scholarly journals Impact of a Geriatric Day Hospital Program on Older Adults’ Functional Independence and Caregiver Stress: A Non-Experimental, Single Group Pre-/Posttest Study

2020 ◽  
Vol 11 ◽  
pp. 215013272094050
Author(s):  
Yung-En Chung ◽  
Douglas E. Angus ◽  
Chantal Backman
Keyword(s):  
Older Adults ◽  
Exercise Capacity ◽  
Fear Of Falling ◽  
Functional Independence ◽  
Distributed Data ◽  
Day Hospital ◽  
Single Group ◽  
Significant Difference ◽  
Functional Exercise ◽  
Functional Exercise Capacity

Objective: To evaluate the impact of a geriatric day hospital program on older adults’ functional independence and on caregiver stress. Methods: We used a single group pre- and posttest design. The data were collected through chart reviews and follow-up phone calls. Outcomes included fear of falling, balance, functional exercise capacity (walking distance), and caregiver stress. Descriptive statistics were used for sociodemographic data, dependent t test for paired samples of normally distributed data, and the Wilcoxon signed-rank test for determining differences between nonnormally distributed data sets. Results: We found a statistically significant difference in pre (33.54) and post (27.47) mean rank scores for fear of falling ( Z = −3.895, P < .001), pre (49.5) and post (59.42) scores for balance ( Z = −8.725, P < .001), and pre (250.07 m) and post (291.20 m) for functional exercise capacity ( P < .001). No statistically significant difference was found with respect to caregiver stress pre (22.05) and post (19.90) scores ( Z = −0.422, P = .673). Discussion: Future research may consider approaching evaluative studies of a similar type using not only quantitative but also qualitative methods to obtain a more comprehensive understanding of older adults’ functional ability and caregiver stress before and after participating in a geriatric day hospital program.

scholarly journals Can functional exercise capacity discriminate older individuals with poor postural control?

2015 ◽  
Vol 21 (3) ◽  
pp. 250-255
Author(s):  
Marcio R. Oliveira ◽  
Laís S. Vidotto ◽  
André W. Gil ◽  
Myriam Fernanda Merli ◽  
Vanessa S. Probst ◽  
...  
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Exercise Capacity ◽  
High Performance ◽  
Center Of Pressure ◽  
Functional Limitations ◽  
Older Individuals ◽  
Performance Group ◽  
Functional Exercise ◽  
Functional Exercise Capacity

AbstractPostural instability can be related to functional limitations as a result of the aging process. This study aimed to compare functional exercise capacity and postural control in older adults. Participants were allocated into three groups according to their functional exercise capacity based on the six minute walking test (6MWT): 1) Low performance group (LP: distance walked ≤ 80% of the predicted value n = 19), 2) Normal performance group (NP: distance walked 81-100% of the predicted value n = 21) and, 3) High performance group (HP: distance walked >100% of the predicted value n = 23). All groups performed three trials of a one-leg stance for 30s on a force platform. LP showed worse postural control in comparison to NP and HP, and significant differences (p < .05) were found between groups for area, velocity antero-posterior of center of pressure and time limit variables during the one-leg stance task. These results have implications for rehabilitation management with regard to exercise, balance assessment and intervention in older adults.

scholarly journals Proposal of an Adapted Physical Activity Exercise Protocol for Women with Osteoporosis-Related Vertebral Fractures: A Pilot Study to Evaluate Feasibility, Safety, and Effectiveness

2019 ◽  
Vol 16 (14) ◽  
pp. 2562 ◽  
Author(s):  
Sofia Marini ◽  
Erica Leoni ◽  
Alessandra Raggi ◽  
Tiziana Sanna ◽  
Nazzarena Malavolta ◽  
...  
Keyword(s):  
Exercise Capacity ◽  
Vertebral Fractures ◽  
Fear Of Falling ◽  
Effect Sizes ◽  
Exercise Protocol ◽  
Functional Exercise ◽  
Related Quality ◽  
Health Related ◽  
Functional Exercise Capacity

A quasi-experimental pilot study was performed to determine the feasibility and safety of an Adapted Physical Activity (APA) protocol and its effect on health-related quality of life (HRQOL), fear of falling, pain, and physical performance in women with osteoporosis-related vertebral fractures. Forty-four post-menopausal women (mean age: 67.6 ± 4.6) with osteoporotic vertebral fractures were assigned to an exercise group (APA group = 26) who attended a six-month exercise protocol that included postural and muscular reinforcement exercises, and a control group (CG = 18) who was asked to maintain their current lifestyle. At baseline and six months after baseline, HRQOL was measured as primary outcome by the Assessment of Health Related Quality of Life in Osteoporosis (ECOS-16) questionnaire. Secondary outcomes were fear of falling (Fall Efficacy Scale International, FES-I), lumbar back pain (Visual Analogue Scale-VAS), functional exercise capacity (Six Minutes Walking Test-6MWT, Borg scale), balance and gait (Tinetti Scale), and flexibility of the column (Chair Sit-and-Reach). The effects of the intervention were analyzed by comparison within groups and between groups. Effect sizes (ES) were calculated using Cohen’s d. All the outcomes significantly improved in the APA group, while they remained unchanged in the CG. After adjustment for unbalanced variables, the comparison between groups showed significant effects of the intervention for ECOS-16-score, functional exercise capacity, balance, and gait. The exercise program had big effect sizes on HRQOL (ES = 1.204), fear of falling (ES = 1.007), balance (ES = 0.871), and functional exercise capacity (ES = 1.390). Good adherence (75.8%) and no injuries were observed. Due to its feasibility, safety, and effectiveness, the proposed exercise protocol can be adopted in APA programs addressed to patients with osteoporosis-related vertebral fractures.

Evaluating a theory-based intervention for improving eHealth literacy in older adults: A single group, pretest–posttest design (Preprint)

2021 ◽  
Author(s):  
Kyoung-Eun Lee ◽  
Sun Ju Chang ◽  
Eunjin Yang ◽  
Hyunju Ryu
Keyword(s):  
Older Adults ◽  
Health Information ◽  
Information Literacy ◽  
Intervention Mapping ◽  
Perceived Usefulness ◽  
The Internet ◽  
Single Group ◽  
Behavioral Skills ◽  
Ehealth Literacy ◽  
Significant Difference

BACKGROUND The Internet use rate of older adults, who were considered underprivileged in the digital world, is steadily increasing. Specifically, the Internet is considered an important channel for providing health information to older adults, who are the largest consumers of medical services. However, due to factors such as technical difficulties, lack of learning opportunities, and deterioration of eHealth literacy, the Internet is not usually a common factor of delivering health information to older adults. Therefore, we developed an intervention program to improve eHealth literacy in older adults according to the information-motivation-behavioral skills (IMB) theory and Intervention Mapping. OBJECTIVE This study aimed to analyze the effect of developed intervention on information, motivation, behavioral skills, and behaviors related to eHealth information in older adults. METHODS This study applied a single group pretest–posttest design. The participants were 46 older adults over the age of 65 recruited from two senior welfare centers in a city in South Korea. We divided the participants into 4 groups and conducted 4 interventions in the computer room of the Senior Welfare Center from March to December 2019. One intervention was performed once a week (2 hours/1 time) for 5 weeks, and the total lecture time was 10 hours. The instructors were all researchers involved in the development of this intervention, and the instructors for each intervention consisted of one lecture instructor and two assistant instructors who supported the participants in the computer practices. RESULTS Participants’computer/web knowledge (χ²= 60.04, P <.001), perceived ease of use (χ²= 17.86, P <.001), perceived enjoyment (χ²= 23.06, P <.001), and attitude toward eHealth information (χ²= 18.47, P <.001) showed statistically significant increases. The eHealth information literacy efficacy score (χ²= 72.76, P< .001), searching performance score (χ²= 162.57, P < .001), and understanding score (χ²= 60.96, P< .001) were also significantly different from those before and after the intervention. However, there was no significant difference in perceived usefulness (χ²= 5.91, P = .052). CONCLUSIONS Our findings suggest that the application of the current theory based methodology can improve the quality of research in developing eHealth information literacy interventions. Additionally, it is necessary to develop and continuously apply various interventions to improve eHealth information literacy among older adults. Finally, measures to improve the Internet environment for older adults should be considered.

scholarly journals Lung hyperinflation and functional exercise capacity in patients with COPD – a three-year longitudinal study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Linn T. Aalstad ◽  
Jon A. Hardie ◽  
Birgitte Espehaug ◽  
Einar Thorsen ◽  
Per S. Bakke ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Exercise Capacity ◽  
Lung Hyperinflation ◽  
Functional Exercise ◽  
Functional Exercise Capacity

scholarly journals Elastic Taping’s Effect on Exercise Capacity in Recreational Runner with Inspiratory Muscle Training

2019 ◽  
Vol 1 (1) ◽  
pp. 25
Author(s):  
Asriningrum Asriningrum ◽  
Dewi Poerwandari ◽  
Andriati Andriati ◽  
Soenarnatalina Soenarnatalina
Keyword(s):  
Muscle Strength ◽  
Exercise Capacity ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Training ◽  
P Values ◽  
Pressure Threshold ◽  
Functional Exercise ◽  
Functional Exercise Capacity ◽  
Recreational Runners

Background: Running is a new trend of recreational sports in Indonesia. About 70% of recreational runners have difficulty in improving exercise capacity due to exercise-related transient abdominal pain (ETAP), caused by fatigue of the diaphragmatic muscles. Previous studies have shown that various training methods may increase diaphragmatic muscle strength and endurance, for example, inspiratory muscle training (IMT). Unfortunately, improvement of inspiratory muscle strength and endurance after exercise and IMT are still varies. Therefore, other methods are needed to optimize the effect of IMT. Application of the elastic taping on thoracic wall during exercise allows the inspiratory muscles to contract optimally which might improve functional capacity.Aim: To assess the effect of elastic taping on inspiratory muscle training using the pressure threshold IMT, in increasing the functional exercise capacity of recreational runners. Functional capacity was measured based on VO2max value, rating of perceived breathlessness (RPB) and rating of perceived exertion (RPE).Methods: an experimental study involved 14 nonsmoker recreational runners, ages 20-40 years, at Outpatient Clinic of Physical Medicine and Rehabilitation Department of Dr. Soetomo Hospital Surabaya. Subjects were divided into two groups (pressure threshold IMT with and without elastic taping groups), which were observed for four weeks. IMT was done five times a week, twice a day, with 30 repetitions, and 60% resistance 30 RM using Respironics®. Elastic taping Leukotape® was applied on the first until fifth day in each IMT sessions. The running exercises were done three times a week with EnMill® Treadmill ETB-03195 with a speed of 4.5 mph and 0% inclination. RBP, RPE and VO2max were measured using Borg Dyspneu scale, Borg Scale, and Bruce Treadmill Protocol test, respectively, before the first exercise and after 4 weeks of exercise.Results: There were an improvement of functional exercise capacity in both groups which were marked with a decline of RPB and RPE and increase of VO2max (p values < 0.05). However, there were no significant differences in the decrease of RPB and RPE and an increase of VO2max between groups (p values of were 0.31, 0.83, and 0.13, respectively). The effect of the elastic taping (r2 = 0.99) was not reflected in the differences of RPB, RPE and increasing VO2max.Conclusion: Inspiratory muscle training using pressure threshold IMT with or without the elastic taping for four weeks can improve exercise capacity of recreational runners.

Elastic Resistance Training Produces Benefits Similar to Conventional Resistance Training in People With Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis

2020 ◽  
Vol 100 (11) ◽  
pp. 1891-1905 ◽  
Author(s):  
Fabiano F de Lima ◽  
Vinicius Cavalheri ◽  
Bruna S A Silva ◽  
Isis Grigoletto ◽  
Juliana S Uzeloto ◽  
...  
Keyword(s):  
Resistance Training ◽  
Muscle Strength ◽  
Exercise Capacity ◽  
Low Cost ◽  
Control Group ◽  
Chronic Obstructive ◽  
Elastic Resistance ◽  
Functional Exercise ◽  
Functional Exercise Capacity ◽  
Experimental Group

Abstract Objective The purpose of this study was to investigate the effectiveness of elastic resistance training on improving muscle strength, functional exercise capacity, health-related quality of life (HRQoL), and dyspnea in people with stable chronic obstructive pulmonary disease (COPD). Methods For this systematic review, PubMed, The Cochrane Library, Embase (OVID), PEDro, SciELO, and CINAHL were searched from inception to November 2019. Included studies were randomized clinical trials in which people with stable COPD were allocated to (1) an experimental group that received lower-limb resistance training, upper-limb resistance training, or both using elastic resistance; or (2) a control group that received no or sham resistance training or conventional resistance training using weight machines. Data extraction was performed by 3 review authors. The methodological quality of the studies was assessed using the PEDro scale. Eight studies on 332 participants were included. Results Knee extensor strength was higher in the experimental group (standardized mean difference = 0.52, 95% CI = 0.09–0.95) compared with the non-exercise control group. Compared with the conventional exercise control, the experimental group presented similar effects for muscle strength, functional exercise capacity, HRQoL, and dyspnea (95% CI overlapped the line of no effect for all). Conclusions Elastic resistance training improves muscle strength in people with COPD. The current review suggests elastic resistance as a potential alternative to conventional resistance training using weight machines, as they show similar effects on muscle strength, functional exercise capacity, HRQoL, and dyspnea. Impact Due to its beneficial effects, including reduced risk of exacerbation-related hospitalizations, exercise training is viewed as the cornerstone of pulmonary rehabilitation in people with COPD. This study shows that elastic resistance training can be an effective, portable, practical, and low-cost alternative to conventional weight resistance training. Lay Summary Training with elastic resistance tubes or bands—which are easy to carry, easy to use, and relatively low cost—can be an effective way to improve strength for people with COPD and promote similar benefits to those achieved with weight machines.

Lung function and functional exercise capacity in underground semi-precious stone mineworkers

Work ◽  
2020 ◽  
Vol 66 (1) ◽  
pp. 193-200
Author(s):  
Tamires Patrícia Souza ◽  
Rafaela Souza ◽  
Guilherme Watte ◽  
Jorge Alan de Souza ◽  
José da Silva Moreira ◽  
...  
Keyword(s):  
Lung Function ◽  
Exercise Capacity ◽  
Precious Stone ◽  
Functional Exercise ◽  
Functional Exercise Capacity
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