The Impact of the Otago Exercise Program on Frailty and Empowerment in Older Nursing Home Residents: A Randomized Controlled Trial

Şahin, Sevnaz; Aykar, Fisun Şenuzun; Yıldırım, Yasemin; Jahanpeyma, Parinaz

doi:10.4235/agmr.21.0095

Cited by 9 publications

(14 citation statements)

References 41 publications

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“…The OEP prioritizes strengthening the muscles used in knee flexion and extension, hip abduction, and ankle dorsiflexion and plantarflexion. [25] As seen by the mean improvement of 67% in the lower limb muscle strength of those living in NHs in our results, thus, this training approach fits the demands of these elders to enhance and maintain normal muscle strength.…”

Section: Postural Control Ability In Elders Living In the Nhsupporting

confidence: 73%

“…The health status was tested by the number of frail elders in 2 studies with 147 participants, including 70 in the OEP group and 77 in the control group. [18,25] The meta-analysis confirmed that the number of frail elders reduced significantly in the OEP group compared to the control group (risk ratio = 0.35; 95% CI = 0.18, 0.66; I 2 = 0%; P = .001; Fig. 9).…”

Section: Resultsmentioning

confidence: 81%

“…[17,18,20,24,25] One study only employed part one for a 30-minute intervention on 3 fixed days in 1 week. [21] Regarding the intervention duration, 6 studies were 3 mon ths, [17,18,20,21,24,25] 2 studies were 6 months, [19,23] and one was 1 year. [22]…”

Section: Study Characteristicsmentioning

confidence: 99%

“…[26,27] Only 3 studies included in this review had mean ages under 80 years, indicating a strong likelihood that these detrimental alterations would manifest in elders living in the NH. [17,20,25] Elders living in NHs may consciously or unconsciously reduce the proportion of exercise in their daily activities, further reducing physical activity and leading to poor postural control, thereby forming a vicious circle. [28] Falls are more likely to occur when postural control ability is compromised, particularly in individuals with balance impairment.…”

Section: Postural Control Ability In Elders Living In the Nhmentioning

confidence: 99%

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Effects of Otago Exercise Program on postural control ability in elders living in the nursing home: A systematic review and meta-analysis

et al. 2023

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Background: Losing postural control ability and related injuries are of particular concern for elders living in the nursing home (NH). The Otago Exercise Program (OEP) is a multimodal exercise training program initially designed as an individually tailored home exercise for community-dwelling elders, but whether its movement characteristics and exercise intensity meet NH elders’ needs still needs to be clarified. This study aimed to determine the effects of the OEP in enhancing postural control ability among elders in the NH. Methods: A systematic literature search of English language databases (Cochrane Library, PubMed, EMBASE, CINAHL, and Web of Science) and Chinese language databases (China National Knowledge Infrastructure, Wanfang, and Chongqing VIP) until 15 April 2022 were performed by 2 reviewers on searching randomized controlled trial (RCT) and non-RCT. A meta-analysis was performed using Review Manager 5.3 software. Continuous data were expressed as mean difference (MD) with 95% confidence intervals (95% CI). Dichotomous data were presented as risk ratios (RRs) with 95% CI. Study methodological quality was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions for RCTs and Risk Of Bias In Non-randomized Studies-of Interventions for non-RCTs by 3 reviewers. Results: Nine studies with 546 participants were included in this review. Two hundred and sixty-nine participants received OEP, and 277 only had conventional exercise training. Compared to the conventional exercise training group, the NH elders in the OEP group have considerably decreased in fall risk (MD = −0.84; 95% CI = −1.17, −0.51; P < .00001) and positively increased in postural balance (MD = 5.55; 95% CI = 3.60, 7.50; P < .00001), functional mobility in short-distance (MD = −6.39; 95% CI = −8.07, −4.70; P < .00001), lower-limb muscle strength (MD = 4.32; 95% CI = 3.71, 4.93; P < .00001), and health status (risk ratio = 0.35; 95% CI = 0.18, 0.66; P = .001). Conclusions: Current evidence suggests that OEP is practical and feasible in NH. The nursing personnel can receive sufficient support for maintaining and enhancing these elders’ postural control ability, especially during the COVID-19 pandemic.

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Section: Postural Control Ability In Elders Living In the Nhsupporting

confidence: 73%

Section: Resultsmentioning

confidence: 81%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Postural Control Ability In Elders Living In the Nhmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Otago Exercise Program on postural control ability in elders living in the nursing home: A systematic review and meta-analysis

et al. 2023

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“… 4 , 5 ) Moreover, functional limitations and frailty are associated with low cognitive performance. 6 , 7 ) Although methods exist for preventing frailty, such as exercise or the development of guidelines on primary prevention, 8 , 9 ) early risk screening can enhance the effectiveness of these prevention methods. Therefore, screening and monitoring tools for early detection and periodic follow-up are important for effective disease prevention and treatment.…”

Section: Introductionmentioning

confidence: 99%