older Adults

In December 2013, Canada Post announced they would be converting approximately five million households from door-to-door mail delivery to community mailboxes (CMB). The decision was made to address decreasing letter mail volume and operating losses experienced by the crown corporation. The CMBs will be phased in over the five years mainly in urban areas across the country. The decision to convert to CMBs makes Canada the only among the G8 countries to end home delivery of mail. As a result, no research exists on the implications of the change. Particular concern has been raised over how the conversion will affect older adults. One area that needs examination is the consequences of the CMBs delivery model on fall rates among older adults in the winter. Falls are common among seniors, with 20-30% community dwelling older adults falling each year. The risk of falling is increased in the winter when there is snow and ice on the ground. Injuries dues to falls consume a great deal of healthcare resources. The purpose of this scoping literature review was to determine: What are the implications for the elderly population of Canada Post’s decision to convert home delivery of mail to community mailbox delivery? Specifically, the review focused on how the conversion may impact fall rates among older adults in the winter.

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