The aim of this study was to assess the direct and indirect effects of a multicomponent exercise (MCE) program on mobility and balance in institutionalized older people. One hundred and twelve subjects (85 women; 83.0 years on average; SD = 7.5) were included in the study, and divided into a MCE-group (MCE-G) and a control group (CG) according to matching techniques. The MCE-G consisted of a 9-month program featuring range-of-motion, strength, and balance exercises performed in small groups. The CG received routine medical and nursing care. The timed up-and-go test and Tinetti Performance-Oriented Mobility Assessment balance subscale were administered at baseline and postintervention. After controlling for physical baseline value, age, sex, residential care facilities, and body mass index, the MCE-G showed positive effects both on mobility (p < .001) and balance (p = .001). The role of balance as mediator in the relationship between participation to the MCE program and mobility was demonstrated.
Anna Mulasso, Mattia Roppolo, Monica Emma Liubicich, Michele Settanni and Emanuela Rabaglietti
Nadja Schott and Maike Tietjens
in residential care facilities . International Journal of Aging and Human Development, 83 , 44 – 62 . PubMed ID: 27147680 doi:10.1177/0091415016645347 10.1177/0091415016645347 Graafmans , W.C. , Lips , P. , Wijlhuizen , G.J. , Pluijm , S.M. , & Bouter , L.M. ( 2003 ). Daily physical
Annette J. Raynor, Fiona Iredale, Robert Crowther, Jane White and Julie Dare
Regular physical activity has multiple benefits for older adults, including improved physical, cognitive, and psychosocial health. This exploratory study investigated the benefits of a 12-week exercise program for older adults (n = 11 control and n = 13 intervention) living in a residential aged care facility in Perth, Western Australia. The program, prescribed and delivered by an accredited exercise physiologist, aimed to maintain or improve participants’ physical capacity. It comprised one-on-one exercise sessions (1 hr × 2 days/week × 12 weeks), involving a components-approach intervention. Physical performance measures (balance, strength, flexibility, and mobility) were assessed preintervention and postintervention. Qualitative interviews postintervention with residents participating in the exercise intervention, and with family members, staff, and research team members, explored barriers and enablers to participation and perceived psychosocial outcomes. Findings indicate the program provided physical benefits and enhanced social engagement for participants, illustrating the value of providing exercise physiology services in the aged care sector.
Lorraine J. Phillips and Marcia Flesner
This qualitative study investigated individual and situational factors influencing physical activity (PA) practices of elders in residential-care/assisted-living (RC/ AL) communities. This article describes the results of focus-group interviews involving 47 residents across 6 RC/AL settings. Thematic analysis revealed 6 themes: staying active, past PA experiences, value of PA, barriers to PA, strategies to facilitate PA, and support needs to promote PA. Staying active meant walking indoors and out, attending chair-exercise programs, performing professionally prescribed home exercises, and using available exercise equipment. Past PA experiences shaped current preferences and practices. Participants agreed that exercise helped maintain physical functioning but recounted cognitive and situational barriers to PA. Lack of dedicated exercise space and short corridors hampered efforts to stay active. Participants wished for individualized home exercise programs and supervised exercise sessions. Future research should examine the extent to which the physical environment and PA programming in RC/AL communities affect elders’ PA.
Debra J. Rose
In recent years, a number of research investigations have been conducted in an effort to determine whether declining balance and mobility among older adults can be reversed or at least slowed. Unfortunately, the results of a number of these studies have not yielded positive outcomes. Three reasons are forwarded to account for these unsuccessful outcomes: the lack of a contemporary theory-based approach to the problem, the failure to use multiple and diverse measures of balance and mobility, and the failure to design multidimensional interventions that target the actual source(s) of the balance or mobility-related impairments. A model fall-risk-reduction program designed to address each of the shortcomings associated with previous research findings is presented. The program is group based and suitable for implementation in community-based and residential care facilities.
Helena Kosmat and Andrea Vranic
This research investigates the efficacy of a dance intervention of moderate length (10 weeks, 45 min/week) on a sample of old-old adults living in a residential care setting. The study focused on the effect of the intervention on aspects of cognitive functioning (short-term memory, executive functioning). In addition, changes in general self-efficacy and life satisfaction were investigated. Twenty-four older adults (mean age M = 80.8), with no cognitive impairments, participated in the study. Participants were randomly assigned to two programs: the experimental group attended the dance intervention, while the active control group was involved in an alternative (nondance) program. A pretest, posttest, and follow-up measurement was conducted. A 2 × 3 mixed design ANOVA revealed benefits in short-term memory and executive functioning for the trained group, but not for the active control, and this benefit was maintained at the 5 months follow-up. These results suggest that training procedures, based on dance, could improve cognitive functioning in the old-old.
Salih A. Salih, Nancye M. Peel, Di Enright and Wendy Marshall
older persons discharged from hospital to the community. The Transitional Care Program (TCP) is a slow rehabilitation, goal-oriented, time-limited, and community-based national program aiming to help older people on discharge from hospital to return home rather than prematurely enter residential care
Silvia Varela, José M. Cancela, Manuel Seijo-Martinez and Carlos Ayán
University of Vigo (Spain) and “Geriatros S.A.,” a company for the management of residential-care homes for older adults. Individuals with the following criteria were included: (a) age over 65 years, (b) absence of clinical diagnosis of dementia, (c) Mini-Examen Cognoscitivo (MEC) score >24 ( Lobo et
Cecilie Thøgersen-Ntoumani, Anthony Papathomas, Jonathan Foster, Eleanor Quested and Nikos Ntoumanis
living Retired (home nursing caregiver) None 5 Male 66 Significant other Married Independent living Retired (manager motor tradesman) None 6 Female 89 Significant other—forgets names Married Residential care village Retired (school teacher) Social ballroom dancing between age 17 and 70 7 Male 93
Dietrich Rothenbacher, Dhayana Dallmeier, Michael D. Denkinger, Bernhard O. Boehm, Wolfgang Koenig, Jochen Klenk and ActiFE Study Group
Population The ActiFE Ulm (Activity and Function in the Elderly in Ulm) study is a population-based cohort study in older adults aged 65 years or older, randomly selected in Ulm and adjacent regions in Southern Germany. The exclusion criteria included being in residential care, severe deficits in cognition