Perceptions of participating in high-intensity functional exercise among older people dependent in activities of daily living (ADL)

Lindelöf, Nina; Rosendahl, Erik; Gustafsson, Susanne; Nygaard, J.; Gustafson, Yngve; Nyberg, Lars

doi:10.1016/j.archger.2013.05.003

Cited by 5 publications

(4 citation statements)

References 43 publications

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“…Studies were conducted in Australia, Malaysia, Norway, and Sweden. Overall, results were positive, reporting that physical exercise appears to manage or delay physical decline [18], decreases fall rates [63], increases life satisfaction [64] and perceived positive effects [65], improves balance and strength and reduces apathy and agitation [66,67].…”

Section: Plos Onementioning

confidence: 99%

Models of provider care in long-term care: A rapid scoping review

et al. 2021

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Introduction One of the current challenges in long-term care homes (LTCH) is to identify the optimal model of care, which may include specialty physicians, nursing staff, person support workers, among others. There is currently no consensus on the complement or scope of care delivered by these providers, nor is there a repository of studies that evaluate the various models of care. We conducted a rapid scoping review to identify and map what care provider models and interventions in LTCH have been evaluated to improve quality of life, quality of care, and health outcomes of residents. Methods We conducted this review over 10-weeks of English language, peer-reviewed studies published from 2010 onward. Search strategies for databases (e.g., MEDLINE) were run on July 9, 2020. Studies that evaluated models of provider care (e.g., direct patient care), or interventions delivered to facility, staff, and residents of LTCH were included. Study selection was performed independently, in duplicate. Mapping was performed by two reviewers, and data were extracted by one reviewer, with partial verification by a second reviewer. Results A total of 7,574 citations were screened based on the title/abstract, 836 were reviewed at full text, and 366 studies were included. Studies were classified according to two main categories: healthcare service delivery (n = 92) and implementation strategies (n = 274). The condition/ focus of the intervention was used to further classify the interventions into subcategories. The complex nature of the interventions may have led to a study being classified in more than one category/subcategory. Conclusion Many healthcare service interventions have been evaluated in the literature in the last decade. Well represented interventions (e.g., dementia care, exercise/mobility, optimal/appropriate medication) may present opportunities for future systematic reviews. Areas with less research (e.g., hearing care, vision care, foot care) have the potential to have an impact on balance, falls, subsequent acute care hospitalization.

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Section: Plos Onementioning

confidence: 99%

Models of provider care in long-term care: A rapid scoping review

et al. 2021

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“…Therefore, in order to determine the effectiveness of this intervention, it is recommended to include patients at high risk for postoperative complications. Personalized and well monitored and titrated high-intensity training is necessary to achieve improvements, given the often short time available before surgery [45].…”

Section: Therapeutic Physical Exercise Training In Major Abdominal Anmentioning

confidence: 99%

Merits of exercise therapy before and after major surgery

Hoogeboom

Dronkers

Hulzebos

et al. 2014

Current Opinion in Anaesthesiology

163

104

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Purpose of reviewAdvances in medical care have led to an increasing elderly population. Elderly individuals should be able to participate in society as long as possible. However, with an increasing age their adaptive capacity gradually decreases, specially before and after major life events (like hospitalization and surgery) making them vulnerable to reduced functioning and societal participation. Therapeutic exercise before and after surgery might augment the postoperative outcomes by improving functional status and reducing the complication and mortality rate.Recent findingsThere is high quality evidence that preoperative exercise in patients scheduled for cardiovascular surgery is well tolerated and effective. Moreover, there is circumstantial evidence suggesting preoperative exercise for thoracic, abdominal and major joint replacement surgery is effective, provided that this is offered to the high-risk patients. Postoperative exercise should be initiated as soon as possible after surgery according to fast-track or enhanced recovery after surgery principles.SummaryThe perioperative exercise training protocol known under the name ‘Better in, Better out’ could be implemented in clinical care for the vulnerable group of patients scheduled for major elective surgery who are at risk for prolonged hospitalization, complications and/or death. Future research should aim to include this at-risk group, evaluate perioperative high-intensity exercise interventions and conduct adequately powered trials.

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“…14,15 Furthermore, whether high-intensity exercise is feasible and has the same benefits among older individuals with dementia remains unclear. Some randomized controlled trials have investigated the effects of high-intensity functional exercise among older populations 16–22 and patients with mild-to-moderate dementia 23–35 ; however, none involved a systematic review or meta-analysis. Therefore, we conducted a comprehensive systematic review and meta-analysis of randomized controlled trials to evaluate the benefits of high-intensity functional exercise on both physiological and neuropsychological aspects of individuals with mild-to-moderate dementia.…”

Section: Introductionmentioning

confidence: 99%

High-intensity functional exercise in older adults with dementia: A systematic review and meta-analysis

Yeh

Chen

et al. 2020

Clin Rehabil

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Objective: This study aimed to investigate the efficacy of high-intensity functional exercise among older adults with dementia. Methods: In this systematic review and meta-analysis of randomized controlled trials, we collected articles published before August 2020 from PubMed, Embase, and the Cochrane Library to evaluate the effect of high-intensity functional exercise on older adults with dementia. Primary outcomes included improvements in balance function and gait performance (speed, cadence, and stride length). The secondary outcomes included lower limb strength, activities of daily living, psychiatric well-being, depression, and cognition. Furthermore, we performed subgroup analysis with two high-intensity functional exercise programs: the Umeå program and Hauer’s program. Results: We identified 15 articles describing six trials including older adults with dementia undergoing high-intensity functional exercise or control activity. The meta-analysis indicated that high-intensity functional exercise, both in Hauer’s program and in the Umeå program, significantly improved balance function (pooled standardized mean difference 0.57, 95% confidence interval 0.31–0.83). Hauer’s program significantly improved gait speed, cadence, stride length, and lower limb strength. Beneficial effects on speed, cadence, and lower limb strength were retained for several months. The Umeå program facilitated activities of daily living and psychiatric well-being, with effects on activities of daily living lasting several months. In the only eligible trial, no effects on cognition were observed. Adverse effects of high-intensity functional exercise were minimal to none. Conclusions: High-intensity functional exercise is generally safe and is recommended for older individuals with mild or moderate dementia to provide benefits in motor performance and daily functioning.

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Perceptions of participating in high-intensity functional exercise among older people dependent in activities of daily living (ADL)

Cited by 5 publications

References 43 publications

Models of provider care in long-term care: A rapid scoping review

Models of provider care in long-term care: A rapid scoping review

Merits of exercise therapy before and after major surgery

High-intensity functional exercise in older adults with dementia: A systematic review and meta-analysis

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