Effect of Structured Cardio-Respiratory Fitness Protocol on Physical Function and Performance in Geriatric Patients: A Quasi Experimental Study

M.Premkumar, S. Kavitha, Aishwarya Nitin Sonwane, Thrishala Noronha
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Abstract

Background: Exercise interventions have emerged as a promising avenue for mitigating age-related declines, particularly in the context of physiological changes such as sarcopenia and muscle strength loss. A recent study utilizing the International Classification of Functioning, Disability, and Health (ICF) framework underscored declines in physical functioning among older adults. Geriatric individuals commonly undergo cardio-respiratory changes and experience a decrease in physical fitness. This study seeks to compare the effects of a structured cardio-respiratory fitness protocol with a conventional exercise program on physical function and performance in geriatric patients, with a specific focus on the impact of cardio-respiratory fitness on overall physical function. Methods: Employing a quasi-experimental pre-test post-test design spanning six months, two groups of participants aged 50 to 70, encompassing both genders and with a BMI between 20 and 30, was included. The experimental group adhered to the structured cardio-respiratory fitness protocol, while the control group received conventional physiotherapy. Measured parameters included heart rate (HR), respiratory rate (RR), peak expiratory flow rate (PEFR), and Borg scale ratings. Pre and post-treatment data underwent statistical analysis. Results: Both groups demonstrated improvements in HR, RR, PEFR, and Borg scale ratings post-intervention. Notably, the experimental group exhibited significantly greater improvements in these parameters compared to the control group (p < 0.05). Conclusion: The structured cardio-respiratory fitness protocol yielded a significant enhancement in physical function and performance among geriatric patients. Recommendations for future research involve incorporating larger sample sizes, extended intervention durations, and personalized approaches to maximize effectiveness. This study contributes valuable insights into the potential benefits of structured cardio-respiratory fitness interventions for augmenting geriatric physical function and overall quality of life.
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结构化心肺功能训练方案对老年患者身体功能和表现的影响:一项准实验研究
背景:运动干预已成为缓解与年龄有关的衰退的一个很有前景的途径,尤其是在肌肉疏松症和肌肉力量下降等生理变化的情况下。最近一项利用国际功能、残疾和健康分类(ICF)框架进行的研究强调了老年人身体功能的下降。老年人的心肺功能通常会发生变化,体能也会下降。本研究旨在比较结构化心肺功能训练方案与传统锻炼计划对老年患者身体功能和表现的影响,尤其关注心肺功能对整体身体功能的影响。研究方法采用为期 6 个月的准实验性前测后测设计,包括两组年龄在 50 岁至 70 岁之间、体重指数在 20 至 30 之间的男女参与者。实验组采用结构化心肺功能训练方案,对照组则接受常规物理治疗。测量参数包括心率(HR)、呼吸频率(RR)、呼气峰流速(PEFR)和博格量表评分。对治疗前后的数据进行了统计分析。结果显示干预后,两组患者的心率、呼吸频率、呼气峰流速和博格量表评分均有改善。值得注意的是,与对照组相比,实验组在这些参数上的改善幅度更大(P < 0.05)。结论结构化心肺功能训练方案显著提高了老年患者的身体功能和表现。对未来研究的建议包括纳入更大的样本量、延长干预持续时间和个性化方法,以最大限度地提高有效性。这项研究对结构化心肺健身干预在增强老年患者身体功能和整体生活质量方面的潜在益处提供了宝贵的见解。
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