The effect of scapular strengthening exercise using elastic band on balance and quality of life in the old people

IntroductionSarcopenia is a geriatric syndrome characterised by progressive loss of skeletal muscle mass and function with risks of adverse outcomes and becomes more prevalent due to ageing population. Elastic-band exercise, vibration treatment and hydroxymethylbutyrate (HMB) supplementation were previously proven to have positive effects on the control of sarcopenia. The purpose of this study is to evaluate the effectiveness of elastic-band exercise or vibration treatment with HMB supplementation in managing sarcopenia. Our findings will provide a safe and efficient strategy to mitigate the progression of sarcopenia in older people and contribute to higher quality of life as well as improved long-term health outcomes of elderly people.Methods and analysisIn this single-blinded, randomised controlled trial (RCT), subjects will be screened for sarcopenia based on the Asian Working Group for Sarcopenia (AWGS) definition and 144 sarcopenic subjects aged 65 or above will be recruited. This RCT will have three groups evaluated at two time points to measure changes over 3 months—the control and the groups with combined HMB supplement and elastic-band resistance exercise or vibration treatment. Changes in muscle strength in lower extremity will be the primary outcome. Muscle strength in the upper extremity, gait speed, muscle mass (based on AWGS definition), functional performance in terms of balancing ability and time-up-and-go test and quality of life will be taken as secondary outcomes. In addition, each participant’s daily activity will be monitored by a wrist-worn activity tracker. Repeated-measures analysis of variance will be performed to compare within-subject changes between control and treatment groups at two time points of pretreatments and post-treatments.Ethics and disseminationThe procedures have been approved by the Joint CUHK-NTEC Clinical Research Management Office (Ref. CREC 2018.602) and conformed to the Declaration of Helsinki. Results will be disseminated through peer-reviewed publications, conferences and workshops.Trial registration numberNCT04028206.

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Twelve Weeks of Strengthening Exercise for Patients with Rheumatoid Arthritis: A Prospective Intervention Study

Journal of Clinical Medicine ◽

10.3390/jcm9092792 ◽

2020 ◽

Vol 9 (9) ◽

pp. 2792

Author(s):

Bomi Sul ◽

Kyoung Bo Lee ◽

Young Bin Joo ◽

Bo Young Hong ◽

Joon-Sung Kim ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Lower Limb ◽

Exercise Group ◽

Activity Level ◽

Control Group ◽

Intervention Period ◽

Sf 36 ◽

Strengthening Exercise

Rheumatoid arthritis (RA) patients may benefit from exercise for several reasons. However, whole-limb strengthening exercises for such patients remain poorly studied. We hypothesized that systemic strength training that includes the upper and lower extremities would improve strength per se and enhance the quality of life. Here, we investigated the effects of 12 weeks of upper- and lower-limb strengthening exercise on the strength and quality of life of RA patients using the International Classification of Functioning, Disability, and Health model. This was a prospective, interventional controlled trial. Forty female RA patients were recruited and assigned to two groups not based on willingness to exercise, with 20 patients in the exercise group and 20 in the control group. All patients in the exercise group received once-weekly training sessions of 60 min over 12 weeks. All participants were assessed before and after the 12-week intervention period. We measured the hand grip strength and isometric quadriceps contraction, the cross-sectional area of the rectus femoris (CSA-RF) (via ultrasonography), and performed the 30 s sit-to-stand test and the 6 min walk test (6MWT). We derived the Borg scale score after the 6MWT and assessed the extent of social participation and quality of life using a Korean version of the 36-Item Short Form Health Survey (SF-36). A total of 35 subjects completed the experiment (18 in the exercise group, 17 in the control group). After the 12-week intervention period, the lower-limb strength and the CSA-RF were significantly increased in the exercise group. The activity level did not change significantly in either group. The exercise group exhibited significant improvements in the SF-36 mental health domain scores. Thus, strengthening exercise is useful for patients with RA.

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Quality of Life in Old People With and Without Cancer

Quality of Life Research ◽

10.1023/b:qure.0000031342.11869.2f ◽

2004 ◽

Vol 13 (6) ◽

pp. 1067-1080 ◽

Cited By ~ 57

Author(s):

Bibbi Thomé ◽

Anna-Karin Dykes ◽

Ingalill Rahm Hallberg

Keyword(s):

Quality Of Life ◽

Old People

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Improving the quality of life in high-rise. A sustainable approach CPTED observed in the public realm in Widzew

Space - Society - Economy ◽

10.18778/1733-3180.14.12 ◽

2015 ◽

pp. 213-224

Author(s):

Tobias Woldendorp

Keyword(s):

Quality Of Life ◽

Real Estate ◽

Public Space ◽

Crime Prevention ◽

Public Realm ◽

Old People ◽

The Public ◽

High Rise ◽

Sense Of Security

The article focuses on the sense of security as a very important element affecting the quality of life and its improvement. Attention was drawn to crime and security in public space, which, is used by old people. The aim of the study is to use the CPTED methodology – Dutch solutions in the field of crime prevention such as architectural, urban and green design. The main criteria used in the method is visibility, accessibility, attractiveness and territoriality. Observations and analysis on the use of this method were conducted by the author on the high-rise (real estate) in Łódź-Widzew.

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Quality of life of dependent elderly people in Romania. University Publishing House, Bucharest, 2020. Mihaela Ghența, Aniela Matei, Luise Mladen-Macovei, Elen-Silvana Bobârnat

Sociologie Romaneasca ◽

10.33788/sr.19.2.13 ◽

2021 ◽

Vol 19 (1) ◽

pp. 253-258

Author(s):

Cosmina-Elena Pop

Keyword(s):

Quality Of Life ◽

Social Services ◽

Delphi Method ◽

Publishing House ◽

Population Ageing ◽

Review Of The Literature ◽

Old People ◽

Policy Delphi ◽

Dependent Elderly

The book Quality of Life of Old Dependent People in Romania presents a part of the research results obtained during 2018-2020 in the research project with the same name. In the context of a pronounced process of population ageing and raising needs of social services for old people, the publication of this volume becomes very important. The book contains a comprehensive review of the literature regarding quality of life in old age, the results obtained during the research on old dependent people in Romania and measures of social policy developed in the process of consultation of experts in the field using the Policy Delphi method.

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Satisfaction and Acceptability of Telemonitored Home-Based Exercise in Patients With Intermittent Claudication: Pragmatic Observational Pilot Study (Preprint)

10.2196/preprints.18739 ◽

2020 ◽

Author(s):

Nils Cornelis ◽

Roselien Buys ◽

Tijl Dewit ◽

Dries Benoit ◽

Jomme Claes ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Pilot Study ◽

Exercise Training ◽

Walking Distance ◽

Elastic Band ◽

Home Based ◽

Walking Capacity ◽

Resistance Exercises

BACKGROUND Current guidelines recommend supervised exercise training (SET) as a first-line treatment in patients with intermittent claudication (IC). SET has been shown to be more effective than home-based exercise therapy (HBET). However, the lack of available SET programs hampers broad SET implementation in clinical practice. OBJECTIVE The aim of this study is to assess patient satisfaction and acceptability of a structured HBET program using wearable technology and elastic band resistance exercises. METHODS A total of 20 patients with IC (Rutherford 1-3) with internet access and currently not engaged in structured exercise training were recruited in a pragmatic observational pilot study. Participants were instructed to complete 3 walking sessions and 2 elastic band resistance exercise sessions per week in their home environment during a 4-week period. Patient satisfaction and acceptability were assessed using a 5-point Likert scale questionnaire (1-2=very unsatisfied, 3=neutral, and 4-5=very satisfied) evaluating the materials and intervention content. Secondary outcomes were evaluated at baseline and at completion of the 4-week intervention and included maximal walking distance (MWD) and pain-free walking distance (PFWD), physical fitness, and patient-reported outcomes on quality of life, walking capacity, levels of kinesiophobia, and self-efficacy. Statistically significant changes were tested using paired t tests or Wilcoxon signed-rank tests. RESULTS All patients (15 men, 5 women; mean age 64.6, SD 10.6 years; range 41-81 years) completed the 4-week intervention and were highly satisfied with the program (mean overall score 4.5, SD 0.5). Patients’ questionnaire responses documented willingness to recommend the exercise program to other patients (mean 4.5, SD 0.5; median 4.5) and preference for continuing the intervention (mean 4.3, SD 0.5; median 4). Furthermore, participants endorsed the use of the sports watches to track walking sessions (mean 4.25, SD 0.6; median 4), felt safe (mean 4.4, SD 0.6; median 4), and appreciated personal feedback (mean 4.55, SD 0.5; median 5) and flexibility of training (mean 4.1, SD 0.7; median 4). Resistance training was not preferred over walking training (mean 2.65, SD 0.8; median 3). In addition, PFWD (+89 m; P=.001), MWD (+58 m; P=.03), Walking Impairment Questionnaire distance score (+0.18; P=.01), activity-related scores (+0.54; P<.001), and total quality of life (+0.36; P=.009) improved following the intervention. Other patient-related outcomes, physical fitness, and physical activity remained to be statistically unaltered. CONCLUSIONS Patients with IC were satisfied and accepted technology to monitor and guide HBET, with observed short-term effectiveness regarding walking capacity and quality of life. However, elastic band resistance exercises as a part of HBET were not preferred over progressive walking. CLINICALTRIAL ClinicalTrials.gov NCT04043546; https://clinicaltrials.gov/ct2/show/NCT04043546

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Oral Presentation VII

World Journal of Endocrine Surgery ◽

10.5005/wjoes-8-1-40 ◽

2016 ◽

Vol 8 (1) ◽

pp. 40-46

Author(s):

Yoshihiro Tominaga ◽

Manabu Okada ◽

Takayuki Yamamoto ◽

Takahisa Hiramitsu

Keyword(s):

Quality Of Life ◽

Chronic Kidney Disease ◽

Elderly Patients ◽

Daily Living ◽

Birth Rate ◽

Neuropsychiatric Symptoms ◽

Serum Levels ◽

Old People ◽

Postoperative Course

ABSTRACT BACKGROUND AND AIMS The number of elderly patients with primary hyperparathyroidism (PHPT) has been increasing as a result of declining birth rate and aging population in Japan. The safety and effectiveness of surgical treatment in old people with PHPT are still contentious. METHODS We retrospectively investigated the characteristics and postoperative course in 55 patients over 70 years of age who underwent parathyroidectomy (PTX) for PHPT at our institution from February 1988 to May 2015. RESULTS Forty-four of the 55 patients had comorbidities such as hypertension, diabetes, and so on. In all the cases, PTX was successfully performed and the serum levels of parathyroid hormone and calcium lowered. Neuropsychiatric symptoms also improved in 14 patients after PTX. Except two cases, no severe complication occurred after PTX: one developed aspiration pneumonitis and one needed hemodialysis for acute exacerbation in chronic kidney disease. CONCLUSION Active and appropriate application of PTX might contribute to improvements in the activities of daily living and quality of life in elderly patients with PHPT.

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