Rehabilitation for older people in long-term care

Forster, Anne; Lambley, Ruth; Hardy, Jo; Young, John; Smith, J. L.; Green, John; Burns, Eileen

doi:10.1002/14651858.cd004294.pub2

Cited by 60 publications

(40 citation statements)

References 92 publications

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“…However, they failed to show any effects on functional performance assessed as grip strength, walking ability, stair climbing and mobility. In contrast, in three systematic reviews [1,11,12] evidence was found showing that physical training had positive effects on mobility, physical functioning and cognition in institutionalized older patients. A Cochrane study [1] concluded that physical rehabilitation in long-term care residents is worthwhile and safe, that it reduces disability and leads to few adverse events such as pain, chest pain or loss of balance.…”

Section: Introductionmentioning

confidence: 96%

“…As a consequence of the increasing number of older people in the years to come, the demand for long-term residential care will increase [1]. When an older person has moved to a nursing home, a deterioration in health and an increasing dependence in activities of daily living (ADL), for example walking and dressing, is often seen [1].…”

Section: Introductionmentioning

confidence: 99%

“…When an older person has moved to a nursing home, a deterioration in health and an increasing dependence in activities of daily living (ADL), for example walking and dressing, is often seen [1]. A study by Cress et al [2] showed that residents in nursing homes take on average 3,000 steps less per day compared to community dwellers.…”

Section: Introductionmentioning

confidence: 99%

“…However, there is insufficient evidence to make recommendations about content of the intervention, or to draw any conclusions about the long-term effect and cost-effectiveness. In addition, it is not clear whether the training should be given in groups or individually for best effects [1]. …”

Section: Introductionmentioning

confidence: 99%

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Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

et al. 2012

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Background: Nursing home residents are extremely inactive and deterioration in health and an increasing dependence in activities of daily living (ADL) are common. Physical activity and exercise play a major role in the preservation of physical function and quality of life late in life. However, evidence for the benefit of rehabilitation in nursing home residents is conflicting and inconclusive. Objective: To evaluate the effect of an individually tailored intervention program of 3 months, for nursing home residents, on ADL, balance, physical activity level, mobility and muscle strength. Methods: In this single-blind randomized clinical trial with parallel groups, nursing home residents >64 years of age from three Nordic countries were included. The intervention group (IG) was assigned to individually tailored physical and daily activities, while the control group (CG) received ordinary care. Primary outcomes were ADL and balance, and secondary outcomes physical activity level, mobility and muscle strength. Results: At baseline, 322 nursing home residents were included, of whom 266 were assessed after 3 months of intervention. Following the intervention, a significant difference was found between participants in the IG and CG on measures of balance, physical activity and transfers. The IG significantly improved walking/wheelchair speed and functional leg muscle strength. The CG had significantly deteriorated in ADL, balance and transfers. Persons who had taken part in the intervention for more than 150 min/week significantly improved their balance and physical activity level. Participation in more than 10 weeks of intervention significantly improved physical activity and walking/wheelchair speed, while a deterioration was seen in those who had participated less. Conclusion: Individually tailored intervention in nursing home residents focusing on physical and daily activities is effective in improving transfers, balance and physical activity level compared to usual care. The effect of the intervention is dependent on the total activity time.

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Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

et al. 2012

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“…Функциональный дефицит у пациентов пожилого и старческого возраста, степень его проявления и правильность диагностики во многом определяют объём и вид предо-ставляемой помощи [1,2]. Нужно сказать, что при традиционной системе симптомати-ческой диагностики по нозологиям данный медико-социальный гериатрический син-дром часто остаётся неучтённым, что суще-ственно влияет на эффективность курации пациентов данной возрастной группы [3,4].…”

Section: Evaluation Of the Syndrome Of Functional Deficit In Elderly unclassified

Evaluation of the syndrome of functional deficit in elderly with non-oncological pathology

Пономарева

Петровна²

2017

Kazan Med J

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Aim. Comparative analysis of the profile of integral functional disorders and the degree of their deficit in elderly patients after stroke and in chronic heart failure functional class III-IV. Methods. Physical exam and interviews were used during comprehensive geriatric assessment with the analysis of the degree of functional disorders according to PULSES Profile scale and the degree of asthenia in the elderly. Results. The analysis of the degree of functional disorders in elderly and senile patients showed the diversity of issues that should be considered when providing medical and social care. In a moderate functional deficit in patients after stroke emotional and intellectual disorders prevailed - 47.2±0.1 cases, as well as upper extremities dysfunction - 29.9±0.2, and lower extremities dysfunction - 27.6±0.2. In severe heart failure inability to control excretory functions is predominant - 14.6±0.2 patients. Severe functional disorders prevailed in patients with consequences of stroke, which manifested as upper extremities dysfunction - 21.3 cases; lower extremities dysfunction - 22 cases; in severe heart failure communication disorders were prevalent - 6.4 cases. Conclusion. The more severe degree of functional deficit correlating with a high need for palliative medical and social care was observed more frequently in patients after stroke with prevailing upper and lower extremities dysfunction, while in chronic heart failure functional class III-IV communication disorders were predominant.

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Enhancing Recovery From Sepsis

Prescott

Angus

2018

JAMA

715

633

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In the months after hospital discharge for sepsis, management should focus on (1) identifying new physical, mental, and cognitive problems and referring for appropriate treatment, (2) reviewing and adjusting long-term medications, and (3) evaluating for treatable conditions that commonly result in hospitalization, such as infection, heart failure, renal failure, and aspiration. For patients with poor or declining health prior to sepsis who experience further deterioration after sepsis, it may be appropriate to focus on palliation of symptoms.

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Rehabilitation for older people in long-term care

Cited by 60 publications

References 92 publications

Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

Evaluation of the syndrome of functional deficit in elderly with non-oncological pathology

Enhancing Recovery From Sepsis

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