The value of strength, training for older adults

BackgroundChronic obstructive pulmonary disease (COPD) is a respiratory condition characterised by dyspnoea, excessive sputum production, chronic cough, bronchitis and emphysema. Functionally, exercise tolerance is poor for people with COPD and is linked to difficulty in performing daily tasks. More specifically, exercise difficulties are due partly to dyspnoea and lower limb skeletal muscle dysfunction. The benefit of exercise that does not exacerbate the disease while improving exercise tolerance is salient. Whole-body vibration (WBV) is a mode of physical activity known to improve muscular function of the lower limbs, yet efficacy has not been investigated for a WBV intervention conducted in a home-based setting for people with COPD.Methods/designThis clinically registered trial is a non-randomised placebo cross-over intervention based in the home of each participant (ACTRN12612000508875). Participants diagnosed with COPD will complete a six-week WBV intervention and then after a two-week washout period, will complete a six-week placebo training intervention. Participants will complete sessions twice a week. The duration of the trial is 14 weeks. Community-dwelling older adults with COPD will provide informed voluntary consent to participate. Outcome measures will include immediate, acute, and long-term responses to exercise.DiscussionQuantifying responses to WBV among people with COPD will allow discussion of efficacy of WBV as a mode of physical activity. The skill required by the participant to perform physical activity with WBV is not demanding and may enhance habitual sustainability. The results of this trial could be used to support further research in both clinical and community settings.Trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR12612000508875)

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“…The participant is then asked to stand, walk three metres to a marker on the floor, turn, return, and sit on the chair [46,47]. …”

Section: Methodsmentioning

confidence: 99%

Efficacy of a whole-body vibration intervention to effect exercise tolerance and functional performance of the lower limbs of people with chronic obstructive pulmonary disease

et al. 2012

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“…[8][9][10][11] There are trials conducted in residents of assisted living settings that demonstrate that interventions such as tai chi, aerobic exercise, and seated resistance training can improve health-related outcomes and reduce falls. [12][13][14][15] Furthermore, a scoping review of trials conducted in long-term care homes revealed that including exercise in a multifaceted intervention may be able to reduce the risk of falling in older adults. 15 Although some trials have examined the efficacy of exercise programs in assisted living settings, there are a number of limitations that create barriers in the translation of knowledge to practice.…”

Section: Introductionmentioning

confidence: 99%

“…16,26 Furthermore, the exclusion criteria often applied in exercise clinical trials in assisted living settings (eg, mild to severe cognitive impairment, joint replacement) reduce the generalizability of the results. 12,[27][28][29][30] Trials that have relatively rigorous exercise regimens may cause self-selection of the fittest participants, and the findings and exercise programs may not be realistic for a large proportion of frail individuals in assisted living settings. 21,24,31 The exercise capacity of the typical resident in assisted living settings may not be sufficient to tolerate the level of training used in clinical trials.…”

Section: Introductionmentioning

confidence: 99%

Feasibility Study of Walking for Exercise in Individuals Living in Assisted Living Settings

Johnson

McIlroy²,

Roy³

et al. 2013

Journal of Geriatric Physical Therapy

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Background and Purpose-Decreased physical activity levels are an increasing concern, specifically for the aging population. Older adults (>65 years) are able to achieve health benefits from participating in a regular exercise program based on studies done in younger communitydwelling older adults. There is less research investigating the efficacy of exercise for improving physical function among the older adult population in assisted living settings. This study investigated using a treadmill with a harness system, to engage older adults in aerobic exercise. The primary objective of the study was to assess the feasibility of a large trial by evaluating the recruitment and short-term retention rate of older adults with limited mobility. Secondary objectives were to determine whether older adults could achieve the frequency, intensity, and duration of aerobic exercise recommended by the American College of Sports Medicine.

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“…The PSTP originated from a small pilot study that observed the activity patterns of older residents living at home, attending adult day service centers, participating in congregate meal centers, or living in a nursing home (Brill et al, 1999). Participants of the PSTP were eligible for Medicaid and were assessed at an intermediate or skilled level of nursing home care.…”

Section: Introductionmentioning

confidence: 99%

“…Participants of the PSTP were eligible for Medicaid and were assessed at an intermediate or skilled level of nursing home care. It was noticed that older adults spend much of their time sitting and waiting; therefore, a place mat with 10 illustrated exercises was developed that individuals could perform while they waited (Brill et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

A Descriptive Study for a Strength and Balance Program for Frail Older Adults in an Assisted-Living Facility

Pope¹,

Lane²,

Tolma³

et al. 2008

Activities, Adaptation & Aging

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The Placemat Strength Training Program (PSTP) is a strength and balance program for frail older assisted-living residents. Exercise facilitators led the PSTP, which was based on a laminated place mat with 10 illustrated exercises. Functional ability and determinants of exercise were examined among the intervention group (n = 15) (age 83.3 ± 7.31), which received the PSTP three times a week for 10 months, and the comparison group (n = 21) (age 86.19 ± 5.16), which received the PSTP along with usual physical activities approximately twice a week for 10 months. Constructs from the theory of planned behavior (TPB) (Ajzen & Driver, 1991) provided a framework to examine determinants of exercise (participants' intention to exercise, behavioral beliefs, perceived behavioral control, and normative beliefs). Results of functional assessments and determinants of exercise were inconclusive because of high rates of attrition. However, qualitative research provided insights to determinates of exercise and indicated that the PSTP positively impacts assisted living residents' quality of life.

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The value of strength, training for older adults

Cited by 15 publications

References 6 publications

Efficacy of a whole-body vibration intervention to effect exercise tolerance and functional performance of the lower limbs of people with chronic obstructive pulmonary disease

Efficacy of a whole-body vibration intervention to effect exercise tolerance and functional performance of the lower limbs of people with chronic obstructive pulmonary disease

Feasibility Study of Walking for Exercise in Individuals Living in Assisted Living Settings

A Descriptive Study for a Strength and Balance Program for Frail Older Adults in an Assisted-Living Facility

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