Improving Functional Performance Through a Group-Based Free Weight Strength Training Program in Residents of Two Assisted Living Communities

Brill, Patricia A.; Matthews, Marge; Mason, Jenifer; Davis, Dorothy R.; Mustafa, Taj Animal; Macera, Carol A.

doi:10.1080/j148v15n03_04

Cited by 16 publications

(3 citation statements)

References 10 publications

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“…It remains a challenge to engage and retain a high proportion of older adults in physical activity in the AL setting. Attrition in our study was 27% (8/30), which is similar to other studies conducted in AL [33][34][35] but greater than in studies of community-dwelling older adults [11,12]. This result also reflects a decline of physical function and more illness in AL residents generally [3], and in our participants specifically (5/8 participants discontinued due to illness).…”

Section: Feasibility Of Delivery Of the Mobility-fitsupporting

confidence: 87%

Effects of the Mobility-Fit Physical Activity Program on Strength and Mobility in Older Adults in Assisted Living: A Feasibility Study

Yang

Schooten

Komisar

et al. 2022

IJERPH

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Physical activity programs focusing on fall prevention often overlook upper-limb strength, which is important for transferring, balance recovery, and arresting a fall. We developed and evaluated a physical activity program, Mobility-Fit for older adults in Assisted Living (AL) that includes upper-limb strengthening, agility, coordination, and balance exercises. Thirty participants (85 ± 6 years) were recruited from two AL facilities; 15 were assigned to Mobility-Fit (three times/week, 45 min/session for 12 weeks) and 15 maintained usual care. Twenty-two participants (11 in each group) completed the study. We compared outcome changes between groups and interviewed participants and staff to explore the effectiveness and feasibility of the program. Among participants who attended Mobility-Fit, knee extension strength increased by 6%, reaction time decreased by 16%, and five-time sit-to-stand duration decreased by 15%. Conversely, participants in the usual care group had a 6% decrease in handgrip strength. Changes of these outcomes were significantly different between two groups (p < 0.05). Participants enjoyed the program and staff suggested some changes to improve attendance. Our results indicate that Mobility-Fit is feasible to deliver and beneficial for older adults in AL and may guide future clinical trials to evaluate the effectiveness of upper limb strengthening on safe mobility of older adults in care facilities.

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Section: Feasibility Of Delivery Of the Mobility-fitsupporting

confidence: 87%

Effects of the Mobility-Fit Physical Activity Program on Strength and Mobility in Older Adults in Assisted Living: A Feasibility Study

Yang

Schooten

Komisar

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…This sequence of events could be delayed or avoided in many cases. Good evidence exists that structured PA programs (e.g., strength, flexibility, balance, and mobility training) improve physical function in RC/ AL residents (Brill et al, 1998;Jensen, Nyberg, Rosendahl, Gustafson, & Lundin-Olsson, 2004;Lazowski et al, 1999;Sihvonen, Sipilä, & Era, 2004;Tseng, Chen, Wu, & Lin, 2007). Low intensity programs for more frail elders, including seated strength and flexibility exercises, also have had encouraging results (Baum, Jarjoura, Polen, Faur, & Rutecki, 2003;McMurdo & Rennie, 1993).…”

Section: Physical Activity Practices In Ltc Settingsmentioning

confidence: 99%

Perspectives and Experiences Related to Physical Activity of Elders in Long-Term-Care Settings

Phillips

Flesner²

2013

Journal of Aging and Physical Activity

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This qualitative study investigated individual and situational factors influencing physical activity (PA) practices of elders in residential-care/assisted-living (RC/ AL) communities. This article describes the results of focus-group interviews involving 47 residents across 6 RC/AL settings. Thematic analysis revealed 6 themes: staying active, past PA experiences, value of PA, barriers to PA, strategies to facilitate PA, and support needs to promote PA. Staying active meant walking indoors and out, attending chair-exercise programs, performing professionally prescribed home exercises, and using available exercise equipment. Past PA experiences shaped current preferences and practices. Participants agreed that exercise helped maintain physical functioning but recounted cognitive and situational barriers to PA. Lack of dedicated exercise space and short corridors hampered efforts to stay active. Participants wished for individualized home exercise programs and supervised exercise sessions. Future research should examine the extent to which the physical environment and PA programming in RC/AL communities affect elders’ PA.

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“…Physical capacities, social issues, and quality of life surfaced as three primary issues. Brill, Matthews, Mason, Davis, Mustafa, and Macera (1998) researched the benefits of strength training and found that strength training was effective in helping residents decrease their fear of falling and increased their level of activity. Litwin (1998) investigated residents' social issues and found an imbalance in the amount of support the residents received versus the amount of support they gave to others.…”

Section: Introductionmentioning

confidence: 99%

Assisted Living Residents' Perspectives of Their Occupational Performance Concerns

Crenshaw

Gillian

Kidd

et al. 2001

Activities, Adaptation & Aging

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Assisted living residents' concerns regarding their occupational performance are reported. Researchers interviewed twenty-two residents from four different assisted living facilities using the Canadian Occupational Performance Measure, a tool assessing concerns with valued life activities. Most common concerns were lack of desired active recreation, mobility, and passive recreation. Residents attributed identified concerns to physical health conditions and vision, along with facility features. Differing styles of life acceptance, degree to which residents felt like the facility was home, and degree to which activity options were meaningful vs. just "keeping busy" were themes that emerged.

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Improving Functional Performance Through a Group-Based Free Weight Strength Training Program in Residents of Two Assisted Living Communities

Cited by 16 publications

References 10 publications

Effects of the Mobility-Fit Physical Activity Program on Strength and Mobility in Older Adults in Assisted Living: A Feasibility Study

Effects of the Mobility-Fit Physical Activity Program on Strength and Mobility in Older Adults in Assisted Living: A Feasibility Study

Perspectives and Experiences Related to Physical Activity of Elders in Long-Term-Care Settings

Assisted Living Residents' Perspectives of Their Occupational Performance Concerns

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