The effectiveness of rehabilitation interventions including outdoor mobility on older adults’ physical activity, endurance, outdoor mobility and falls-related self-efficacy: systematic review and meta-analysis

Geohagen, Olyvia; Hamer, Lydia; Lowton, Alexandra; Ceballos, Stefanny Guerra; Milton-Cole, Rhian; Ellery, Pippa; Martin, Finbarr C.; Lamb, Sarah E; Sackley, Catherine; Sobolev, Boris

doi:10.1093/ageing/afac120

Cited by 12 publications

(5 citation statements)

References 68 publications

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“…Services that help people go outdoors seem invaluable for those with limited networks to reduce concerns about falling and activity restriction, particularly later post-discharge. However, rehabilitations incorporating outdoor mobility components did not show improvements in falls-related self-efficacy, possibly in part due to an absence of targeting environmental barriers related to mobility [ 69 ]. In support, an intervention providing walking maps for the local community environment improved time spent walking outdoors [ 70 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with concerns about falling and activity restriction in older adults after hip fracture: a mixed-methods systematic review

Guerra,

Ellmers,

Turabi

et al. 2024

Eur Geriatr Med

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Purpose To investigate factors contributing to concerns about falling and activity restriction in the community among older adults who had a hip fracture. Methods A mixed method systematic review with a convergent segregated approach. We searched Medline, Embase, PsycInfo, PEDRo, CINAHL and the Cochrane library. Results were synthesised narratively considering physical, psychological, environmental, care, and social factors and presented in tables. Critical appraisal was completed in duplicate. Results We included 19 studies (9 qualitative, 9 observational, 1 mixed methods) representing 1480 individuals and 23 factors related to concerns about falling and activity restriction. Physical factors included falls history, comorbidities, balance, strength, mobility and functionality. Psychological factors included anxiety and neuroticism scores, perceived confidence in/control over rehabilitation and abilities, and negative/positive affect about the orthopaedic trauma, pre-fracture abilities and future needs. Environmental factors included accessibility in the home, outdoors and with transport. Social and care factors related to the presence or absence of formal and informal networks, which reduced concerns and promoted activity by providing feedback, advice, encouragement, and practical support. Conclusion These findings highlight that to improve concerns about falling and activity restriction after hip fracture, it is important to: improve physical and functional abilities; boost self-confidence; promote positive affect; involve relatives and carers; increase access to clinicians, and; enhance accessibility of the home, outdoors and transport. Most factors were reported on by a small number of studies of varying quality and require replication in future research.

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Section: Discussionmentioning

confidence: 99%

Factors associated with concerns about falling and activity restriction in older adults after hip fracture: a mixed-methods systematic review

Guerra,

Ellmers,

Turabi

et al. 2024

Eur Geriatr Med

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“…( 40 ). By persisting in vigorous-intensity exercise, not only can the risk of depression in older chronic comorbidities patients be reduced ( 41 ), but also their confidence in their own abilities ( 42 ) can be improved, believing that they can make positive changes in their physical health. These factors can enable respondents to more positively evaluate their health status.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that moderate exercise has a predictive effect on improving health and quality of life (38). Individuals who actively participate in sports activities are able to maintain or improve their physical abilities and better complete daily tasks in daily life (39), leading respondents to make better health selfrated health status. Meanwhile, vigorous-intensity exercise may have a positive effect on the endocrine system, such as promoting the release of neurotransmitters such as endorphins and dopamine, thereby improving emotional and psychological states (30).…”

Section: Discussionmentioning

confidence: 99%

The effect of exercise intensity types on the self-rated health status of young-old comorbidities patients: a cross-sectional study in Guangdong, China

Li,

Dai,

Zhang

2023

Front. Public Health

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ObjectiveExplore the effect of different types of exercise intensity on the self-rated health status of young-old comorbid patients with cardiovascular disease and metabolic disease, as well as the differences in effect among different genders. Provide more references and suggestions for chronic disease management in older comorbidities patients based on the results of the study.MethodsA multi-stage stratified cluster random sampling method was used to select older (≥60 years old) comorbidities patients from communities in Guangdong Province as the survey subjects. Using the “Survey Questionnaire on the Current Status and Influencing Factors of older Comorbidities Patients,” face-to-face interviews were conducted with 1,300 old patients. Data from 965 young-old patients (aged 60–74) who simultaneously suffered from cardiovascular and metabolic diseases were selected. Unordered multifactor Logistic regression analysis was used to explore the association between the type of exercise intensity and self-rated health. Stratified analysis was performed based on gender.ResultsThe results of unordered multivariate logistic regression analysis showed that compared with young-old comorbidities patients with poor self-rated of health status, young-old comorbidities patients who underwent vigorous-intensity exercise were more likely to have better self-rated of health status (OR = 4.368, 95% CI: 2.491–7.661, p < 0.05). Stratified analysis based on gender showed that for young-old comorbidities male patients, those who engaged in vigorous-intensity exercise were more likely to have better self-rated of health status (OR = 2.924, 95% CI = 1.266–6.751, p < 0.05); for young-old comorbidities female patients, those who were encouraged by their family to exercise (OR = 2.460, 95% CI: 1.143–5.291, p < 0.05), participate in social activities (OR = 6.173, 95% CI: 2.285–16.678, p < 0.05), and engage in vigorous-intensity (OR = 4.232, 95% CI: 1.869–9.583, p < 0.05) or moderate-intensity exercise (OR = 4.555, 95% CI: 1.825–11.368, p < 0.05) were more likely to have better self-rated of health status.ConclusionIf the physical condition allows, vigorous-intensity exercise has a significant positive effect on the self-rated of health status of young-old comorbidities patients with cardiovascular disease and metabolic disease. Specifically, for young-old comorbidities male patients, those who engage in vigorous-intensity exercise are more likely to self-evaluate their health as good; for young-old comorbidities female patients, both vigorous-intensity and moderate-intensity exercise can improve their self-rated of health status.

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“…These applications are useful for clinicians, patients, people interested in monitoring their lives state and health, and some that help implement telerehabilitation techniques. Finally, the review in [84] is focused on the proportion of older adults that can move outdoors and how rehabilitation could help to increase this activity through a review of 29 studies that talk about mobility programs for outdoor environments.…”

Section: Bci Applications For Rehabilitation 91 Rehabilitationmentioning

confidence: 99%

Review on BCI Virtual Rehabilitation and Remote Technology Based on EEG for Assistive Devices

et al. 2022

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Virtual reality has been widely used in various industries, such as entertainment, communication, and healthcare, to mention a few. In the health industry, in combination with the brain–computer interfaces (BCIs), virtual reality could produce rehabilitation measures that may contribute novel strategies such as remote rehabilitation or telerehabilitation. The design and development of BCIs integrate different processes, including biosignals acquisition and processing, feature extraction and selection, classification of signals, and application of the technology to patients under rehabilitation treatments. This manuscript presents a literature review of the papers focused on the implementation of BCI and assistive technologies for remote rehabilitation based on virtual reality implementation. The purpose of this comprehensive review is to identify those studies that take advantage of virtual reality in combination with a biomedical technology to improve the performances of diverse rehabilitation processes. Various revisited studies provided a complete system for remote rehabilitation. These findings could lead to applying these models in diverse rehabilitation tasks.

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The effectiveness of rehabilitation interventions including outdoor mobility on older adults’ physical activity, endurance, outdoor mobility and falls-related self-efficacy: systematic review and meta-analysis

Cited by 12 publications

References 68 publications

Factors associated with concerns about falling and activity restriction in older adults after hip fracture: a mixed-methods systematic review

Factors associated with concerns about falling and activity restriction in older adults after hip fracture: a mixed-methods systematic review

The effect of exercise intensity types on the self-rated health status of young-old comorbidities patients: a cross-sectional study in Guangdong, China

Review on BCI Virtual Rehabilitation and Remote Technology Based on EEG for Assistive Devices

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