Current and Future Trends in Long-Term Care

Kruschke, Cheryl

doi:10.1007/978-3-319-69862-5_11

Cited by 1 publication

(1 citation statement)

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“…RCACs are independent apartment complexes that provide not more than 28 h per week of a variety of services to those residing in the complex based on the individual's specific needs. Those services include supportive services (e.g., activities related to general housekeeping and recreational activities), personal assistance (e.g., services related to activities of daily living such as dressing, eating, bathing and grooming), and nursing services (e.g., health monitoring and medication management) [ 11 ]. Inclusion criteria were: English-speaking, age ≥ 70 years, capable of providing informed consent, ability to stand independently, free of major acute illness, a short SPPB score ≤ 9 or ≥ 2 in any of the three sections (balance, gait speed, or chair rise), willing to train for 10 min, 3 times per week for two 8-week periods.…”

Section: Methodsmentioning

confidence: 99%

Effect of semi-recumbent vibration exercise on muscle outcomes in older adults: a pilot randomized controlled clinical trial

et al. 2022

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Background Many older adults with physical limitations living in residential care apartments are unable to exercise in a standing position and are at risk for declining in muscle function leading to falls and injury. Novel approaches to achieve exercise benefits are needed. The purpose of this study was to test the effect of semi-recumbent vibration exercise on muscle outcomes in older adults living in residential care apartment complexes (RCACs). Methods A randomized, crossover design was used to examine the effect of semi-recumbent vibration exercise on muscle function and mass among 32 RCAC residents (mean age 87.5 years) with physical limitations. Participants received a randomized sequence of two study conditions: sham or vibration for 8 weeks each separated by a 4-week washout. Before and after the 8 weeks of vibration treatment and sham treatment, muscle mechanography was used to assess muscle function including jump power, weight-corrected jump power, and jump height. Short physical performance battery (SPPB) and handgrip strength were also used to measure muscle function. Bioelectrical impedance spectroscopy was used to estimate skeletal muscle mass. The effect of the vibration treatment on muscle outcomes was analyzed through mixed effects linear regression models. Results Vibration exercise leads to better jump height (p < .05) compared to sham exercise but also poorer chair rise performance (p = 0.012). Other muscle functions tests and muscle mass parameters showed non-significant changes. Conclusion This small pilot study showed no conclusive results on the effect of semi-recumbent vibration exercise on muscle function and mass in older adults living in RCAC. However, the promising signals of improved jump performance could be used to power larger studies of longer duration with various vibration doses to determine the benefit of vibration exercise in this physically impaired, high-risk population with few exercise capabilities. Trial registration The study is registered at clinicaltrials.gov (NCT02533063; date of first registration 26/08/2015).

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Section: Methodsmentioning

confidence: 99%