A Randomized Outcome Evaluation of Group Exercise Programs in Long-Term Care Institutions

Lazowski, Darien-Alexis; Ecclestone, Nancy A.; Myers, Anita M.; Paterson, Donald H.; Tudor-Locke, Catrine; Fitzgerald, Clara; Jones, Gareth R.; Shima, I Norihiro; Cunningham, David A.

doi:10.1093/gerona/54.12.m621

Cited by 180 publications

(188 citation statements)

References 24 publications

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“…Future studies could usefully develop the findings of a greater effect of exercise on elderly persons with high dysfunctionz8 compared to those with low dy~function,2~ and the benefit of strength training on the lower body,z8 rather than reparation of mo~ernent. '~, 27 …”

Section: Discussionmentioning

confidence: 99%

“…Random allocation of a sample population to the study groups is important to avoid systematic bias.9 Four of the studies14, [26][27][28] randomized the sample population to the study groups at gold standard level, using sealed envelopes and random numbers.24 A fourth study by McMurdo et aL2' randomly sampled the local care home population (n=12), selecting and randomly allocating four homes to the study groups, again at gold standard level. Selective sampling was used by the remaining four studies.…”

Section: Critique Of the Studies Includedmentioning

confidence: 99%

“…Single-and double-blinding as a measure of quality was, however, harder to ascertain. Lazowski et al 27 and Baum et al 26 both stated blinded observers had been used for all outcome measures. Mulrow et and Meuleman et ai.…”

Section: Critique Of the Studies Includedmentioning

confidence: 99%

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Maintaining independence in the cognitively intact elderly care home population: a systematic review of intervention trials

Evans

Goodman

Redfern

2003

Rev. Clin. Gerontol.

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Section: Discussionmentioning

confidence: 99%

Section: Critique Of the Studies Includedmentioning

confidence: 99%

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Maintaining independence in the cognitively intact elderly care home population: a systematic review of intervention trials

Evans

Goodman

Redfern

2003

Rev. Clin. Gerontol.

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“…Além disso, a limitação funcional aumenta com o tempo e há, da parte dos cuidadores, uma subestimação da capacidade do idoso em realizar suas funções. Dessa forma, os residentes permanecem boa parte do tempo deitados ou sentados no leito, o que pode ocasionar graves consequências à saúde, como a osteoporose, atrofia muscular, artrites, úlceras por pressão, disfunção cardíaca, dor, constipação, atelectasia, incontinência urinária e fecal e depressão, que são características da síndrome do imobilismo (LAZOWSKI et al, 1999;CHEN, 2010).…”

Section: Introductionunclassified

Avaliação postural e de deformidades em idosos acamados de uma instituição de longa permanência

Assis

Vidal

Dias

2015

Revista Brasileira De Ciências Do Envelhecimento Humano

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A imobilidade produz alterações fisiopatológicas musculoesqueléticas que ocasionam deformidades e alterações posturais. Sem intervenção precoce, as alterações posturais afetam a qualidade de vida do idoso e predispõem ao aparecimento de doenças. Muitos idosos, por não terem famílias, ou condição estável, são institucionalizados. A institucionalização pode contribuir para a inatividade. Dessa forma, o presente estudo tem o objetivo de avaliar o posicionamento no leito e a mobilidade articular em idosos acamados de uma instituição de longa permanência (ILP). Para isso, realizou-se um estudo transversal analítico com quatorze idosos acamados de uma ILP de Vitória, Espírito Santo. Eles foram avaliados por meio de anamnese e exame físico. Foram investigadas deformidades e alterações posturais com um formulário estruturado para inspeção da coluna, membros superiores e inferiores. Os idosos acamados apresentaram idade de 81,1 ± 12,6 anos e tempo de institucionalização de 9,6 ± 6,0 anos. A maior parte deles (64,2%) apresentava alteração postural nos cotovelos, quadris e joelhos, que estavam em flexão. A sensação final de movimento estava normal em todas as articulações na maioria dos idosos. A articulação do ombro apresentou-se com limitação de movimento mais frequentemente (92,85%). Além disso, nas articulações de punho, quadril, joelho e tornozelo também existiam limitações. Sabe-se que as limitações do movimento articular podem ocasionar deformidades permanentes. O imobilismo, em idosos acamados residentes em ILP, é um fator causador das alterações do posicionamento e da mobilidade articular. Dessa forma, sugere-se que idosos acamados residentes em ILPs sejam estimulados frequentemente em relação às trocas de decúbito e recebam cuidado especializado para prevenção de deformidades articulares.Palavras-chave: Idoso. Saúde do idoso institucionalizado. Contratura. Amplitude de movimento. Repouso em cama.

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“…[1][2][3][4][5][6] Cognitive functions are particularly vulnerable to aging 7 and are crucial for independent living. 8 Older adults with a decrease in physical activity caused by poor cardiorespiratory condition have experienced greater cognitive decline over a period of 6 years compared with older adults showing high cardiorespiratory fitness.…”

mentioning

confidence: 99%

Walking With a Rollator and the Level of Physical Intensity in Adults 75 Years of Age or Older

Eggermont

Heuvelen

Keeken

et al. 2006

Archives of Physical Medicine and Rehabilitation

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ABSTRACT. Eggermont LH, van Heuvelen MJ, van Keeken BL, Hollander AP, Scherder EJ. Walking with a rollator and the level of physical intensity in adults 75 years of age or older. Arch Phys Med Rehabil 2006;87:733-6.Objective: To determine whether walking with a rollator by persons 75 years of age or older is of sufficient intensity to improve aerobic fitness.Design: A cross-sectional cohort study. Setting: University movement laboratory. Participants: Fifteen subjects 75 years of age or older (mean age, 83.7y) who could only walk by using a rollator.Interventions: Not applicable. Main Outcome Measures: During 6 minutes of self-paced treadmill walking using a rollator at a mean walking speed of 0.6m/s, oxygen uptake (V O 2 ), carbon dioxide production, and heart rate were determined. Respiratory exchange ratio (RER) and energy expenditure were calculated. The energy expenditure was expressed as the number of metabolic equivalents (METS), the percentage of estimated maximal V O 2 (V O 2 max), the percentage of estimated V O 2 max reserve, and the percentage of estimated maximal heart rate.Results T HERE IS INCREASING EVIDENCE of a positive relation between physical activity, physiologic parameters such as blood pressure, functional abilities, balance, flexibility, muscle strength, and cognitive functioning in older adults. [1][2][3][4][5][6] Cognitive functions are particularly vulnerable to aging 7 and are crucial for independent living. 8 Older adults with a decrease in physical activity caused by poor cardiorespiratory condition have experienced greater cognitive decline over a period of 6 years compared with older adults showing high cardiorespiratory fitness. 9 In healthy, sedentary older subjects, aerobic activities resulted in a significant improvement in the maximal oxygen uptake (V O 2 max) and to benefit executive functions such as inhibition and planning. 10 These studies, however, involved high-intensity physical activity such as running. 10 This type of physical activity is usually not appropriate for people of advanced age. 11 It is known that physical fitness (eg, muscle strength, balance) decreases with age. 12 Consequently, many of the oldest old (age Ͼ75y) can only stay mobile by the use of a walking aid 13 and are unable to run. In 1 study, 14 more than half of the 599 subjects aged 75 or over who were surveyed owned 1 or more walking devices. In sum, for frail older people, walking with a device like a rollator is a much more appropriate activity than activities such as running.In view of the effects of aerobic activity on for instance executive functions, it is important to know the exact amount of energy expended when walking with a rollator and does this constitute adequate aerobic activity. This has not been examined before. According to the guidelines of the American College of Sports Medicine (ACSM), 15 activities with an intensity of 55% to 65% of maximal heart rate or 40% to 50% of V O 2 max reserve (V O 2 max minus resting V O 2 ) are appropriate to increase or maintain cardiorespirato...

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A Randomized Outcome Evaluation of Group Exercise Programs in Long-Term Care Institutions

Cited by 180 publications

References 24 publications

Maintaining independence in the cognitively intact elderly care home population: a systematic review of intervention trials

Maintaining independence in the cognitively intact elderly care home population: a systematic review of intervention trials

Avaliação postural e de deformidades em idosos acamados de uma instituição de longa permanência

Walking With a Rollator and the Level of Physical Intensity in Adults 75 Years of Age or Older

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