The Effects of a Home-Based Combined Motor Control and Ergonomic Program on Functional Ability and Fear of Falling: A Randomized Controlled Trial

Stasi, Sophia; Τσεκούρα, Μαρία; Gliatis, John; Sakellari, Vasiliki

doi:10.7759/cureus.18330

Cited by 5 publications

(8 citation statements)

References 25 publications

(55 reference statements)

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“…Results provides evidence that the intervention was acceptable since the participants had high adherence and benefits regarding perceived value of the intervention were high with no serious harms. There has been extensive research into structured exercise programmes for older people with sarcopenia[ 15 , 24 - 26 ]. A feasibility or pilot trial is ideal for assessing whether participants will adhere to an intervention and may also explore factors that influence adherence, including intervention type and setting.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the booklet of exercises highlights the correct movement execution and therefore is recommended[ 41 ]. One more possible advantage of the McHeELP programme is the ability to provide a well-structured exercise programme without added special and expensive equipment or technology expenditures[ 11 , 14 - 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…removing carpets with loose/deep piles, moving furnishing to clear space, replacing lamps with insufficient lighting). During the three home visits by the physiotherapist, each participant was reminded to make these modifications[ 11 , 15 ].…”

Section: Methodsmentioning

confidence: 99%

“…Results from two previously published studies regarding the McHeELP programme provided encouraging evidence that McHeELP programme may increase functionality and decrease fear of falling (FoF) in community-dwelling older people[ 14 , 15 ]. However, additional research is required in order to investigate the potential success of McHeELP programme with a different population than community-dwelling older people.…”

Section: Introductionmentioning

confidence: 99%

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The Feasibilty of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Programme in Patients with Sarcopenia: A Pilot Study

Tsekoura,

Matzaroglou,

Xergia

et al. 2024

JFSF

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Objectives: The objective of this pilot study was to investigate the feasibility of a three month ‘Motor control Home ergonomics Elderlies’ Prevention of falls’ (McHeELP) programme on muscle mass, muscle strength, functionality, balance and fear of falling among older adults with sarcopenia. Methods: A feasibility study of the McHeELP programme was performed in patients with sarcopenia. Primary outcome measures included number of participants; number of participants that showed engagement with the programme; adherence rates; data loss in questionnaires and secondary outcome measures; any adverse events, related or not to the intervention programme. All participants received a home-based motor control exercise programme combined with an ergonomic home modification for 12 weeks. Secondary outcome measures included Hand Grip Strength, Bioimpendance Analysis, Muscle Mass, Functionality and Fear of Falling. Results: Twelve participants, (74.9±5 years), completed the pilot study. Significant differences were recorded before and after the programme on participants’ functionality ( p < 0.001), balance ( p < 0.05) and fear of falling ( p < 0.001). Conclusions: The present study revealed that the McHeELP programme is fesasible and that it is possible to implement the programme in clinical practice. The McHeELP programme positively affects functionality, balance and fear of falling. Thus, it seems feasible to conduct a full-scale randomised controlled trial.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Feasibilty of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Programme in Patients with Sarcopenia: A Pilot Study

Tsekoura,

Matzaroglou,

Xergia

et al. 2024

JFSF

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“…These findings extend previous meta-analyses in which home-based exercise improved walking speed 14,29,45 and reduced of the fear of falling in older adults. 42 Although home-based exercise may improve physical function, several factors, including the intensity of activity, social interaction, and level of supervision, may play an important role in psychosocial outcomes. 47 Furthermore, other studies highlight that activity supervised by health providers may play an important role in outcomes for home-based exercise programs.…”

Section: Discussionmentioning

confidence: 99%

Home-Based Indoor Physical Activity Programs for Community-Dwelling Older Adults: A Systematic Review

Santos

Cobucci

Medeiros

et al. 2023

Sports Health: A Multidisciplinary Approach

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Context: Home-based exercise programs are a good strategy to promote benefits to health for people who cannot visit gyms, clinics, or have limited time for physical activity outside. Objective: To synthesize the effect of home-based indoor physical activity on psychosocial outcomes and mobility in community-dwelling older adults. Data Sources: A comprehensive search was conducted in the MEDLINE, PubMed, Embase, SPORTDiscus, Cochrane Library, Scopus, and Google Scholar databases. Study Selection: A total of 11 studies (13 publications) were included involving a total of 1004 older adults. Study Design: A systematic review of randomized controlled trials was conducted using the aforementioned 7 databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Level of Evidence: Level 2. Data Extraction: Two authors independently selected studies, extracted data, and determined the risk of bias and evidence level using the Grading quality of evidence and strength of recommendations (GRADE) guidelines. We conducted a synthesis without meta-analysis (SWiM) to assess the outcome. Results: There is moderately certain evidence that home-based exercise programs reduced the fear of falling. Psychosocial (mental health and quality of life) and mobility outcomes may improve after participating in the intervention inside the home. Conclusion: The review found very low to certain evidence that home-based exercises programs improved psychosocial outcomes (mental health and quality of life) and walking speed (mobility). Moderately certain evidence suggests that home-based exercises improved fear of falling. Protocol Register Number: CRD42020182008.

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Change in gait speed and fall risk among community-dwelling older adults with and without mild cognitive impairment: a retrospective cohort analysis

et al. 2023

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Background Although slow gait speed is an established risk factor for falls, few studies have evaluated change in gait speed as a predictor of falls or considered variability in effects by cognitive status. Change in gait speed may be a more useful metric because of its potential to identify decline in function. In addition, older adults with mild cognitive impairment are at an elevated risk of falls. The purpose of this research was to quantify the association between 12-month change in gait speed and falls in the subsequent 6 months among older adults with and without mild cognitive impairment. Methods Falls were self-reported every six months, and gait speed was ascertained annually among 2,776 participants in the Ginkgo Evaluation of Memory Study (2000–2008). Adjusted Cox proportional hazards models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI) for fall risk relative to a 12-month change in gait speed. Results Slowing gait speed over 12 months was associated with increased risk of one or more falls (HR:1.13; 95% CI: 1.02 to 1.25) and multiple falls (HR:1.44; 95% CI: 1.18 to 1.75). Quickening gait speed was not associated with risk of one or more falls (HR 0.97; 95% CI: 0.87 to 1.08) or multiple falls (HR 1.04; 95% CI: 0.84 to 1.28), relative to those with a less than 0.10 m/s change in gait speed. Associations did not vary by cognitive status (pinteraction = 0.95 all falls, 0.25 multiple falls). Conclusions Decline in gait speed over 12 months is associated with an increased likelihood of falls among community-dwelling older adults, regardless of cognitive status. Routine checks of gait speed at outpatient visits may be warranted as a means to focus fall risk reduction efforts.

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The Effects of a Home-Based Combined Motor Control and Ergonomic Program on Functional Ability and Fear of Falling: A Randomized Controlled Trial

Cited by 5 publications

References 25 publications

The Feasibilty of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Programme in Patients with Sarcopenia: A Pilot Study

The Feasibilty of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Programme in Patients with Sarcopenia: A Pilot Study

Home-Based Indoor Physical Activity Programs for Community-Dwelling Older Adults: A Systematic Review

Change in gait speed and fall risk among community-dwelling older adults with and without mild cognitive impairment: a retrospective cohort analysis

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