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Barriers to and Facilitators of Adherence to Prescribed Home Exercise in Older Adults at Risk of Falling in Singapore: A Qualitative Study

Bernadine Teng, Ingrid C.M. Rosbergen, Sjaan R. Gomersall, Anna Hatton, and Sandra G. Brauer

who did and did not have a recent history of a fall ( Simek et al., 2012 ). It is therefore crucial to understand how to improve adherence, especially to home exercise programs. Factors related to adherence have been examined and reported: program-related factors including type of exercise (e

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On-Site versus Home Exercise Programs: Psychological Benefits for Individuals with Arterial Claudication

Bernardine M. Pinto, Bess H. Marcus, Robert B. Patterson, Mary Roberts, Andrea Colucci, and Christina Braun

Exercise has been shown to improve walking ability in individuals with arterial claudication. This study compared the effects of an on-site supervised exercise program and a home exercise program on quality of life and psychological outcomes in these individuals. Sixty individuals were randomly assigned to a 12-week on-site or a 12-week home-based exercise program. Quality of life, mood and pain symptoms, and walking ability were examined at baseline, posttreatment, and at 6 months follow-up. Individuals in the on-site exercise program showed significantly greater improvements in walking ability. Although sample size limited the ability to detect significant differences between groups on quality of life and psychological measures, both groups were comparable on improvements in quality of life and in mood. These data suggest that a home exercise program with weekly feedback may provide improved quality of life and mood benefits for individuals with arterial claudication but does not provide improvements in walking equivalent to those provided by an on-site exercise program.

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Effect of a Home Exercise Program on Dynamic Balance in Elderly With a History of Falls

Sharon L. Olson, Shu-Shi Chen, and Ching-Yi Wang


To determine exercise efficacy in improving dynamic balance in community-dwelling elderly with a fall history.


Thirty-five participants were randomly assigned to a treatment (TG; n = 19, 77 ± 7 yr) or control group (CG; n = 16, 75 ± 8 yr). The TG received an individualized home exercise program, and the CG received phone calls twice per week for 12 weeks. Participants’ dynamic-balance abilities— directional control (DC), endpoint excursion (EE), maximum excursion (ME), reaction time (RT), and movement velocity (MV)—were measured using the Balance Master at 75% limits of stability. Functional reach (FR) was also measured.


At 12 weeks the TG demonstrated significant improvements in DC (p < .0025), EE (p < .0005), and ME (p < .0005), but the CG did not. No significant group differences were found for MV, RT, or FR.


Excursion distances and directional control improved but not reaction time, suggesting that exercises requiring quick responses may be needed.

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Perceived Barriers and Facilitators of Sports Rehabilitation Adherence in Injured Volleyball Athletes: A Qualitative Study From Greece

Eleftherios Paraskevopoulos, Georgios Gioftsos, Georgios Georgoudis, and Maria Papandreou

exercise. Increased motivation has been found to positively affect attendance at rehabilitation sessions, completion of prescribed treatment protocols, self-rated adherence, and self-reported home exercise completion in competitive athletes and RA with musculoskeletal injuries ( Brewer et al., 2000 , 2003

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Outcome Evaluation of the Canadian Centre for Activity and Aging’s Home Support Exercise Program for Frail Older Adults

C. Shanthi Jacob Johnson, Anita M. Myers, Lynn M. Scholey, Elizabeth V. Cyarto, and Nancy A. Ecclestone

The Home Support Exercise Program (HSEP) targets frail older adults. After a 4-hr training workshop, home-support workers (HSWs) encourage clients to do a simple, progressive set of 10 exercises during regular visits. Exercise compliance and functional performance were examined in 60 clients who received the HSEP, compared with 38 clients whose HSWs had not received HSEP training. Both groups were primarily female, average age 82, and many of them used walking aids. The 40 HSEP clients who continued with the program over 4 months showed good compliance and significant improvement on several indicators: timed up-and-go, sit-to-stand, 6-min walk, balance confidence, and well-being. Conversely, the comparison group declined on several measures. The findings support the effectiveness of the HSEP, as well as the importance of regular and ongoing support from HSWs for this population.

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Increasing the Energy Expenditure of Seated Activities in Older Adults with a Portable Elliptical Device

Nicholas L. Lerma, Ann M. Swartz, Taylor W. Rowley, Hotaka Maeda, and Scott J. Strath


The ill-health effects of sedentary behavior are becoming well-documented, yet older adults spend 70–80% of waking hours sedentary.


To determine if a portable elliptical device increases energy expenditure (EE) while performing popular seated activities.


Twenty older adults (68.1 ± 1.4 years) participated to compare the measured EE between seated rest and three randomized seated pedaling activities: computer use, reading, TV viewing. Each pedaling activity included 5-min of self-selected paced/no resistance (SSP) and externally paced/added resistance pedaling (Paced).


A significant increase in EE existed during SSP (+1.44 ± 0.12 kcal/min) and Paced (+2.19 ± 0.09 kcal/min) pedaling relative to Seated Rest (p < .001). EE during the Paced activities was significantly greater than all SSP activities (p <.01).


Extrapolating these results, pedaling at a SSP for an hour while performing seated activities is equivalent to the net EE of walking 1.6 miles. Future home-based effectiveness and feasibility should be explored.

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active@home: Investigating the Value of a Home Care Worker–Led Exercise Program for Older Adults With Complex Care Needs

Tim Henwood, Sharon Hetherington, Madeleine Purss, Kevin Rouse, Julie Morrow, and Michele Smith

a low risk of falling. Participation included a baseline and follow-up assessment and regular participation in an in-home exercise program for 18 weeks. Client eligibility was discussed by HCWs with the project manager, an accredited exercise physiologist experienced in working with older people

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Investigating the Physical Activity Behaviors of Canadian Adults Over Time: Multilevel Sex and Age Group Trajectories Across 2 Decades

Thomas A. Perks

physically “inactive,” 1.5–2.99 kcal as “moderately active,” and 3 or more kilocalories as “active.” 33 Scores above 3 are equivalent to walking, gardening, or doing home exercise for at least 1 hour per day. Statistical Analysis To examine the physical activity trajectories of Canadians over time

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A Multisegmental Approach to Dry Needling Plantar Fasciitis: A Case Study

Brian V. Hortz and Sue Falsone

fascial evaluation, and ROM restrictions demonstrated possible involvement. Management and Outcomes DN and a home exercise program were used to treat this patient. The DN intervention was beyond the local plantar fascia, incorporated locations up the posterior chain, and included 2 channels of electric

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Effects of Midfoot Joint Mobilization on Perceived Ankle–Foot Function in Chronic Ankle Instability: A Crossover Clinical Trial

Abbis Jaffri, John J. Fraser, Rachel M. Koldenhoven, and Jay Hertel

are important in the mediation of intrinsic factors that are important in pain, treatment compliance, and functional outcomes. Therefore, the purpose of this crossover clinical trial was to investigate the effects of midfoot joint mobilization and a 1-week home exercise program (HEP) compared with a