Differences in Pain Characteristics and Functional Associations between Nursing Home Residents and Community-Dwelling Older Adults: A Cross-Sectional Study

Tansuğ, Melis; Kahraman, Turhan; Genç, Arzu

doi:10.4235/agmr.21.0066

Cited by 7 publications

(3 citation statements)

References 35 publications

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“…For example, gait speed in NH elders is 0.2 m/s slower than that of community-dwelling elders, and the time required for the postural transition to stability is doubled. [30,32] According to our results, the functional mobility of elders within NHs, at short distances, was more effectively improved after the OEP intervention, and the mean consumption time was reduced by 29.2% compared to conventional exercise training. Long-distance functional mobility is closely related to cardiopulmonary function, such as maximum oxygen uptake.…”

Section: Discussionmentioning

confidence: 64%

Effects of Otago Exercise Program on postural control ability in elders living in the nursing home: A systematic review and meta-analysis

et al. 2023

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Background: Losing postural control ability and related injuries are of particular concern for elders living in the nursing home (NH). The Otago Exercise Program (OEP) is a multimodal exercise training program initially designed as an individually tailored home exercise for community-dwelling elders, but whether its movement characteristics and exercise intensity meet NH elders’ needs still needs to be clarified. This study aimed to determine the effects of the OEP in enhancing postural control ability among elders in the NH. Methods: A systematic literature search of English language databases (Cochrane Library, PubMed, EMBASE, CINAHL, and Web of Science) and Chinese language databases (China National Knowledge Infrastructure, Wanfang, and Chongqing VIP) until 15 April 2022 were performed by 2 reviewers on searching randomized controlled trial (RCT) and non-RCT. A meta-analysis was performed using Review Manager 5.3 software. Continuous data were expressed as mean difference (MD) with 95% confidence intervals (95% CI). Dichotomous data were presented as risk ratios (RRs) with 95% CI. Study methodological quality was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions for RCTs and Risk Of Bias In Non-randomized Studies-of Interventions for non-RCTs by 3 reviewers. Results: Nine studies with 546 participants were included in this review. Two hundred and sixty-nine participants received OEP, and 277 only had conventional exercise training. Compared to the conventional exercise training group, the NH elders in the OEP group have considerably decreased in fall risk (MD = −0.84; 95% CI = −1.17, −0.51; P < .00001) and positively increased in postural balance (MD = 5.55; 95% CI = 3.60, 7.50; P < .00001), functional mobility in short-distance (MD = −6.39; 95% CI = −8.07, −4.70; P < .00001), lower-limb muscle strength (MD = 4.32; 95% CI = 3.71, 4.93; P < .00001), and health status (risk ratio = 0.35; 95% CI = 0.18, 0.66; P = .001). Conclusions: Current evidence suggests that OEP is practical and feasible in NH. The nursing personnel can receive sufficient support for maintaining and enhancing these elders’ postural control ability, especially during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 64%

Effects of Otago Exercise Program on postural control ability in elders living in the nursing home: A systematic review and meta-analysis

et al. 2023

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“…The association between pain and HRQOL has been investigated in several previous studies [ 55 , 56 , 57 ]. In this study, both pain intensity and the number of pain sites were significantly correlated with the HRQOL, whereas only pain intensity was selected as the factor significantly influencing the HRQOL.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Physical, Mental, and Cognitive Factors on Health-Related Quality of Life among Community-Dwelling Older Adults: A Focus on Central Sensitization-Related Symptoms

Kikuchi,

Nakano,

Goda

et al. 2024

Geriatrics

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Most older adults wish to maintain independence in their familiar communities. However, many experience pain and pain-related disabilities which reduce their health-related quality of life (HRQOL), leading to increased hospitalizations and mortality. This study aimed to determine the impact of physical, mental, and cognitive factors, particularly central sensitization-related symptoms (CSS), on the HRQOL of community-dwelling older adults. A total of 206 participants were included in the analysis, which measured HRQOL, basic attributes, physical functions and body pain, mental factors, cognitive factors, and CSS severity using validated tools. A correlation analysis was used to examine the association between HRQOL and each measure. Furthermore, multiple regression analysis (forced entry method) was performed to identify the factors influencing the HRQOL. The study found that pain intensity and CSS severity significantly influenced the HRQOL among community-dwelling older adults. The higher the pain intensity and CSS severity, the lower their HRQOL. The participants had mild pain and CSS, demonstrating the need to monitor, address, and treat even non-severe issues in community-dwelling older adults. This association, revealed for the first time in this study, suggests that approaches to reduce pain and CSS are important for maintaining and improving the HRQOL of community-dwelling older adults.

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“…Our results suggest that although a higher proportion of community-dwelling frail older adults at senior day care centers have severe CSSs than community-dwelling older adults who are independent in daily living, CSS severity is not a factor that significantly affects HRQOL. Tansuğ et al [ 53 ] reported a stronger association between HRQOL and pain in frail institutionalized older adults than in community-dwelling older adults. The absence of an effect of pain on HRQOL in this study suggests that the association between HRQOL and pain may be less relevant in frail older adults living in the community but requiring light care in daily living.…”

Section: Discussionmentioning

confidence: 99%

Central Sensitization-Related Symptoms and Influencing Factors on Health-Related Quality of Life among Frail Older Adults in Senior Day Care Centers: A Cross-Sectional Study

Kikuchi,

Nakano,

Abiko

et al. 2024

Healthcare

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The recent increase in the number of frail older adults has led to increased attention being paid to care services in communities such as senior day care centers. Maintaining health-related quality of life (HRQOL) in frail older adults is important for managing long-term care. The purpose of this study was to comprehensively explore the impact of physical, mental, and cognitive factors, particularly central sensitization-related symptoms (CSSs), on the HRQOL among frail older adults in senior day care centers. HRQOL, physical, mental, and cognitive factors, and severity of CSSs were comprehensively measured using validated methods. Correlation and multiple regression analyses were used to examine factors affecting HRQOL among frail older adults in senior day care centers. The results showed that the timed up and go test significantly affected the HRQOL among frail older adults at senior day care centers. Additionally, knee extension muscle strength, number of pain sites, depressive tendencies, and CSS severity showed a significant negative correlation with HRQOL but were not significant influencing factors. This suggests that functional mobility assessments and approaches are important for maintaining and improving the HRQOL in frail older adults at senior day care centers.

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Differences in Pain Characteristics and Functional Associations between Nursing Home Residents and Community-Dwelling Older Adults: A Cross-Sectional Study

Cited by 7 publications

References 35 publications

Effects of Otago Exercise Program on postural control ability in elders living in the nursing home: A systematic review and meta-analysis

Effects of Otago Exercise Program on postural control ability in elders living in the nursing home: A systematic review and meta-analysis

The Influence of Physical, Mental, and Cognitive Factors on Health-Related Quality of Life among Community-Dwelling Older Adults: A Focus on Central Sensitization-Related Symptoms

Central Sensitization-Related Symptoms and Influencing Factors on Health-Related Quality of Life among Frail Older Adults in Senior Day Care Centers: A Cross-Sectional Study

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