A Randomized Trial of Physical Rehabilitation for Very Frail Nursing Home Residents

A Multicomponent Exercise Program for Older Adults Living in Residential Care Facilities: Direct and Indirect Effects on Physical Functioning

“…More specifically, Lazowski et al (1999) showed an improved mobility of 16% following the Functional Fitness for Long-Term Care Program based on strength, balance, flexibility, and walking exercises for a period of four months. An increased mobility of 15.5% resulted from a randomized controlled trial by Mulrow et al (1994) based on one-to-one physical therapy interventions on range of motion, strength, balance, transfer, and mobility exercises.…”

“…Similarly, a randomized controlled trial (Baum et al, 2003) demonstrated that a 48-week program based on strength and flexibility exercises for frail older adults living in residential care facilities resulted in strong improvements in terms of mobility and a moderate increase in balance. In contrast, many studies (Faber, Bosscher, Chin A Paw, & van Wieringen, 2006;Mulrow et al, 1994;Nowalk, Prendergast, Bayles, D'Amico, & Colvin, 2001) observed a weaker impact of physical training on institutionalized older adults. Mulrow et al (1994) reported that, over four months, one-to-one sessions based on range of motion, strength, balance, transfer, and mobility exercises administered to frail residents in care facilities had no benefits on physical functioning, except for a modest increase in mobility.…”

“…In contrast, many studies (Faber, Bosscher, Chin A Paw, & van Wieringen, 2006;Mulrow et al, 1994;Nowalk, Prendergast, Bayles, D'Amico, & Colvin, 2001) observed a weaker impact of physical training on institutionalized older adults. Mulrow et al (1994) reported that, over four months, one-to-one sessions based on range of motion, strength, balance, transfer, and mobility exercises administered to frail residents in care facilities had no benefits on physical functioning, except for a modest increase in mobility. Likewise, Faber and colleagues (2006) [AUQ4] showed that frail older adults living in residential care facilities gained no benefit from moderate-intensity group exercise programs in terms of reduced risk of falling and physical performances, in contrast with prefrail condition subjects.…”

“…Clinical trials among community-dwelling older adults showed that regular physical exercise increases mobility (de Vries et al, 2012;Gill et al, 2004;Mulrow et al, 1994), balance (Miller, Magel, & Hayes, 2010;Olson, Chen, & Wang, 2011;Simons & Andel, 2006), aerobic capacity (Buchner, Beresford, Larson, LaCroix, & Wagner, 1992;xxxx et al, xxxx[AUQ3]), walking speed (Fiatarone et al, 1994;Taguchi, Higaki, Inoue, Kimura, & Tanaka, 2010), muscle strength (Cress et al, 1999;Lovell, Cuneo, & Gass, 2010;Penninx et al, 2001), and muscle flexibility (Hallage et al, 2010), and also helps maintain a greater degree of autonomy. All these elements are closely related to a better perception of quality of life ([QOL]; Dechamps et al, 2010;Lobo, Santos, Carvalho, & Mota, 2008).…”

What Type of Exercise Reduces Falls in Older People?

“…17,18,20,36 These four trials were further investigated in a meta-analysis of individual-level data. 47 Three of the trials 16,31,43 contributed to data reported in a preplanned meta-analysis of the Frailty and Injuries: Cooperative Studies of Intervention Techniques (ficsit) trials. 48 Table 9.1 summarizes the study aims, sample, exercise programs used, adherence to the exercise program, and intervention effects, and gives relevant comments based on the review of each of the 27 included studies.…”