Progressive Resistance Muscle Strength Training of Hospitalized Frail Elderly

Sullivan, Dennis H.; Wall, P.T.; Bariola, J Ryan; Bopp, Melinda M.; Frost, Yael

doi:10.1097/00002060-200107000-00007

Cited by 64 publications

(41 citation statements)

References 22 publications

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“…Programs tailored for rehabilitation after acute medical illness or for chronic musculoskeletal conditions have been proven to be effective in older populations (34). Cardiac rehabilitation programs have shown physiological benefits which occurred regardless of age (35)(36)(37).…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Rehabilitation Improves Functional Capacity in Patients 80 Years of Age or Older

Baltzan¹,

Kamel²,

Alter³

et al. 2004

Canadian Respiratory Journal

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MA Baltzan, H Kamel, A Alter, M Rotaple, N Wolkove. Pulmonary rehabilitation improves functional capacity in patients 80 years of age or older. Can Respir J 2004;11(6):407-413.OBJECTIVES: There is limited evidence that pulmonary rehabilitation improves exercise capacity in older patients with chronic respiratory disease. The objective of the present study was to determine whether patients 80 years of age or older gain similar benefits from pulmonary rehabilitation as do younger patients. DESIGN: Outcomes were compared in 230 consecutive inpatients with moderate to severe lung disease who participated in a comprehensive pulmonary rehabilitation program during a one-year period. Outcomes included 6 min walk test distance (6MWT), the number of stairs completed in 2 min (2MST), Borg dyspnea scores after exertion and objective functional scores. RESULTS: There were no differences between older (80 to 91 years, n=43) and younger patients (n=187) with respect to sex, forced expiratory volume in 1 s (mean 0.77 L versus 0.72 L) or number of chronic medical diagnoses (2.4 versus 2.7). Older patients were less frequently survivors of mechanical ventilation (2.3% versus 16%). Baseline 6MWT (133 m versus 144 m; P=0.48) and 2MST (5.2 laps versus 6.5 laps; P=0.067) were similar but global function was lower (85 versus 89; P=0.040) in older patients than in younger patients, respectively. After pulmonary rehabilitation, all outcomes improved significantly regardless of age (all before-after comparisons P<0.0001). Younger patients improved with a higher discharge 6MWT (231 m versus 185 m; P=0.004) and similar discharge 2MST (9.3 laps versus 7.9 laps; P=0.070) compared with older patients. Global function at discharge remained lower in older patients than younger patients (91 versus 94; P=0.002). The duration of rehabilitation and length of stay were similar between the two groups. CONCLUSION: A comprehensive inpatient pulmonary rehabilitation program is beneficial in selected patients 80 years of age or older.Key Words: Aged; Age factors; Elderly; Lung diseases; Physical therapy; Rehabilitation La réadaptation pulmonaire améliore la capacité fonctionnelle chez les patients de 80 ans ou plus OBJECTIFS : Selon des éléments probants limités, la réadaptation pulmonaire améliore la capacité à l'exercice chez les patients âgés atteints d'une maladie respiratoire chronique. La présente étude visait à détermi-ner si des patients de 80 ans ou plus bénéficieraient d'une réadaptation pulmonaire, à l'instar de patients plus jeunes. MÉTHODOLOGIE : Les issues ont été comparées chez 230 patients hospitalisés consécutifs atteints d'une maladie pulmonaire modérée à grave qui avaient participé à un programme complet de réadaptation pulmonaire pendant une période d'un an. Les issues incluaient la distance du test de marche de 6 minutes (TM6M), le nombre de marches franchies en 2 minutes (MF2M), les échelles de dyspnée de Borg après l'effort et des indices fonctionnels objectifs. RÉSULTATS : On ne remarquait aucune différence entre les patients âgé...

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Section: Discussionmentioning

confidence: 99%

Pulmonary Rehabilitation Improves Functional Capacity in Patients 80 Years of Age or Older

Baltzan¹,

Kamel²,

Alter³

et al. 2004

Canadian Respiratory Journal

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“…Two studies that included physical therapy for older adults posthospitalization reported positive results in their ability to perform instrumental ADL and walk [21][22]. Another study that used a progressive resistance muscle strengthening program also reported improvements in function and ambulation [23]. The patients who were interviewed expressed the belief that exercise, particularly walking and strengthening, would be beneficial especially if it was started just prior to hospital discharge or shortly after being discharged to home.…”

Section: Qualitative Response Number Of Patientsmentioning

confidence: 99%

Exercise program implementation proves not feasible during acute care hospitalization

Brown¹,

Peel²,

Bamman³

et al. 2006

JRRD

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Abstract-Functional decline during hospitalization occurs in up to 65% of older adults. This study determined the feasibility of an inpatient followed by an in-home exercise program for patients with limited ambulatory ability on hospital admission. Patients aged ≥ 60 years who were admitted to the hospital with an acute medical illness associated with limited ambulatory ability were eligible for the study. Of 76 eligible patients, 10 were recruited, with only 1 patient completing the 24-week exercise program. Barriers to recruitment included illness severity, short hospital stays, and patient refusal. Hospital readmission during the in-home exercise program occurred for three of the seven exercise group participants. In the exercise group, four of the seven patients participated in at least 3 weeks of exercise posthospitalization. Qualitative interviews suggested most patients believed exercise to be beneficial, but this interest did not translate into adherence to this study protocol. Initiation of an inpatient exercise program was not feasible in the study population. The in-home program was more feasible but target criteria need refinement.

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“…(James, 1993;Mills, 1994;Meuleman et al, 2000;Sullivan et al, 2001). 한편 산림 걷기 운동도 다양한 환경적 조건과 함께 울퉁불퉁하고, 오르내림의 경 사도가 다양하고, 다양한 신체적 자세변화로 인하여 균형 과 중력부하를 견뎌야 하는 산길이 자연스럽게 근육과 건, 관절의 고유감각 수용기를 발달시켰고 (Choi, 2011;Lord et al, 1995;Shumway-Cook and Woollacott, 2007), 신 체분절간의 생체 역학적인 평형성과 신경근과 사지간의 공동작용을 포함한 운동 처리과정을 원활하게 하여 동적 평형성을 향상시켰다 (Kelso and Tuller, 1984;Newell, 1986).…”

Section: 보행박자에 있어 집단과unclassified

Effects of Forest-Walking Exercise on Functional Fitness and Gait Pattern in the Elderly

Choi¹,

Shin²,

Yeoun³

2014

Journal of Korean Forest Society

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The purpose of this study was to investigate the effect of Forest-walking exercise on gait pattern in the elderly. The subjects (n=37) were assigned to 2 groups: Forest-walking exercise (FWE) group (n=19, 66.34±4.31 years old) and In-door treadmill-walking exercise (ITWE) group (n=18, 67.18±2.78 years old). The subjects participated in FWE program or ITWE program (3 times/week, 80 min/day) for 12 weeks. The subjects were tested on functional fitness (strength, endurance, agility/balance, BMI) and gait pattern (cadence, velocity, and stability) at the beginning and the end of the 12-weeks program. For data analysis, mean and standard deviation scores were calculated, and independent t-test and repeated two-way ANOVA were used. The results of this study were as follow: First, FWE group was significantly more improved than ITWE group on functional fitness(lower-body muscular strength, lower-body flexibility, mobility, cardiorespiratory endurance) after 12-weeks exercise program. But both groups showed equally improvements on functional fitness (upperbody muscular strength, upper-body flexibility, BMI). Second, FWE group was significantly more improved than ITWE group on cadence, gait velocity, and gait stability after 12-weeks exercise program. Therefore, this study may suggest that Forest-walking exercise based on sensory-motor functional integration improves efficiently functional fitness and gait pattern in the elderly, and further becomes an effective exercise method that makes more dynamic life, and prevents from falling.

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Progressive Resistance Muscle Strength Training of Hospitalized Frail Elderly

Cited by 64 publications

References 22 publications

Pulmonary Rehabilitation Improves Functional Capacity in Patients 80 Years of Age or Older

Pulmonary Rehabilitation Improves Functional Capacity in Patients 80 Years of Age or Older

Exercise program implementation proves not feasible during acute care hospitalization

Effects of Forest-Walking Exercise on Functional Fitness and Gait Pattern in the Elderly

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