The effectiveness of group Otago exercise program on physical function in nursing home residents older than 65 years: A randomized controlled trial
| Autor: | Lidija Dimitrijevic, Dejan Nikolic, Marina Milenković, Rade Grbic, Milica Lazovic, Mirjana Kocic, Zorica Stojanovic |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Aging medicine.medical_specialty Health (social science) Physical function law.invention 03 medical and health sciences 0302 clinical medicine Exercise program Randomized controlled trial law medicine Health Status Indicators Humans Single-Blind Method Prospective Studies 030212 general & internal medicine Mobility Limitation Exercise Postural Balance Aged Balance (ability) Aged 80 and over business.industry Functional Independence Measure Exercise Therapy Nursing Homes Test (assessment) Treatment Outcome Berg Balance Scale Physical therapy Female Geriatrics and Gerontology Nursing homes business Gerontology 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Archives of Gerontology and Geriatrics. 75:112-118 |
| ISSN: | 0167-4943 |
| DOI: | 10.1016/j.archger.2017.12.001 |
| Popis: | To examine whether the 6-months group-based Otago exercise program is more effective than usual care on physical function and functional independence in nursing home residents older than 65 years.An observer-blind randomized controlled study included 77 independently walking, cognitively unimpaired residents aged 78.4±7.6years, of which 66.2% were female. Physical function was assessed at baseline, after 3 and 6months of the Otago exercise program by three performance tests: Berg Balance Scale (BBS), Timed Up and Go (TUG) and Chair Rising Test (CRT), and functional independence by the motor Functional Independence Measure (mFIM).Significant within participant effects of time in EG for BBS, TUG and CRT (p0.001) and for mFIM (p=0.010) were found. Between participant effects of groups on BBS, TUG, CRT and mFIM values were not significant. Changes in values of performed three tests regarding physical function were significantly different in EG and CG (p0.001), as well as for functional independence test (mFIM) (p=0.019). In EG the values got better, while in CG values worsened. Effect sizes of change in the EG were higher for BBS, TUG and CRT compared to mFIM.The Otago exercise program was shown as effective in improving balance, functional mobility, lower limbs muscle strength and functional independence, indicating that it could help in slowing of disability progression. |
| Databáze: | OpenAIRE |
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