Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program. A pragmatic randomized controlled trial

Abstract

These positive results can be seen as promising for further development of intervention strategies, although follow-up study should be conducted to determine long term effectiveness.

Prevalence and associated variables of post‐dialysis fatigue: Results of a prospective multicentre study

“…Chronic haemodialysis patients develop progressive functional impairment after the initiation of replacement therapy and reduced ADL scores affects up to 50% of elderly patients on chronic haemodialysis . Given the socioeconomic burden of physical disability, functional impairment might be the target of intervention programmes in haemodialysis patients as adequate and effective as those implemented in the general elderly population . Functional impairment may be prevented, reversed or delayed in patients on chronic haemodialysis through an adequate medical rehabilitation .…”

“…[21][22][23] Given the socioeconomic burden of physical disability, functional impairment might be the target of intervention programmes in haemodialysis patients as adequate and effective as those implemented in the general elderly population. 24,25 Functional impairment may be prevented, reversed or delayed in patients on chronic haemodialysis through an adequate medical rehabilitation. 26 Various approaches have been proposed or validated in haemodialysis patients such as environmental modifications, psychosocial, physical and cognitive interventions, training and education and adaptive aids.…”

Older Adults with Cancer: A Randomized Controlled Trial of Occupational and Physical Therapy

“…For example, Cooper found that OT for adults with cancer reduced stress and increased sense of control, allowing for better management of psychosocial needs. OT services for older adults with other chronic conditions can decrease the likelihood of rehospitalization and use of skilled nursing services, and it was shown to improve functioning and confidence in participation in social life . De Groef and colleagues found that outpatient PT can improve physical health and decrease pain.…”

“…OT services for older adults with other chronic conditions can decrease the likelihood of rehospitalization and use of skilled nursing services, and it was shown to improve functioning and confidence in participation in social life. [46][47][48][49][50][51] De Groef and colleagues 52 found that outpatient PT can improve physical health and decrease pain. However, to our knowledge, ours is the first RCT to examine use of both OT and PT services for older adults with cancer and demonstrate clinical improvements in treatment groups, that is, the promise of the OT/PT team improving care.…”

Associação Entre a Prática Insuficiente De Exercício Físico, Caminhada E Outras Modalidades Em Idosos Saudáveis

“…Giné-Garriga et al 38 em estudo de meta-análise verificaram que diversos tipos de exercícios físicos aumentam o desempenho em testes de exigência da capacidade funcional, além disso, elevado nível de prática de atividade física tem sido associado com baixo risco de dependência para execução de atividades da vida diária em idosos de maior idade 39 . Maior autonomia está relacionada a melhor qualidade de vida, e tal como mostrado por Vriendt et al 40 , um programa de exercício físico é eficiente no aumento do desempenho em tarefas da vida diária e na melhora da qualidade de vida relatada.…”