Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

Grönstedt, Helena; Frändin, Kerstin; Bergland, Astrid; Helbostad, Jorunn L.; Granbo, Randi; Puggaard, Lis; Andresen, Mette; Hellström, Karin

doi:10.1159/000345416

Cited by 75 publications

(115 citation statements)

References 32 publications

Supporting

Mentioning

103

Contrasting

Unclassified

Order By: Relevance

“…However, research has proved that some individuals in the latter group, including those with MS, are able to achieve recommended daily PA levels [28][29][30] and derive the same health benefits as the general population. Despite the positive results expected from PA, the MS population seems to be less physically active than people with or without other disabling diseases.…”

Section: Discussionmentioning

confidence: 99%

Use of Accelerometers to Measure Real-Life Physical Activity in Ambulatory Individuals with Multiple Sclerosis

Fjeldstad¹,

Fjeldstad²,

Pardo³

2015

International Journal of MS Care

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Use of Accelerometers to Measure Real-Life Physical Activity in Ambulatory Individuals with Multiple Sclerosis

Fjeldstad¹,

Fjeldstad²,

Pardo³

2015

International Journal of MS Care

View full text Add to dashboard Cite

show abstract

“…Table S2). No article had risk of bias related to incomplete outcomes and selective reporting, 6 NRS articles had risk of selection bias [40][41][42][43][44][45][46] , and 5 articles (2 RCTs [37,39] , 3 NRS [40][41][42] ) had a risk of performance bias.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…In summary, RCTs compared the interventions with passive controls [25] , controls receiving ordinary care [37][38][39] , or structured exercise [26,35,36] . Included were community dwellers with a history of falls [25,26] …”

Section: Studies Using An Rct Designmentioning

confidence: 99%

“…Additional articles identified by crossreferencing n = 1 restorative home care [35,36] , and institutionalised older adults [37][38][39] . Sample sizes ranged from 34 to 473 participants, mean age from 80.2 to 85.0 years, and percentage of women from 50 to 85%.…”

Section: Or Receivingmentioning

confidence: 99%

“…LiFE was compared with structured training including balance and Table 1. Results of quality scoring of RCTs using the PEDro Scale Burton et al [35,36] Clemson et al [25] Clemson et al [26] Grönstedt et al [37] Kerse et al [38] Peri et al [39] Eligibility criteria specified PEDro, Physiotherapy Evidence Database, studies are classified as excellent (9 -11 points), good (6 -8 points), fair (4 -5), and poor (<4); ×, criterion is evidenced in the article; -: criterion is not evidenced, not applicable, not coded, or could not be determined in the article. strength exercises performed 3 times a day.…”

Section: Interventionsmentioning

confidence: 99%

See 2 more Smart Citations

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

et al. 2017

View full text Add to dashboard Cite

Background: Traditionally, exercise programmes for improving functional performance and reducing falls are organised as structured sessions. An alternative approach of integrating functional exercises into everyday tasks has emerged in recent years. Objectives: Summarising the current evidence for the feasibility and effectiveness of interventions integrating functional exercise into daily life. Methods: A systematic literature search was conducted including articles based on the following criteria: (1) individuals ≥60 years; (2) intervention studies of randomised controlled trials (RCTs) and non-randomised studies (NRS); (3) using a lifestyle-integrated approach; (4) using functional exercises to improve strength, balance, or physical functioning; and (5) reporting outcomes on feasibility and/or effectiveness. Methodological quality of RCTs was evaluated using the PEDro scale. Results: Of 4,415 articles identified from 6 databases, 14 (6 RCTs) met the inclusion criteria. RCT quality was moderate to good. Intervention concepts included (1) the Lifestyle-integrated Functional Exercise (LiFE) programme integrating exercises into everyday activities and (2) combined programmes using integrated and structured training. Three RCTs evaluated LiFE in community dwellers and reported significantly improved balance, strength, and functional performance compared with controls receiving either no intervention, or low-intensity exercise, or structured exercise. Two of these RCTs reported a significant reduction in fall rate compared with controls receiving either no intervention or low-intensity exercise. Three RCTs compared combined programmes with usual care in institutionalised settings and reported improvements for some (balance, functional performance), but not all (strength, falls) outcomes. NRS showed behavioural change related to LiFE and feasibility in more impaired populations. One NRS comparing a combined home-based programme to a gym-based programme reported greater sustainability of effects in the combined programme. Conclusions: This review provides evidence for the effectiveness of integrated training for improving motor performances in older adults. Single studies suggest advantages of integrated compared with structured training. Combined programmes are positively evaluated in institutionalised settings, while little evidence exists in other populations. In summary, the approach of integrating functional exercise into daily life represents a promising alternative or complement to structured exercise programmes. However, more RCTs are needed to evaluate this concept in different target populations and the potential for inducing behavioural change.

show abstract

Well‐being right before and after a permanent nursing home admission

2022

View full text Add to dashboard Cite

A large share of older people spends their last years of life in a nursing home (NH). For example, the life-time probability of being admitted to a NH is 56% for the US population aged 57-61 (Hurd et al., 2017) and 52% for the Dutch population aged 70 (Wouterse et al., 2021). The choice to permanently move to a NH is an important one. The motivation for moving to a NH (or for staying home) is often guided by concerns about the impact of the move on the resident's well-being. However, insight in the well-being of older people in these nursing homes is scarce and suffers from selection bias. This lack of evidence, combined with widespread apprehension about spending the last stage of life in a NH, means that heuristics and perceptions of the general public might not only affect the individual decision to move to a NH, but also policy measures regarding the financing and organization of NH care and substitute services such as home care and informal care. These heuristics may be shaped by what people know about nursing homes, but also by attributing problems that many older people face at the end of the life to the NH admission. Proper identification of the cause of problems may yield better-informed decisions, at both the individual and the societal level.In this study we provide insight into several domains of well-being of older people in the months before and after a permanent NH admission. Thus, we seek empirical evidence that confirms-or contradicts-two conceptions about nursing homes and well-being: (i) NH residents are worse off than the not-yet-admitted; (ii) NH residents "give up" on life once admitted.

show abstract

Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

Cited by 75 publications

References 32 publications

Use of Accelerometers to Measure Real-Life Physical Activity in Ambulatory Individuals with Multiple Sclerosis

Use of Accelerometers to Measure Real-Life Physical Activity in Ambulatory Individuals with Multiple Sclerosis

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

Well‐being right before and after a permanent nursing home admission

Contact Info

Product

Resources

About