Impaired Joint Mobility in Older Adults

Chui, Kevin K.; Yen, Sheng‐Che; Chen, Tzurei; Christiansen, Cory L.

doi:10.1016/b978-0-323-60912-8.00015-4

Cited by 2 publications

(2 citation statements)

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“…Among the barriers are the limitations of contemporary social robot technology to fully match the spontaneity and unpredictable nature of human movement velocity and communication patterns. These incongruences are most pronounced when compensations to movement patterns brought about by osteo- and arthrokinematic changes of aging [ 43 ] or neurosensory deficits such as hearing loss are present [ 44 ]. Even in the absence of age-related biomechanical joint changes, reproducibility of angles and degrees of movement in a robot joint as compared to constructs of a human joint (e.g., ball-and-socket, hinge, pivot, ellipsoidal) may present as a barrier to an older adult attempting to imitate the movement patterns of a robot.…”

Section: Discussionmentioning

confidence: 99%

Effect of Robotic Delivery of Physical Activity and Fall Prevention Exercise in Older Adults: A Pilot Cohort Study

Wilson,

Boright,

Louie

et al. 2023

Cureus

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Introduction The high prevalence of falls, lack of stability and balance, and general physical deconditioning are concerning issues for longevity and quality of life for adults aged 65 years and older. Although supervised delivery of the Otago Exercise Program (OEP) has demonstrated evidence of effectiveness in reducing fall risk of older adults, opportunities for ongoing unsupervised exercise performance are warranted. An option to facilitate exercise and performance of health behaviors may be via a social robot. The purpose of this study was to examine feasibility and initial outcomes of a robot-delivered fall prevention exercise program for community-dwelling older adults. Methods Five participants aged 65 years and older were recruited to receive robot-delivered modified OEP and walking program three times per week for four weeks. Outcomes of demographics, self-reported performance measures (Modified Falls Self-Efficacy Scale, Activities-specific Balance Confidence, and Almere Model assessing various constructs of acceptance of use of robotic technology), and physical performance measures (Timed Up and Go Test, Short Physical Performance Battery, Balance Tracking System [BTrackS] center of pressure sway) were collected. Data were analyzed descriptively and examined for trends in change. Measures of central tendency and distribution were used according to the distribution of the data. Results The mean age of the participants was 75 years (range: 66-83 years; four females and one male). The range of participant exercise session completion was 7-12 (mode=11, n=3). Constructs on the Almere Model that started and remained positive were Attitudes Toward Technology and Perceived Enjoyment with the robot. Anxiety improved from 3.80 to 4.68, while Social Presence of the robot improved from 2.80 to 3.56. The construct of Trust was somewhat negative among participants upon commencing the program and did not substantially change over time. Two participants improved their confidence on the Activities-specific Balance Confidence scale by more than 10%, while all participants showed some improvement in confidence in their balance. Mixed results were found with the Modified Falls Self-Efficacy Scale. Mean gait speed for the participants improved by 0.76 seconds over 3 meters. Improvement was also demonstrated for the Short Physical Performance Battery, with two participants improving scores by 2-3 points out of 12. No appreciable changes were found with the Timed Up and Go test and the BTrackS assessment. Conclusion Using a robot-led exercise program is an accessible and feasible way to deliver exercise to community-dwelling older adults in the home, but some technical constraints remain. Outcomes suggest that a four-week program is sufficient to elicit some positive trends in health outcomes and has the potential to reduce fall risk.

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Section: Discussionmentioning

confidence: 99%

Effect of Robotic Delivery of Physical Activity and Fall Prevention Exercise in Older Adults: A Pilot Cohort Study

Wilson,

Boright,

Louie

et al. 2023

Cureus

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“…Flexibility fluctuates according to age (it decreases in time, muscle mass losses generating a physical limitation of performances, and thus of range of motion), sex (it is higher in women), being perfectible within certain limits, meaning improved through specific methods. Other factors that directly influence the spine mobility are muscle fatigue, type of external loads, speed of performance, type of movement -flexion or extension, lower limb position and flexibility (Chui et al, 2020;Mocanu, 2015;Zawadka et al, 2018). The importance of flexibility exercises for the athletes' training was mentioned by (Canal, 2005).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Practical Curricular Courses on the Upper Body Flexibility in the Faculty of Physical Education and Sports Students

Mocanu

Dobrescu

2021

RREM

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The range and quality of sports technique is conditioned by flexibility. This study analyzes the effects of practical activities that are specific to the first year FPES Galati courses on the upper body flexibility. Over the course of the academic year 2017-2018, the investigated group (composed of 27 girls and 46 boys) has constantly participated for 28 weeks in the 6 practical courses (gymnastics, track and field, swimming, football, volleyball, ice skating), divided in a balanced way throughout the two semesters. The analysis and comparison of the results for the two sexes, during the initial and final tests, applied at the beginning and the end of the academic year, show a superiority of the girls' flexibility in almost all events. The Wilcoxon test for paired samples has identified significant progress between the initial and final assessments in the female group, in 4 of the tests (Right lateral trunk flexibility Combined spine-hip flexibility, Shoulder flexibility, Vertical arm flexibility), recording Z values corresponding to thresholds of P<0.05; however, in the male group, no significant progress was recorded not even in one of the tests, all Z values corresponding to thresholds of P>0.05. The investigation of the differences recorded between independent samples, using the Mann Whitney U test, has identified significant increases in the girls' values in only 3 events, during the initial tests, and in 4 during the final ones, even if the girls' average values are higher than the boys' values for most tests. In conclusion, the boys did not record significant improvements in their performances, only a slight increase or the same values over the course of the investigated period; the girls however, recorded results that show a potential of optimizing their flexibility at this age. The authors recommend that an increased attention should be given during practical courses to develop the students' flexibility as a favoring factor of motion fluidity and improvement of the students' motor potential.

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Impaired Joint Mobility in Older Adults

Cited by 2 publications

References 181 publications

Effect of Robotic Delivery of Physical Activity and Fall Prevention Exercise in Older Adults: A Pilot Cohort Study

Effect of Robotic Delivery of Physical Activity and Fall Prevention Exercise in Older Adults: A Pilot Cohort Study

The Influence of Practical Curricular Courses on the Upper Body Flexibility in the Faculty of Physical Education and Sports Students

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