Intervention Study on Program Development of the Exercise Adherence for the Elderly of Musculoskeletal Ambulation Disability Symptom Complex

2.50
Hdl Handle:
http://hdl.handle.net/10755/335043
Category:
Full-text
Type:
Presentation
Title:
Intervention Study on Program Development of the Exercise Adherence for the Elderly of Musculoskeletal Ambulation Disability Symptom Complex
Other Titles:
EBP Applied to Chronic Conditions
Author(s):
Fukuroku, Keiko
Lead Author STTI Affiliation:
Non-member
Author Details:
Keiko Fukuroku, RN, PhD, fukuroku@nurse.medic.mie-u.ac.jp
Abstract:
Session presented on Saturday, July 26, 2014: OBJECTIVE: This study evaluate the effectiveness of this intervention program that home exercise adherence for fall prevention. The first is comparison of activities of daily living (ADL) and physical measured value between pre and post intervention in both groups. The second evaluate of feedback effect of change in gait by motion analyzer. DESIGN 54 subjects recruited from female 65 years of age or older patients with Musculoskeletal Ambulation Disability Symptom Complex (MADS) under treatment at the orthopedic clinic. We provided the home exercise to improve the ability to trunk balance, range of motion in the ankle joint, toe grip force, back muscle strength for them, and instructed them specific guidance on exercise to continue every day for 6 months. We have analyzed 27 subjects who had continued exercise more than 5 days a week. The number of subjects of intervention group is 17, and the control group is 10.In both groups, we conducted the physical measured value and gait analysis between pre and post intervention. Only intervention group, the subjects have interviewed about implementation status once a month by nurse.The questionnaire response of 13 ADL item, 3 physical measured value (5m fast walking, timed up and go (TUG), balance on one-leg standing with vision), 6 gait measurement item by motion analyzer were compared between pre and post intervention. The physical measurements was analyzed that within-group comparison with t-test, and comparison between group with paired t-test (p<0.05). RESULTS: 1. Comparison of physical measured value It showed significant differences improvement of the measurement value in 5m fast-walking and TUG in the intervention group between pre and post intervention in the intervention group. The measured value of range of motion in the ankle joint in the intervention group was significant improvement compared to the control group. The high improvement rate of the measured value of each was gait cycle (65%), toe-up (53%), heel-up (41%) in the intervention group, although there were no significant differences in the measured value of gait analysis in both groups. 2. Comparison of ADL The high improvement rate of the measured value of each was up stairs (35%), down stairs (47%), uphill (41%) in the intervention group, and both were higher than the control group. In the intervention group, the account for 40% or more subjects who were aware of improvement in 'down stairs' in the high improvement rate items (gait cycle, toe-up, heel-up). CONCLUSIONS: There were no significant differences in amount of gait data change between pre and post intervention. However, in the intervention group, it was high improvement rate in self-awareness of ADL, and measured value of intervention group was high compared with control group. It suggests a possible beneficial effect of feedback of change in gait by motion analyzer. As a consequence, it showed significant differences in 5m fast-walking and TUG in the intervention group between pre and post intervention. We will examine effective feedback by motion analyzer more closely in the future.
Keywords:
elderly; Intervention study; exercise adherence
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14H14
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleIntervention Study on Program Development of the Exercise Adherence for the Elderly of Musculoskeletal Ambulation Disability Symptom Complexen
dc.title.alternativeEBP Applied to Chronic Conditionsen
dc.contributor.authorFukuroku, Keikoen
dc.contributor.departmentNon-memberen
dc.author.detailsKeiko Fukuroku, RN, PhD, fukuroku@nurse.medic.mie-u.ac.jpen
dc.identifier.urihttp://hdl.handle.net/10755/335043-
dc.description.abstractSession presented on Saturday, July 26, 2014: OBJECTIVE: This study evaluate the effectiveness of this intervention program that home exercise adherence for fall prevention. The first is comparison of activities of daily living (ADL) and physical measured value between pre and post intervention in both groups. The second evaluate of feedback effect of change in gait by motion analyzer. DESIGN 54 subjects recruited from female 65 years of age or older patients with Musculoskeletal Ambulation Disability Symptom Complex (MADS) under treatment at the orthopedic clinic. We provided the home exercise to improve the ability to trunk balance, range of motion in the ankle joint, toe grip force, back muscle strength for them, and instructed them specific guidance on exercise to continue every day for 6 months. We have analyzed 27 subjects who had continued exercise more than 5 days a week. The number of subjects of intervention group is 17, and the control group is 10.In both groups, we conducted the physical measured value and gait analysis between pre and post intervention. Only intervention group, the subjects have interviewed about implementation status once a month by nurse.The questionnaire response of 13 ADL item, 3 physical measured value (5m fast walking, timed up and go (TUG), balance on one-leg standing with vision), 6 gait measurement item by motion analyzer were compared between pre and post intervention. The physical measurements was analyzed that within-group comparison with t-test, and comparison between group with paired t-test (p<0.05). RESULTS: 1. Comparison of physical measured value It showed significant differences improvement of the measurement value in 5m fast-walking and TUG in the intervention group between pre and post intervention in the intervention group. The measured value of range of motion in the ankle joint in the intervention group was significant improvement compared to the control group. The high improvement rate of the measured value of each was gait cycle (65%), toe-up (53%), heel-up (41%) in the intervention group, although there were no significant differences in the measured value of gait analysis in both groups. 2. Comparison of ADL The high improvement rate of the measured value of each was up stairs (35%), down stairs (47%), uphill (41%) in the intervention group, and both were higher than the control group. In the intervention group, the account for 40% or more subjects who were aware of improvement in 'down stairs' in the high improvement rate items (gait cycle, toe-up, heel-up). CONCLUSIONS: There were no significant differences in amount of gait data change between pre and post intervention. However, in the intervention group, it was high improvement rate in self-awareness of ADL, and measured value of intervention group was high compared with control group. It suggests a possible beneficial effect of feedback of change in gait by motion analyzer. As a consequence, it showed significant differences in 5m fast-walking and TUG in the intervention group between pre and post intervention. We will examine effective feedback by motion analyzer more closely in the future.en
dc.subjectelderlyen
dc.subjectIntervention studyen
dc.subjectexercise adherenceen
dc.date.available2014-11-17T13:42:44Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:42:44Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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