scholarly journals Effect of Progressive Step Marching Exercise on Balance Ability in the Elderly: A Cluster Randomized Clinical Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 3146
Author(s):  
Pairaya Sitthiracha ◽  
Wichai Eungpinichpong ◽  
Uraiwan Chatchawan
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Fear Of Falling ◽  
The Elderly ◽  
Step Test ◽  
Control Group ◽  
Limb Muscle ◽  
Balance Ability ◽  
Cluster Randomized

Exercise may reduce the risk of falls in the elderly. The objective of the study was to determine the effect of a progressive step marching exercise (PSME) program on balance ability, lower limb muscle strength, aerobic capacity, quality of life, and fear of falling in the elderly. A cluster randomized controlled trial was selected where 30 elderly participants (aged 69 ± 3 years) from a community were supervised while performing a PSME program and 30 (aged 70 ± 3 years) from another community were assigned to a control group. All participants in both groups underwent timed up and go test, one leg standing test, five time sit to stand test, two minutes step test, World Health Organization Quality of Life-Thai version, and fall efficacy scale Thai version at baseline, after exercise at 4 and 8 weeks. The PSME group underwent the program for 8 weeks while those in the control group were instructed to continue their normal activity. After training, the PSME showed significant improvement (p < 0.05) in all parameters except one leg standing and two minutes step test when compared to the control group (p < 0.05). In conclusion, the PSME program could improve balance ability, lower limb muscle strength, quality of life, and fear of falling in the elderly.

A Prospective Study in Detection of Lower-Limb Lymphedema and Evaluation of Quality of Life After Vulvar Cancer Surgery

2012 ◽  
Vol 22 (6) ◽  
pp. 1081-1088 ◽  
Author(s):  
Marta Novackova ◽  
Michael J. Halaska ◽  
Helena Robova ◽  
Ivana Mala ◽  
Marek Pluta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Bioelectrical Impedance Analysis ◽  
Vulvar Cancer ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cancer Surgery ◽  
Control Group ◽  
Inguinofemoral Lymphadenectomy

BackgroundLower-limb lymphedema is one of the most disabling adverse effects of vulvar cancer surgery. Multifrequency Bioelectrical Impedance Analysis (MFBIA) is a modern noninvasive method to detect lymphedema. The first aim of this study was to prospectively determine the prevalence of secondary lower-limb lymphedema after surgical treatment for vulvar cancer using objective methods, circumference measurements and MFBIA technique. The second aim was to compare quality of life (QoL) before and 6 months after vulvar surgery.MethodsTwenty-nine patients underwent vulvar cancer surgery in our study: 17 underwent inguinofemoral lymphadenectomy (RAD), and 12 underwent sentinel lymph node biopsy (CONS). Patients were examined before and 6 months after vulvar surgery by measuring the circumference of the lower limbs and with MFBIA. A control group of 27 healthy women was also measured. To evaluate QoL, the European Organisation for Research and Treatment of Cancer (EORTC) QoL questionnaires (QLQ-C30 and QLQ-CX24) were administered to patients before and 6 months after surgery.ResultsUsing circumference measurement, 9 lymphedemas (31%) were diagnosed: 3 (25%) in the CONS and 6 (37.5%) in the RAD group (P= 0.69). After vulvar surgery, patients in the RAD group reported more fatigue and worsening of physical and role functioning. When comparing both groups, the RAD group had significantly worse parameters in social functioning, fatigue, and dyspnea.ConclusionsLower radicality in inguinofemoral lymphadenectomy shows a trend toward lower morbidity and significantly improves QoL. Multifrequency Bioelectrical Impedance Analysis was tested in these patients as a noninvasive, objective method for lymphedema detection. Detection of lymphedema based on subjective evaluations proved to have an unsatisfactory sensitivity. Less radical surgery showed objectively better results in QoL.

QUALITY OF LIFE IN THE ELDERLY WITH AN ACQUIRED SINGLE-SIDED DEAFNESS

2021 ◽  
pp. 239-244
Author(s):  
С. А. Карпищенко ◽  
Я. Л. Щербакова
Keyword(s):  
Quality Of Life ◽  
Speech Intelligibility ◽  
Pure Tone Audiometry ◽  
The Elderly ◽  
Normal Hearing ◽  
Psychological Status ◽  
Control Group ◽  
Inclusion Criteria ◽  
Single Sided Deafness

Цель исследования - оценка негативного влияния приобретенной односторонней глухоты на качество жизни пожилых пациентов. Выполнен проспективный анализ амбулаторных карт на предмет выявления пожилых пациентов с односторонней глухотой с последующим анкетированием при помощи опросников PSQ, HHIE, THI. Основными критериями включения являлись возраст старше 60 лет, одностороннее снижение слуха с порогами восприятия, соответствующими глухоте (>90 дБ), внезапное начало заболевания и продолжительность глухоты не более 5 лет. У пациентов с односторонней глухотой, которые составили основную группу исследования (n=25), по сравнению с пациентами контрольной группы (n=25) были выявлены повышенный уровень стресса и ухудшение качества жизни, о чем свидетельствуют данные опроса. Пациенты предъявляли жалобы на неудовлетворительную разборчивость речи, выраженный шум в пораженном ухе, невозможность определить источник звука и необходимость адаптироваться к определённым акустическим ситуациям, что требовало повышенной концентрации внимания, приводило к переутомлению, повышенной раздражительности, нервозности и когнитивным нарушениям. The study aimed to assess a negative impact of an acquired single-sided deafness on quality of life of the elderly. Prospective analysis of outpatient records was carried out to identify elderly patients with single-sided deafness using pure tone audiometry. The main inclusion criteria were age over 60, ≥90 dB threshold of an affected ear, ≤30 dB threshold of an intact ear, an acquired single-sided hearing loss with sudden onset and deafness duration less than 5 years. Taking inclusion criteria into account two groups were formed: the main group with single-sided deaf patients (n=25) and the control group of normal hearing patients (n=25). All participants were surveyed with PSQ, HHIE, THI questionnaires. There were revealed some changes in psychological status in the group of patients with single-sided deafness in comparison with the group of normal hearing participants. The scores of the questionnaires showed increased stress and anxiety levels and deterioration in quality of life. Patients with single-sided deafness complained about severe tinnitus in an affected ear, worse speech intelligibility in noisy environment and a constant need to adapt to the different acoustic situations that in turn badly affected psychoemotional homeostasis, intensifying stress severity, and quality of life.

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

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.

scholarly journals Home-based pulmonary rehabilitation in people with bronchiectasis, a randomised controlled trial

2021 ◽  
pp. 00021-2021
Author(s):  
Anderson José ◽  
Anne E. Holland ◽  
Jessyca P. R. Selman ◽  
Cristiane Oliveira de Camargo ◽  
Diogo Simões Fonseca ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Pulmonary Rehabilitation ◽  
Controlled Trial ◽  
Quadriceps Muscle ◽  
Step Test ◽  
Control Group ◽  
Test Quality ◽  
Incremental Step

AimTo investigate the short- and long-term effects of Home-based Pulmonary Rehabilitation (HBPR) on functional capacity, quality of life, peripheral muscle strength, dyspnea and daily physical activity in people with bronchiectasis.MethodsRandomised controlled trial with 63 participants with bronchiectasis. The HBPR group performed three sessions per week for 8 weeks (aerobic exercise: step training for 20 min; resistance training: exercises for quadriceps, hamstrings, deltoids, and biceps brachii with elastic bands). The control group received recommendation to walk at moderate intensity, three times per week. A weekly phone call was conducted for all participants, and the HBPR group received a home visit every 15 days. The primary outcome was distance in the incremental shuttle walk test (ISWT). Secondary outcomes were time in the endurance shuttle walk test (ESWT), number of steps in the incremental step test, quality of life, quadriceps muscle strength and daily physical activity. Measures were taken before and after intervention and 6 months later.ResultsAfter the intervention, the HBPR group had increased the distance in ISWT compared with the control group with between-group difference: 87.9 m (95% CI 32.4 to 143.5). Between-group differences was found in ESWT, incremental step test, quality of life and quadriceps muscle strength in favor to HBPR group too. After 6 months, no differences were observed between the groups.ConclusionHBPR is an effective alternative for offering pulmonary rehabilitation for people with bronchiectasis. However, the program was not effective in maintaining the benefits after 6 months of follow-up.

scholarly journals The effect of inspiratory muscle training on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults: a randomized controlled trial

2019 ◽  
Vol 22 (6) ◽  
Author(s):  
Adriano Florencio Vilaça ◽  
Bárbara Cristina de Souza Pedrosa ◽  
Thamara Cunha Nascimento Amaral ◽  
Maria do Amparo Andrade ◽  
Célia Maria Machado Barbosa de Castro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Muscle Strength ◽  
Lower Limb ◽  
Inspiratory Muscle ◽  
Limb Muscle ◽  
Muscle Training ◽  
Sf 36 ◽  
Lower Limb Strength

Abstract Objective: To evaluate the impact of inspiratory muscle training (IMT) on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults. Method: A randomized clinical trial was conducted with 30 institutionalized older adults. They were allocated into two groups: the IMT group (n=15), which underwent IMT with PowerBreathe Classic, using a load of 60% of maximal inspiratory pressure (MIP). This was performed using a 30 repetition protocol, three times a week, for six weeks. The second group was the control group (n=15) which did not perform any type of therapeutic intervention. In both groups, MIP, lower limb strength by sit-up test, quality of life by the SF-36 questionnaire and C-reactive protein (CRP) were evaluated. Results: The results demonstrated the homogeneity between the groups regarding the demographic and clinical variables. The IMT group showed an increase in the variation of MIP (9.20±7.36 cmH2O) compared to the control (0.93±8.79 cmH2O). Improvement was also observed in the sitting and standing test (p<0.05) (Tukey Test) in the difference between the values before and after the IMT. In terms of quality of life, two of the eight SF-36 domains were influenced by the IMT, namely: functional capacity and limitations due to physical factors. There were no changes in CRP in either group. Conclusion: IMT improved the inspiratory muscle strength, lower limb strength and quality of life of institutionalized older adults. These findings reinforce the contribution of this therapy to reducing the deleterious effects of aging.

Decreased anxiety after Dawood fasting in the pre-elderly and elderly

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Ika Fidianingsih ◽  
Nur Aisyah Jamil ◽  
Russy Novita Andriani ◽  
Wira Muhammad Rindra
Keyword(s):  
Quality Of Life ◽  
Rating Scale ◽  
Ketone Bodies ◽  
The Elderly ◽  
World Health Organisation ◽  
World Health ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference

Abstract Background A high prevalence of anxiety in the elderly often leads to decreased quality of life (QOL). A restrictive diet can increase the production of ketone bodies that encourage mood enhancement, neural protection and pain reduction. This study aimed to identify whether Dawood fasting could increase the QOL of the elderly by reducing anxiety. Methods This research was a quasi-experimental study involving a pretest–post-test control group design. The subjects were pre-elderly and elderly or healthy people aged more than 50, and a consecutive sampling method was employed. The fasting group observed the fast of Dawood, in which they abstained from eating, drinking, or having sexual intercourse from the break of dawn to dusk with the expressed intent to fast every other day. The fast was observed for 22 days (11 fasting days). Anxiety was examined using the Hamilton Rating Scale for Anxiety (HRS-A), while QOL was identified using the Indonesian version of the World Health Organisation Quality of Life (WHOQOL). Results A total of 48 respondents participated in this study with 24 respondents observing the fast of Dawood and 24 others not fasting. Results showed that the 22 days of Dawood fast reduced respondents’ complaints about anxiety by 4.37% and was significantly different from the non-fasting group (p=0.001). There was an increase in the QOL of the fasting group (p=0.019), although no significant difference was found when compared to the non-fasting group. Conclusions The fast of Dawood reduced anxiety in the pre-elderly and elderly.

AB1145 Health-Related Quality of Life in the Elderly Suffering Falls: The Influence of Beliefs on Health and the Fear of Falling

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 1285.1-1285
Author(s):  
E. Nuñez ◽  
S. Sastre ◽  
L. Lozano ◽  
A. Garcia-Cardό ◽  
S. Salό ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fear Of Falling ◽  
The Elderly ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Influência dos treinamentos funcional e tradicional na potência muscular, qualidade de movimento e qualidade de vida em idosas: um ensaio clínico randomizado e controlado

2017 ◽  
Vol 19 (5) ◽  
pp. 535
Author(s):  
Leury Max Da Silva Chaves ◽  
Antônio Gomes De Rezende-Neto ◽  
Albernon Costa Nogueira ◽  
José Carlos Aragão-Santos ◽  
Leandro Henrique Albuquerque Brandão ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Muscle Power ◽  
The Elderly ◽  
Control Group ◽  
Muscular Power ◽  
Traditional Group ◽  
Traditional Training ◽  
Quality Of Movement ◽  
And Control

Aging causes a reduction in the adaptive capacity of the organism. Therefore, there is a decrease in physical fitness, making it difficult to perform basic movements and the development of muscular power. Thus, to minimize this reduction, functional and traditional training can both be used; however there is no clarity about which is most effective. The aim of this study was to identify the influence of functional and traditional training on muscle power, quality of movement and quality of life in the elderly. Forty four older women were randomly divided into functional group (FG n=18), traditional group (TG n=15) and control group (CG n=11). Thirty-six sessions lasting 50 minutes were performed. Quality of life (WHOQOL-bref), quality of movement (FMS) and muscular power were evaluated. FG and TG increased significantly in relation to control group and to the initial FMS values. In FG and TG, muscle power significantly improved compared to pre-test, but not in relation to the control group. Regarding quality of life, only FG presented significant improvement. Both applied methods demonstrate the ability to improve the quality of movement and muscle power. However, functional training achieved better results in quality of life and movement.

scholarly journals Assessment of the quality of life in patients with varying degrees of equalization of lower limb length discrepancy treated with Ilizarov method

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Łukasz Pawik ◽  
Malwina Pawik ◽  
Zdzisława Wrzosek ◽  
Felicja Fink-Lwow ◽  
Piotr Morasiewicz
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Control Group ◽  
Ilizarov Method ◽  
Healthy Individuals ◽  
Self Assessment ◽  
Length Discrepancy

Abstract Background Inequalities in leg length result in functional disorders, as they impair the biomechanics of the musculoskeletal system, significantly reducing the quality of life (QoL). This study used the WHOQoL-BREF questionnaire in patients with varying degrees of lower leg shortness who had undergone treatment by the Ilizarov method, compared to a healthy control group. Methods Fifty-eight patients treated with the Ilizarov method for discrepancies in lower limb length were grouped by degree of limb equalization (group 1, 37 treated individuals with limb length discrepancy < 1 cm; group 2, 21 individuals with discrepancy ≥ 1 cm but not more than 4 cm). The control group 3 contained 61 healthy individuals. Patient quality of life (QoL) was assessed using a shortened version of the WHOQoL-BREF questionnaire, at least 24 months after the end of Ilizarov therapy. Results Control subjects obtained higher scores in all domains than subjects in both treatment groups, as well as significantly higher self-assessed QoL, and health, in the physical, psychological, social, and general lifestyle domains, as compared to those with inequalities ≥ 1 cm. Furthermore, patients with inequalities ≥ 1 cm had higher odds ratios of low self-assessment (3.28 times; p = 0.043), low self-assessment of health (4. 09 times; p = 0.047), and low physical and psychological domains (respectively 6.23 times; p = 0.005 and 8.46 times, p = 0.049) compared with patients with inequality < 1 cm. The shortened version of the WHOQoL questionnaire was used. Conclusions After at least 24 months of treatment with the Ilizarov method, patients with limb length discrepancy < 1 cm did not differ significantly from healthy individuals in the WHOQoL self-assessment of mental functioning, social, or life satisfaction.

scholarly journals Fear of Falls & Quality of Life in Community-Dwelling Older Adults: Is Diabetes an Effect Modifier?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 906-906
Author(s):  
Christina Whitehouse ◽  
Janell Mensinger ◽  
Michelle McKay
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Fear Of Falling ◽  
Short Form ◽  
The Elderly ◽  
Community Dwelling ◽  
Diabetes Diagnosis ◽  
Diabetes Research ◽  
Diabetes Status

Abstract Prior research suggests that diabetes is a risk factor for falling. Moreover, older adults with diabetes are more likely to experience hip fractures when compared to older adults without diabetes. Research has also shown a relationship between fear of falling and quality of life. This study aimed to examine the moderating role of diabetes in the relationship between fear of falling (FoF) and quality of life (QoL) among older adults in a program for all-inclusive care for the elderly (PACE). This was a retrospective single cohort study that included 84 older adults in a PACE program located in the Northeastern United States. Participants were 55 years of age or older (M=70.33; SD=6.46) and cognitively intact. Diabetes diagnosis (n=46) was determined according to chart review. Fear of Falling was assessed with the Falls Efficacy Scale-International, and the Short Form 12v2 (SF-12v2) was used to measure the quality of life, including physical and mental domains. Hayes’ Process Macro was used to conduct moderation analyses (model 1) controlling race, gender, age, and comorbidities. Alpha was set at .10 to account for low power to detect interaction effects with small groups. Our results indicate the interaction between diabetes status and FoF was significant for mental QoL (p=.09) and not significant for physical QoL (p=.99). The association between FoF with lower mental QoL was stronger for patients with diabetes than for patients without diabetes; this finding was not replicated for physical QoL. Regardless of diabetes status, physical QoL significantly decreased as FoF increased.

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