Nursing Rehabilitation and Exercise Strategies in the Nursing Home

Morris, John N.; Fiatarone, Maria A.; Kiely, Dan K.; Belleville-Taylor, Pauline; Murphy, Katharine M.; Littlehale, Steven; Ooi, Wee Lock; O’Neill, Evelyn F.; Doyle, Nancy

doi:10.1093/gerona/54.10.m494

Cited by 126 publications

(95 citation statements)

References 9 publications

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“…This meant that a resident transferred from bed to chair several times instead of once, completed a series of sit-to-stands in the resident's bedroom, the dining room and the lounge, and increased walking distances by taking a longer route to the dining room and incremental walking distances outside. The emphasis throughout was resident centred and followed the principle that incrementally increasing repetitions of exercises will increase activity tolerance and support goal attainment [10]. (iv) Health care assistant training:…”

Section: (Iii) Development Of Promoting Independent Plan (Pip)mentioning

confidence: 99%

“…Recent randomised controlled trials have found inconsistent effects of physical training on physical performance in institutionalised older people. There is evidence to support physical training having a positive impact on muscle strength, aerobic capacity, flexibility and balance [9][10][11]. Exercises to improve strength, balance and endurance were included in the current programme; however, the intensity may not have been sufficient to result in measurable change in physical performance outcomes.…”

Section: K Peri Et Almentioning

confidence: 99%

“…Effective physical activity interventions have been developed for populations in residential care [9]. Successful programmes include: progressive resistance training [10] and strengthening and balance exercises [11,12]. These interventions were resource intensive, requiring exercise facilitators, physiotherapists and extra staff, constraining widespread dissemination.…”

Section: Introductionmentioning

confidence: 99%

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Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS)

et al. 2007

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Objectives to determine whether a repetitive activities of daily living (ADL) activity programme improves health status, life satisfaction and mobility for older people living in residential care. Design cluster randomised controlled trial. Setting five low-level dependency residential care homes in Auckland, New Zealand. Participants one hundred and forty-nine older residents (mean age 84.7 years). Intervention trained research staff worked with residents in intervention wards to set a goal and complete a functional assessment for each resident. They then designed an individualised activity programme based on ADL and worked with residential care home staff to implement the programme into daily activities of residents. Measurements mobility: timed-up-and-go (TUG); life satisfaction: late life satisfaction index (LSI-Z); and health status: SF-36 were assessed at baseline, 3-and 6-months follow-up. Results in the intervention group the SF-36 total physical component summary (PCS) score improved at 3 months in comparison with the control group. There was no difference between groups on mobility measures at any time, nor any measures at 6-months follow-up. Significant contamination is likely to have affected the 6-month follow-up measures. Conclusions a repetitive ADL exercise programme may improve health status in the short term in a group of frail older people living in residential care. Further research is needed to establish sustainability of change.

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Section: (Iii) Development Of Promoting Independent Plan (Pip)mentioning

confidence: 99%

Section: K Peri Et Almentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS)

et al. 2007

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“…About 10% of the 3563 disabled residents were classified into the Rehabilitation category (RUGs 1-14), almost all falling into the medium and low intensity rehabilitation groups (RUGs 9-14). Most of these (82.7%) received some form of physical therapy aimed at preventing further decline of physical function (13), and only a small percentage (17.3%) received rehabilitation therapy after an acute event such as a stroke or hip fracture.…”

Section: Classification Of Residents Into Rugsmentioning

confidence: 99%

Classification of residents in nursing homes in Tuscany (Italy) using Resource Utilization Groups Version III (RUG-III)

Francesconi

Cantini²,

Bavazzano

et al. 2006

Aging Clin Exp Res

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“…Exercise may slow the deterioration in physical and psychosocial domains in the elderly, 4,14,20-23 but exercise strategies in nursing homes and other long-term care facilities are not standardized. 24 Research has suggested that available programming should be increased substantially relative to what is recommended by guidelines. 25 Gaps in availability of exercise programming are apparent in institutional settings.…”

mentioning

confidence: 99%

Cessation of Exercise in the Institutionalized Elderly: Effects on Physical Function

Marshall

Berg²

2010

Physiotherapy Canada

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Purpose: The objectives of this study were (1) to examine the effects of a 12-week exercise cessation period separating two 12-week exercise sessions on physical variables in an elderly institutionalized population and (2) to explore overall programme effectiveness. Methods: The functional mobility of 25 elderly institutionalized adults participating in an existing exercise programme was examined using a one-group, interrupted time-series design. Functional mobility was evaluated at four time points during two cycles of a 12-week exercise programme, alternating with a 12-week period of no formal exercise. Results: The primary outcome was the change in functional mobility scores, assessed at baseline, 12, 24 and 36 weeks. In both the higher-functioning (HF) group and the lower-functioning (LF) group, the cessation of exercise was associated with deterioration in physical function. The overall noncontinuous nature of the programming under study also seemed to be detrimental to the physical function of the LF group. Conclusions: Findings of this small-sample study support the need to modify common practices in exercise programming for older, institutionalized people.Key Words: exercise cessation, exercise class, exercise programming, institutionalized elderly, physical function. Ré sultats : Le premier ré sultat observé a é té un changement dans les mesures de la mobilité fonctionnelle au dé but de l'é tude, puis aprè s 12, 24 et 36 semaines. Dans le groupe à haut fonctionnement (HF) comme dans le groupe à faible fonctionnement (FF), l'arrê t des sé ances d'activité physique a é té associé à une dé té rioration de la fonction physique. La nature globale non continue du programme auquel s'est inté ressé e cette é tude a é galement semblé nuire à la fonction physique du groupe FF. Conclusions : Les conclusions de cette é tude ré alisé e sur un petit é chantillon appuient la né cessité de modifier les pratiques usuelles lié es aux programmes d'exercices pour les aîné s en institution.

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Nursing Rehabilitation and Exercise Strategies in the Nursing Home

Cited by 126 publications

References 9 publications

Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS)

Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS)

Classification of residents in nursing homes in Tuscany (Italy) using Resource Utilization Groups Version III (RUG-III)

Cessation of Exercise in the Institutionalized Elderly: Effects on Physical Function

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