White Paper

Avers, Dale; Brown, Mark G.

doi:10.1519/00139143-200932040-00002

Cited by 43 publications

(19 citation statements)

References 38 publications

(37 reference statements)

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“…The aim of GAPP is to improve functional performance by improving core components of ADL like strength, balance, speed, coordination, and endurance. The recommendation by the WHO (2011a) on physical activity for persons 65 years and over the white paper on strength of Avers and Brown (2009) and the recommendations of Sherrington et al. (2011) on balance training served as a starting point in the development of our program.…”

Section: Methodsmentioning

confidence: 99%

“…To effectively increase muscle strength in untrained individuals, including older people, a minimum effort of 60% and preferably 80% of a 1‐RM (repetition maximum) with 8–12 repetitions to reach fatigue is needed (Avers & Brown, 2009). The rate of perceived exertion (Borg scale) can be used to determine this threshold (Buckley & Borg, 2011; Lazzarini et al., 2017).…”

Section: Methodsmentioning

confidence: 99%

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Geriatric Activation Program Pellenberg, a novel physiotherapy program for hospitalized patients on a geriatric rehabilitation ward

Dijk

Allegaert

Locus

et al. 2021

Physiotherapy Res Intl

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Background and Purpose Regaining functional independence and independent living is challenging in hospitalized geriatric patients. Different from community dwelling and institutionalized older people, geriatric patients on rehabilitation wards generally receive more frequent and structured physiotherapy with the primary aim to discharge them to their home or place of residence. There is a paucity of evidence concerning the structure and components of physiotherapy programs to improve functional performance in this particular group. In this paper, we describe how we developed the Geriatric Activation Program Pellenberg (GAPP) based on patients' needs and available literature. Methods We searched the literature on physiotherapy interventions focusing on the core components for improvement of functional performance: strength, balance, function, (gait)speed, coordination, and endurance training. Based on physiotherapist staffing and physiotherapy time allocated to each patient, we organized the practical, daily delivery of the program. Results GAPP is a 5‐day program, repeated weekly, delivered by physiotherapists and physiotherapy students. Each day, one or a combination of two to three different core components of functional performance is trained intensively in 45‐min sessions. A set of standard exercises is constantly adjusted to each patients' capacity. On day 5, there is a mix of these core elements in a group session (e.g., chair‐dance, table tennis, karate) and the Berg Balance Scale is completed to evaluate progress. Conclusion GAPP is a multicomponent physiotherapy program for hospitalized patients on a geriatric rehabilitation ward, aimed at improving functional performance.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Geriatric Activation Program Pellenberg, a novel physiotherapy program for hospitalized patients on a geriatric rehabilitation ward

Dijk

Allegaert

Locus

et al. 2021

Physiotherapy Res Intl

View full text Add to dashboard Cite

show abstract

“…Strength training is progressive, and follows a cycle where 8-week periods of strength, power and endurance exercises alternate during the intervention year. The intensity goal of strength exercises is 60–80% from the person’s maximal strength of the trained muscle [32–34]. Sets per muscle vary from 2 to 5, and repetitions per set vary from 3 to 12.…”

Section: Methodsmentioning

confidence: 99%

“…Sets per muscle vary from 2 to 5, and repetitions per set vary from 3 to 12. Muscle power exercises are performed with low to moderate intensity (20–60%) [32], and with high velocity of movement. In power exercises approximately 3 sets and repetitions from 4 to 10 are used [35].…”

Section: Methodsmentioning

confidence: 99%

“…Strength training is individually tailored, and training sets and repetitions are modified according to the participant’s performance [32], health status, and perceived exertion rated by the Borg Rating of Perceived Exertion Scale (RPE, scale 6 to 20) [36] during every session. Progression is achieved by adding resistance with extra weights, such as ankle weights, weight vests, kettlebells and dumbbells, and modifying the sets and repetitions during 12 months.…”

Section: Methodsmentioning

confidence: 99%

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Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture - protocol of a randomized controlled trial (HIPFRA study)

Soukkio

Suikkanen

Kääriä³

et al. 2018

BMC Geriatr

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BackgroundHealth concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation.We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture.MethodsThis is a non-blinded, parallel group, randomized controlled trial performed in South Karelia Social and Health Care District, Finland (population 131,000). Three hundred community-dwelling older persons with signs of frailty (age ≥ 65) and 300 persons with a recent hip fracture (age ≥ 60) will be recruited. Frailty is screened by FRAIL questionnaire and verified by modified Fried’s frailty criteria. Both patient groups will be randomized separately to a physiotherapy and a usual care arm. Individualized, structured and progressive physiotherapy will be carried out for 60 min, twice a week for 12 months at the participant’s home. The primary outcome at 24 months is duration of living at home. Our hypothesis is that persons assigned to the physiotherapy arm will live at home for six months longer than those in the usual care arm. Secondary outcomes are functional capacity, frailty status, health-related quality-of-life, falls, use and costs of social and health care services, and mortality. Assessments, among others Short Physical Performance Battery, Functional Independence Measure, Mini Nutritional Assessment, and Mini-Mental State Examination will be performed at the participant’s home at baseline, 3, 6, and 12 months. Register data on the use and costs of social and health care services, and mortality will be monitored for 24 months.DiscussionOur trial will provide new knowledge on the potential of intensive, long-term home-based physiotherapy among older persons at risk for disabilities, to enhance functional capacity and thereby to postpone the need for institutional care, and diminish the use of social and health care services.Trial registrationClinicalTrials.gov Identifier: NCT02305433, Registered Nov 28, 2014.

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The Benefits of Strength Training on Musculoskeletal System Health: Practical Applications for Interdisciplinary Care

et al. 2020

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White Paper

Cited by 43 publications

References 38 publications

Geriatric Activation Program Pellenberg, a novel physiotherapy program for hospitalized patients on a geriatric rehabilitation ward

Geriatric Activation Program Pellenberg, a novel physiotherapy program for hospitalized patients on a geriatric rehabilitation ward

Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture - protocol of a randomized controlled trial (HIPFRA study)

The Benefits of Strength Training on Musculoskeletal System Health: Practical Applications for Interdisciplinary Care

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