The effectiveness of functional task exercise and physical therapy as prevention of functional decline in community dwelling older people with complex health problems

Autor: Ariëtte T. H. van Hespen, Jacobijn Gussekloo, Petra C. Siemonsma, Jeanet W. Blom, Yvonne M. Drewes, Nico L. U. van Meeteren, Hedwig Hofstetter
Přispěvatelé: RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Epidemiologie
Rok vydání: 2018
Předmět:
Male
Percentile
Activities of daily living
Health Status
medicine.medical_treatment
Psychological intervention
IMPROVE DAILY FUNCTION
lcsh:Geriatrics
law.invention
0302 clinical medicine
Randomized controlled trial
law
STRENGTH
Activities of Daily Living
030212 general & internal medicine
Netherlands
Aged
80 and over
Rehabilitation
WOMEN
RANDOMIZED CONTROLLED-TRIAL
Exercise Therapy
Treatment Outcome
Female
Independent Living
Research Article
Functional training
medicine.medical_specialty
MINI-MENTAL-STATE
03 medical and health sciences
Intervention (counseling)
medicine
Humans
Exercise
METAANALYSIS
Physical Therapy Modalities
Aged
business.industry
DISABILITY
ADULTS
LIFE
lcsh:RC952-954.6
MOBILITY
Physical therapy
Observational study
Older people
Geriatrics and Gerontology
business
Psychomotor Performance
030217 neurology & neurosurgery
Zdroj: BMC Geriatrics, 18
BMC Geriatrics
BMC Geriatrics, Vol 18, Iss 1, Pp 1-8 (2018)
BMC Geriatrics, 18:164. BioMed Central Ltd
ISSN: 1471-2318
DOI: 10.1186/s12877-018-0859-3
Popis: Background A physically active lifestyle in older people contributes to the preservation of good health. We assessed the influence of physiotherapy on daily functioning among community dwelling older people (75+) with complex health problems identified with screening, versus usual care. We also compared functional task exercise (FTE), with problems prioritized by older people, trained in the home environment, versus usual preventive physical therapy (PPT). Methods Design: FTE and PPT were compared in a randomized controlled trial (RCT). Both interventions were compared with daily functioning in an observational study: control group. Setting/Participants: Community-dwelling persons aged ≥75 years with daily activity limitations enlisted in 83 general practices (n = 155). Interventions: Both intervention groups (FTE, n = 76 and PPT, n = 79) received individual, 30 min treatments. The control group (n = 228) did not get any experimental intervention offered. Measurements: Groningen Activities of Daily Living Restriction Scale (GARS). Statistical analyses: Linear Mixed Model analysis, correcting for age, sex, baseline scores and clustering by physiotherapist were used to compare the different groups. Results At baseline, 74% percent of the intervention trial group was female vs 79% in the control group. Median ages were 83.9 and 84.7 respectively. The median baseline GARS-score for the control group was 41.0 (25 and 75 percentile): 35.0; 48.0) and 40.0 (25 and 75 percentile: 32.3; 46.0) for the intervention group (FTE + PPT). The mean change over time was 3.3 (2.5; 4.1) for the control group. Mean difference in change over time between the intervention (FTE + PPT) and the control group was − 2.5 (− 4.3; − 0.6) (p = .009). Between FTE and PPT the difference in change was − 0.4 (95% CI: -2.3; 3.0, p = 0.795). Conclusion An exercise intervention led by physiotherapists may slow down decline in self-reported daily functioning in older persons with daily activity limitations, identified by pro-active case finding. Trial registration Netherlands trial register (NTR2407). Registered 6th of July 2010. Electronic supplementary material The online version of this article (10.1186/s12877-018-0859-3) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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