Exercise Interventions for Community-Dwelling Older Adults Following an Emergency Department Consultation for a Minor Injury

in Journal of Aging and Physical Activity
Laurence Fruteau de Laclos, Marie-Josée Sirois, Andréanne Blanchette, Dominic Martel, Joannie Blais, Marcel Émond, Raoul Daoust and Mylène Aubertin-Leheudre
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DOI:
https://doi.org/10.1123/japa.2019-0200
Keywords:
community exercise programs; functional decline; health-related quality of life; physical performance
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Pages:
1–13
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This study compared effects of exercise-based interventions with usual care on functional decline, physical performance, and health-related quality of life (12-item Short-Form health survey) at 3 and 6 months after minor injuries, in older adults discharged from emergency departments. Participants were randomized either to the intervention or control groups. The interventions consisted of 12-week exercise programs available in their communities. Groups were compared on cumulative incidences of functional decline, physical performances, and 12-item Short-Form health survey scores at all time points. Functional decline incidences were: intervention, 4.8% versus control, 15.4% (p = .11) at 3 months, and 5.3% versus 17.0% (p = .06) at 6 months. While the control group remained stable, the intervention group improved in Five Times Sit-To-Stand Test (3.0 ± 4.5 s, p < .01). The 12-item Short-Form health survey role physical score improvement was twice as high following intervention compared with control. Early exercises improved leg strength and reduced self-perceived limitations following a minor injury.

Fruteau de Laclos, Sirois, Blais, and Émond are with the Centre d’Excellence sur le Vieillissement de Québec, Quebec City, Quebec, Canada. Fruteau de Laclos, Sirois, Blanchette, Blais, and Émond are with the Université Laval, Quebec City, Quebec, Canada. Fruteau de Laclos, Sirois, Blais and Émond are also with the Centre Hospitalier Universitaire de Québec-Hôpital de l'Enfant-Jésus, Quebec City, Quebec, Canada. Blanchette is also with the Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (Cirris), Quebec City, Quebec, Canada. Martel and Daoust are with the Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada. Daoust is also with the Université de Montréal, Montreal, Quebec, Canada. Aubertin-Leheudre is with the Université du Québec à Montréal, Montreal, Quebec, Canada. Aubertin-Leheudre is also with the Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, Montreal, Quebec, Canada.

Fruteau de Laclos (laurence.fruteau-delaclos@fmed.ulaval.ca) is corresponding author.

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