Efeito de um programa de resistência muscular na capacidade funcional e na força muscular dos extensores do joelho em idosas pré-frágeis da comunidade: ensaio clínico aleatorizado do tipo crossover

Lustosa, Lygia Paccini; Silva, Juscélio Pereira da; Coelho, Fernanda; Pereira, Daniele Sirineu; Parentoni, Adriana Netto; Pereira, Leani Souza Máximo

doi:10.1590/s1413-35552011000400010

Cited by 91 publications

(56 citation statements)

References 39 publications

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“…We included parallel-group RCTs, 30,31,33,35 one pilot RCT, 32 one randomised crossover trial 36 and one secondary analysis of a RCT 38 in our review, including 506 randomised participants (sample size range 23-194 participants) from a range of countries (see Table 1). Five trials used pre-frailty, defined through the Fried phenotype 10 or modifications of this, to identify eligible older adults or women.…”

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

“…Five trials used pre-frailty, defined through the Fried phenotype 10 or modifications of this, to identify eligible older adults or women. 32,[34][35][36]38 Two defined mild-moderate frailty according to the modified physical performance test, 31 with two additional fitness and activities of daily living (ADL) criteria in one study. 30 Participants' mean ages ranged from 72 to 83 years (inclusion criteria ranging from ≥ 60 to ≥ 78 years).…”

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

“…Most interventions were community-based group exercise (eight interventions reported in six studies [30][31][32][34][35][36] ), with one three-arm study containing an additional exercise and nutrition group. 35 Exercise interventions were supervised by trained instructors, exercise physiologists or physiotherapists and delivered in 45-to 60-minute sessions one to three times per week over 12-36 weeks.…”

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

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Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Walters

Frost

Kharicha

et al. 2017

Health Technol Assess

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Background Mild frailty or pre-frailty is common and yet is potentially reversible. Preventing progression to worsening frailty may benefit individuals and lower health/social care costs. However, we know little about effective approaches to preventing frailty progression. Objectives (1) To develop an evidence- and theory-based home-based health promotion intervention for older people with mild frailty. (2) To assess feasibility, costs and acceptability of (i) the intervention and (ii) a full-scale clinical effectiveness and cost-effectiveness randomised controlled trial (RCT). Design Evidence reviews, qualitative studies, intervention development and a feasibility RCT with process evaluation. Intervention development Two systematic reviews (including systematic searches of 14 databases and registries, 1990–2016 and 1980–2014), a state-of-the-art review (from inception to 2015) and policy review identified effective components for our intervention. We collected data on health priorities and potential intervention components from semistructured interviews and focus groups with older people (aged 65–94 years) (n = 44), carers (n = 12) and health/social care professionals (n = 27). These data, and our evidence reviews, fed into development of the ‘HomeHealth’ intervention in collaboration with older people and multidisciplinary stakeholders. ‘HomeHealth’ comprised 3–6 sessions with a support worker trained in behaviour change techniques, communication skills, exercise, nutrition and mood. Participants addressed self-directed independence and well-being goals, supported through education, skills training, enabling individuals to overcome barriers, providing feedback, maximising motivation and promoting habit formation. Feasibility RCT Single-blind RCT, individually randomised to ‘HomeHealth’ or treatment as usual (TAU). Setting Community settings in London and Hertfordshire, UK. Participants A total of 51 community-dwelling adults aged ≥ 65 years with mild frailty. Main outcome measures Feasibility – recruitment, retention, acceptability and intervention costs. Clinical and health economic outcome data at 6 months included functioning, frailty status, well-being, psychological distress, quality of life, capability and NHS and societal service utilisation/costs. Results We successfully recruited to target, with good 6-month retention (94%). Trial procedures were acceptable with minimal missing data. Individual randomisation was feasible. The intervention was acceptable, with good fidelity and modest delivery costs (£307 per patient). A total of 96% of participants identified at least one goal, which were mostly exercise related (73%). We found significantly better functioning (Barthel Index +1.68; p = 0.004), better grip strength (+6.48 kg; p = 0.02), reduced psychological distress (12-item General Health Questionnaire –3.92; p = 0.01) and increased capability-adjusted life-years [+0.017; 95% confidence interval (CI) 0.001 to 0.031] at 6 months in the intervention arm than the TAU arm, with no differences in other outcomes. NHS and carer support costs were variable but, overall, were lower in the intervention arm than the TAU arm. The main limitation was difficulty maintaining outcome assessor blinding. Conclusions Evidence is lacking to inform frailty prevention service design, with no large-scale trials of multidomain interventions. From stakeholder/public perspectives, new frailty prevention services should be personalised and encompass multiple domains, particularly socialising and mobility, and can be delivered by trained non-specialists. Our multicomponent health promotion intervention was acceptable and delivered at modest cost. Our small study shows promise for improving clinical outcomes, including functioning and independence. A full-scale individually RCT is feasible. Future work A large, definitive RCT of the HomeHealth service is warranted. Study registration This study is registered as PROSPERO CRD42014010370 and Current Controlled Trials ISRCTN11986672. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 21, No. 73. See the NIHR Journals Library website for further project information.

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Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

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Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Walters

Frost

Kharicha

et al. 2017

Health Technol Assess

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“…The main muscles used to going up and down on a step are the quadriceps and triceps surae, which are widely trained in physical therapy for being important muscles for individuals' functionality. In this sense, Lustosa et al 23 proposed a ten-week physical therapy program to strengthen the lower limbs in elders of the community. By the end of the program, they noticed improvement in muscle power and functional performance due to the proposed exercises.…”

Section: Discussionmentioning

confidence: 99%

Desempenho em atividades de simples e dupla tarefas de idosos institucionalizados que realizam e não realizam fisioterapia

Silva¹,

Dias²,

Piazza³

2017

Fisioter. Pesqui.

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| Was compared the performance in simple and dual task in institutionalized older adults who perform and do not perform Physical Therapy. The study involved 60 institutionalized older adults, 30 that performed Physical Therapy (PTG) and 30 that did not perform (NPTG). To assess the performance in simple and dual tasks activities, all participants performed the subsequent activities: one-foot stance test, walking in a corridor for 30 seconds, stepping up and down for 30 seconds, stand up and sit down on a chair for 30 seconds (simple task).After that, the older adults performed the same activities while holding a plastic cup with water (motor dual task), speaking the days of the week in opposite way (cognitive dual task), and holding a plastic cup with water while speaking the days of the week in opposite way (motor and cognitive dual task). The data were analyzed using descriptive and inferential statistics with significance value p≤0,05. We observed differences between the walking tests and in the get up and sit down tests and, the greater the complexity of the task, the lower was the performance of the participants. In the stepping up and down activity, there was difference between groups where the PTG had a better performance compared with the NPTG group. We observed no differences between groups in the one-foot stance test. The dual task led to a reduction in functional performance in both groups: 1 4 9 the institutionalized older adults that performed Physical Therapy and that did not perform.

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“…Além disso, pode reduzir a frequência de quedas, fraturas e suas complicações, através do aumento da força muscular, 11 do equilíbrio, da mobilidade e da flexibilidade 12 nessa população. 13 Apesar de a prática de EF ser uma das formas de reduzir perdas decorrentes do envelhecimento, não há consenso na literatura científica a respeito de qual modalidade seria mais indicada para proporcionar melhor desempenho da flexibilidade, mobilidade e equilíbrio em idosas.…”

Section: Introductionunclassified

Avaliação do equilíbrio, mobilidade e flexibilidade em idosas ativas e sedentárias

Ruzene

Navega

2014

Rev. bras. geriatr. gerontol.

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Efeito de um programa de resistência muscular na capacidade funcional e na força muscular dos extensores do joelho em idosas pré-frágeis da comunidade: ensaio clínico aleatorizado do tipo crossover

Cited by 91 publications

References 39 publications

Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Desempenho em atividades de simples e dupla tarefas de idosos institucionalizados que realizam e não realizam fisioterapia

Avaliação do equilíbrio, mobilidade e flexibilidade em idosas ativas e sedentárias

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