Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000385
Weihong Zhang, L. Low, J. Gwynn, L. Clemson
This article describes the development process of the Safe Mobilisation Program to improve functional mobility and reduce fall risk in cognitively impaired older adults with gait disorders. We drew on a systematic review, informed by a theoretical paper and data collected during a feasibility study. Data collected were field notes of observation and participant feedback. Reflexive thematic analysis was undertaken. Home-based, one-on-one, low-intensity interventions are suitable designs. Key features of the tailored intervention to enhance participation include collaborative goal setting, individualized activities, rapport building, and carer training. Strategies targeting gait and cognitive deficits are integral to achieving optimal outcomes.
{"title":"Development of a Safe Mobilisation Program to Improve Functional Mobility and Reduce Fall Risk in Older Adults With Cognitive Impairment and Gait Disorders","authors":"Weihong Zhang, L. Low, J. Gwynn, L. Clemson","doi":"10.1097/TGR.0000000000000385","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000385","url":null,"abstract":"This article describes the development process of the Safe Mobilisation Program to improve functional mobility and reduce fall risk in cognitively impaired older adults with gait disorders. We drew on a systematic review, informed by a theoretical paper and data collected during a feasibility study. Data collected were field notes of observation and participant feedback. Reflexive thematic analysis was undertaken. Home-based, one-on-one, low-intensity interventions are suitable designs. Key features of the tailored intervention to enhance participation include collaborative goal setting, individualized activities, rapport building, and carer training. Strategies targeting gait and cognitive deficits are integral to achieving optimal outcomes.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"47 - 57"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48551327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000387
T. Umehara, A. Kaneguchi, Takahiro Yamasaki, A. Matsuura, N. Katayama, Wataru Kawakami, Daisuke Kuwahara, N. Kito, Masayuki Kakehashi
This study aimed to examine the interaction effect between the presence of heart failure and the degree of frailty on skeletal muscle mass index (SMI), handgrip strength, and 5 times sit-to-stand (5STS). This study revealed a significant interaction effect between the presence of heart failure and the degree of frailty on SMI, handgrip strength, and 5STS. The study results revealed that the combination of heart failure and frailty has synergistic negative effects on SMI and upper and lower limb muscle strength.
{"title":"Heart Failure and Frailty Have Synergistic Negative Effects on Skeletal Muscle Mass and Upper and Lower Limb Muscle Strength","authors":"T. Umehara, A. Kaneguchi, Takahiro Yamasaki, A. Matsuura, N. Katayama, Wataru Kawakami, Daisuke Kuwahara, N. Kito, Masayuki Kakehashi","doi":"10.1097/TGR.0000000000000387","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000387","url":null,"abstract":"This study aimed to examine the interaction effect between the presence of heart failure and the degree of frailty on skeletal muscle mass index (SMI), handgrip strength, and 5 times sit-to-stand (5STS). This study revealed a significant interaction effect between the presence of heart failure and the degree of frailty on SMI, handgrip strength, and 5STS. The study results revealed that the combination of heart failure and frailty has synergistic negative effects on SMI and upper and lower limb muscle strength.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"66 - 75"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46260873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000384
Mahyar Firouzi, Emma De Keersmaec, N. Lefeber, Stijn Roggeman, E. Joos, E. Kerckhofs, D. Beckwée, E. Swinnen
We compared changes in spatiotemporal gait parameters of 11 healthy older adults (mean age: 88.6 years) over 3 conditions of walking with the Honda Walking Assist (HWA), a hip-assistive exoskeleton. Differences in 14 gait parameters between (1) normal overground walking, (2) walking with a nonassisting HWA, and (3) optimally assisting HWA were analyzed using Friedman and Wilcoxon signed rank tests. Significant differences depending on type of assistance were found for 9 parameters. None persisted following Bonferroni corrections. Single-session individualized HWA assistance does not induce immediate changes in gait parameters. This does not contradict the potential of multiple training sessions with the HWA.
{"title":"Immediate Effects of the Honda Walking Assist on Spatiotemporal Gait Characteristics in Older Adults","authors":"Mahyar Firouzi, Emma De Keersmaec, N. Lefeber, Stijn Roggeman, E. Joos, E. Kerckhofs, D. Beckwée, E. Swinnen","doi":"10.1097/TGR.0000000000000384","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000384","url":null,"abstract":"We compared changes in spatiotemporal gait parameters of 11 healthy older adults (mean age: 88.6 years) over 3 conditions of walking with the Honda Walking Assist (HWA), a hip-assistive exoskeleton. Differences in 14 gait parameters between (1) normal overground walking, (2) walking with a nonassisting HWA, and (3) optimally assisting HWA were analyzed using Friedman and Wilcoxon signed rank tests. Significant differences depending on type of assistance were found for 9 parameters. None persisted following Bonferroni corrections. Single-session individualized HWA assistance does not induce immediate changes in gait parameters. This does not contradict the potential of multiple training sessions with the HWA.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"39 - 46"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46623542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000386
Demet Gözaçan Karabulut, M. Sertel, Eylem Tütün Yümin, A. Abit Kocaman, T. Tarsuslu
Objectives: The present research aimed to identify the difference between physical activity, physical performance, balance, fall risk, and exercise barriers in frail and nonfrail older adults. Methods: One hundred nineteen voluntary individuals older than 65 years and living in Kırıkkale were enrolled in the research. The Clinical Frailty Scale was employed to evaluate the frailty level of the individuals included in the study. In line with the data obtained after the evaluation, individuals were separated into 2 groups as frail and nonfrail individuals. Exercise barriers were evaluated with the Exercise Benefits/Barriers Scale (EBBS), physical activity level was evaluated with the Physical Activity Scale for the Elderly (PASE), lower extremity physical performance was assessed with the Short Physical Performance Battery (SPPB) test, and fall risk was assessed with the Self-Rated Fall Risk Questionnaire (FRQ). Results: Ninety-three of the individuals enrolled in the study were found to be nonfrail and 26 to be frail older adults. The mean age of the individuals in the nonfrail group was 70.36 ± 6.10 years, and the mean age of the individuals in the frail group was 76.53 ± 7.37 years. In the statistical analysis, the difference was revealed between the groups in terms of the exercise barriers subscore, EBBS total score, PASE leisure activity score, PASE total score, FRQ total score, and SPPB total result (P < .05). In the correlation analysis, there was a negative correlation between the frailty scale score and SPPB and a positive correlation between the frailty scale score and FRQ in nonfrail older adults (P < .05). However, there was a positive correlation between the frailty scale score and exercise barriers subscore, EBBS and FRQ total scores, and a negative correlation between the PASE leisure activities, work activities and PASE total score, and SPPB score in frail individuals (P < .05). Conclusions: Our results demonstrated that the physical activity levels of frail older adults were poorer, they had a higher fall risk, and their activity performance, including the lower extremity, was poorer than that of nonfrail older adults.
{"title":"Comparison of Physical Activity, Exercise Barriers, Physical Performance, and Fall Risks in Frail and Nonfrail Older Adults","authors":"Demet Gözaçan Karabulut, M. Sertel, Eylem Tütün Yümin, A. Abit Kocaman, T. Tarsuslu","doi":"10.1097/TGR.0000000000000386","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000386","url":null,"abstract":"Objectives: The present research aimed to identify the difference between physical activity, physical performance, balance, fall risk, and exercise barriers in frail and nonfrail older adults. Methods: One hundred nineteen voluntary individuals older than 65 years and living in Kırıkkale were enrolled in the research. The Clinical Frailty Scale was employed to evaluate the frailty level of the individuals included in the study. In line with the data obtained after the evaluation, individuals were separated into 2 groups as frail and nonfrail individuals. Exercise barriers were evaluated with the Exercise Benefits/Barriers Scale (EBBS), physical activity level was evaluated with the Physical Activity Scale for the Elderly (PASE), lower extremity physical performance was assessed with the Short Physical Performance Battery (SPPB) test, and fall risk was assessed with the Self-Rated Fall Risk Questionnaire (FRQ). Results: Ninety-three of the individuals enrolled in the study were found to be nonfrail and 26 to be frail older adults. The mean age of the individuals in the nonfrail group was 70.36 ± 6.10 years, and the mean age of the individuals in the frail group was 76.53 ± 7.37 years. In the statistical analysis, the difference was revealed between the groups in terms of the exercise barriers subscore, EBBS total score, PASE leisure activity score, PASE total score, FRQ total score, and SPPB total result (P < .05). In the correlation analysis, there was a negative correlation between the frailty scale score and SPPB and a positive correlation between the frailty scale score and FRQ in nonfrail older adults (P < .05). However, there was a positive correlation between the frailty scale score and exercise barriers subscore, EBBS and FRQ total scores, and a negative correlation between the PASE leisure activities, work activities and PASE total score, and SPPB score in frail individuals (P < .05). Conclusions: Our results demonstrated that the physical activity levels of frail older adults were poorer, they had a higher fall risk, and their activity performance, including the lower extremity, was poorer than that of nonfrail older adults.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"58 - 65"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48121218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000383
Anh Ha, S. Wilkins, R. Melrose, Cathy C. Lee
Background: In older adults, exercise is extremely important and has been demonstrated to improve physical health, cognition, and mood. However, attrition in exercise programs in general is high, with up to 50% of participants leaving in the first 3 to 6 months. Methods: A systematic review of PubMed and PsycINFO databases was conducted using PRISMA criteria assessing the association of baseline depression and/or posttraumatic stress disorder (PTSD) with attrition rates in older adult exercise programs. Results: Ten articles were identified that assessed baseline depression and attrition in older adult exercise programs. No studies assessed baseline PTSD as a risk for attrition. Attrition rate overall ranged from 19% to 38%, and depression at baseline was found to be significantly associated with higher attrition rates. Other factors associated with attrition included anxiety, lower life satisfaction, worse cognitive health, higher illness rating, shorter program duration, common illnesses, lower social support, male sex, single relationship status, and transportation dependence. Discussion: Depression at baseline was significantly related with increased attrition in older adult exercise programs. Screening and consideration of adjunctive mood treatment are recommended. Further study of PTSD as an attrition risk is recommended, particularly in veteran or other populations with greater base rates.
{"title":"Depression and PTSD as Predictors of Attrition in Older Adult Exercise Programs","authors":"Anh Ha, S. Wilkins, R. Melrose, Cathy C. Lee","doi":"10.1097/TGR.0000000000000383","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000383","url":null,"abstract":"Background: In older adults, exercise is extremely important and has been demonstrated to improve physical health, cognition, and mood. However, attrition in exercise programs in general is high, with up to 50% of participants leaving in the first 3 to 6 months. Methods: A systematic review of PubMed and PsycINFO databases was conducted using PRISMA criteria assessing the association of baseline depression and/or posttraumatic stress disorder (PTSD) with attrition rates in older adult exercise programs. Results: Ten articles were identified that assessed baseline depression and attrition in older adult exercise programs. No studies assessed baseline PTSD as a risk for attrition. Attrition rate overall ranged from 19% to 38%, and depression at baseline was found to be significantly associated with higher attrition rates. Other factors associated with attrition included anxiety, lower life satisfaction, worse cognitive health, higher illness rating, shorter program duration, common illnesses, lower social support, male sex, single relationship status, and transportation dependence. Discussion: Depression at baseline was significantly related with increased attrition in older adult exercise programs. Screening and consideration of adjunctive mood treatment are recommended. Further study of PTSD as an attrition risk is recommended, particularly in veteran or other populations with greater base rates.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"81 1-2","pages":"31 - 38"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41286435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TGR.0000000000000375
Tuğba Arslan, Emine Aslan Telci, S. Arslan
The purpose of this study was to investigate the effect of chair-based exercises on exercise perception, fall risk, and health-related quality of life in inactive older adults. The study was carried out on nursing home residents older than 65 years with an inactive lifestyle. The Exercise Benefits/Barriers Scale, Tinetti Assessment Battery, and Nottingham Health Profile were used in the assessments. The Exercise Benefits/Barriers Scale score and Tinetti Balance and Gait Test scores of the participants in the exercise group were higher than those of the control group. The study concluded that chair-based exercises are beneficial for sedentary older adults in respect of the perception of exercise and risk of falling.
{"title":"The Effect of Chair-Based Exercises on Exercise Perception and Risk of Falling in Inactive Older Adults Who Live at Nursing Home","authors":"Tuğba Arslan, Emine Aslan Telci, S. Arslan","doi":"10.1097/TGR.0000000000000375","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000375","url":null,"abstract":"The purpose of this study was to investigate the effect of chair-based exercises on exercise perception, fall risk, and health-related quality of life in inactive older adults. The study was carried out on nursing home residents older than 65 years with an inactive lifestyle. The Exercise Benefits/Barriers Scale, Tinetti Assessment Battery, and Nottingham Health Profile were used in the assessments. The Exercise Benefits/Barriers Scale score and Tinetti Balance and Gait Test scores of the participants in the exercise group were higher than those of the control group. The study concluded that chair-based exercises are beneficial for sedentary older adults in respect of the perception of exercise and risk of falling.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 1","pages":"2 - 11"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43701943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TGR.0000000000000372
Anna Ngoc Do, Diane L. Smith, K. Schoessow
Older adults from underrepresented racial and ethnic backgrounds and with low vision have independently been found to be at an increased risk of depression. This retrospective cross-sectional pilot study found that non-White older adults with low vision reported significantly more depressive symptoms than White older adults with low vision (P = .005). When controlling for diagnosis and functional impairment, the relationship was no longer significant. Older adults with low vision from underrepresented racial and ethnic groups may be more at risk for depression than White older adults with low vision, with comorbid visual conditions potentially contributing to this relationship.
{"title":"Examining the Relationship Between Race and Ethnicity and Depression in Older Adults With Low Vision","authors":"Anna Ngoc Do, Diane L. Smith, K. Schoessow","doi":"10.1097/TGR.0000000000000372","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000372","url":null,"abstract":"Older adults from underrepresented racial and ethnic backgrounds and with low vision have independently been found to be at an increased risk of depression. This retrospective cross-sectional pilot study found that non-White older adults with low vision reported significantly more depressive symptoms than White older adults with low vision (P = .005). When controlling for diagnosis and functional impairment, the relationship was no longer significant. Older adults with low vision from underrepresented racial and ethnic groups may be more at risk for depression than White older adults with low vision, with comorbid visual conditions potentially contributing to this relationship.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"254 - 260"},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48396056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/tgr.0000000000000373
Julie Nastasi, Kellye Corcoran, Crisel Divinagracia, Emily Erickson, Rachel Fernández, Jadriane Hernandez, Daniel Shuck, K. Wisner
Loneliness in older adults with visual impairment was explored to gain a better understanding of the phenomenon. A collective case study explored 3 participants' occupational performance histories, functional visual performance, and loneliness. Seven themes emerged: pride in employment; adaptation to visual impairment through devices and environmental modifications; engaging and participating in meaningful occupations; enjoying companionship; engaging and delegating home maintenance tasks appropriately; engaging in routines; and engaging in preventive care. A significant finding at P = .05 (r =−0.998) was found between the overall scores on the Revised Self-Report Assessment of Functional Visual Performance and the UCLA Loneliness Scale (Version 3) using Pearson's correlations. The findings support addressing loneliness in older adults with visual impairment as the levels of functional impairment correlate with loneliness.
{"title":"Loneliness in Older Adults With Visual Impairment","authors":"Julie Nastasi, Kellye Corcoran, Crisel Divinagracia, Emily Erickson, Rachel Fernández, Jadriane Hernandez, Daniel Shuck, K. Wisner","doi":"10.1097/tgr.0000000000000373","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000373","url":null,"abstract":"Loneliness in older adults with visual impairment was explored to gain a better understanding of the phenomenon. A collective case study explored 3 participants' occupational performance histories, functional visual performance, and loneliness. Seven themes emerged: pride in employment; adaptation to visual impairment through devices and environmental modifications; engaging and participating in meaningful occupations; enjoying companionship; engaging and delegating home maintenance tasks appropriately; engaging in routines; and engaging in preventive care. A significant finding at P = .05 (r =−0.998) was found between the overall scores on the Revised Self-Report Assessment of Functional Visual Performance and the UCLA Loneliness Scale (Version 3) using Pearson's correlations. The findings support addressing loneliness in older adults with visual impairment as the levels of functional impairment correlate with loneliness.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"261 - 269"},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46578442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01Epub Date: 2022-10-22DOI: 10.1097/TGR.0000000000000374
Zehra Aydoğan, Banu Baş, Songül Aksoy
This study was conducted with elderly individuals who had recovered from COVID-19 to investigate the effects of COVID-19 on balance, perception, attention, memory, and quality of life and produce rehabilitative solutions for these problems.
Material and method: A total of 45 volunteers older than 65 years who had not had COVID-19 were included in group 1. A total of 45 volunteers older than 65 years who had recovered from COVID-19 were included in group 2 (elderly people who have had COVID-19 at least 6 months ago). After obtaining the individuals' demographic data, we conducted vestibular assessment for balance and administered the Stroop test for attention, the Mini-Mental State Examination (MMSE), the digit span test for short-term memory, and a quality-of-life test.
Results: Mean age of the individuals who had had COVID-19 was 68.24 ± 3.32 years, and the mean age of the individuals who had not had COVID-19 was 68.55 ± 3.34 years. There were statistically significant correlations between the two groups for the Stroop test (P < .05), MMSE (P < .05), the digit span test for perception and attention (P < .05), and the vestibular assessment quality-of-life test (P < .01). Sensory (P < .001), past, present, and future activities (P < .05), social participation (P < .001), and death (P < .05) were found to be significant in the total score (P < .001). The covariance analysis of elderly individuals who had had COVID-19 revealed that they performed significantly worse on the balance, perception, attention, memory, and quality-of-life tests than elderly individuals who had not had COVID-19.
Conclusion: The negative effects of COVID-19 were found among elderly individuals older than 65 years. We suggest that telerehabilitation should be developed for elderly people who have recovered from COVID-19 and that its effects investigated.
{"title":"Investigation of the Effects of COVID-19 on Perception, Attention, Memory, Balance, and Quality of Life in the Elderly.","authors":"Zehra Aydoğan, Banu Baş, Songül Aksoy","doi":"10.1097/TGR.0000000000000374","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000374","url":null,"abstract":"<p><p>This study was conducted with elderly individuals who had recovered from COVID-19 to investigate the effects of COVID-19 on balance, perception, attention, memory, and quality of life and produce rehabilitative solutions for these problems.</p><p><strong>Material and method: </strong>A total of 45 volunteers older than 65 years who had not had COVID-19 were included in group 1. A total of 45 volunteers older than 65 years who had recovered from COVID-19 were included in group 2 (elderly people who have had COVID-19 at least 6 months ago). After obtaining the individuals' demographic data, we conducted vestibular assessment for balance and administered the Stroop test for attention, the Mini-Mental State Examination (MMSE), the digit span test for short-term memory, and a quality-of-life test.</p><p><strong>Results: </strong>Mean age of the individuals who had had COVID-19 was 68.24 ± 3.32 years, and the mean age of the individuals who had not had COVID-19 was 68.55 ± 3.34 years. There were statistically significant correlations between the two groups for the Stroop test (<i>P</i> < .05), MMSE (<i>P</i> < .05), the digit span test for perception and attention (<i>P</i> < .05), and the vestibular assessment quality-of-life test (<i>P</i> < .01). Sensory (<i>P</i> < .001), past, present, and future activities (<i>P</i> < .05), social participation (<i>P</i> < .001), and death (<i>P</i> < .05) were found to be significant in the total score (<i>P</i> < .001). The covariance analysis of elderly individuals who had had COVID-19 revealed that they performed significantly worse on the balance, perception, attention, memory, and quality-of-life tests than elderly individuals who had not had COVID-19.</p><p><strong>Conclusion: </strong>The negative effects of COVID-19 were found among elderly individuals older than 65 years. We suggest that telerehabilitation should be developed for elderly people who have recovered from COVID-19 and that its effects investigated.</p>","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 4","pages":"270-276"},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632758/pdf/tgere-38-270.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40688646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TGR.0000000000000377
A. Dadgari, Parvaneh Rahmani, Seyed mohammad Mirrezaie
Background and Purpose: One of the interventions that can be effective in preventing recurrence and readmission due to falls is the use of nursing discharge planning program. The aim of this study was to determine the effect of nursing discharge planning program in preventing recurrent falls and readmission in the elderly referred to the trauma center. Methods: The study was a parallel randomized controlled trial. The data were collected from hospital electronic data, patients' self-report, and injury severity scale. In this study, participants (n = 169) were divided into 2 groups using an Excel-generated random sequence. In the experimental group, a discharge planning program was applied. Individualized training with a booklet for the patient and his primary caregiver was conducted for 4 sessions; each session lasted 30 to 60 minutes. The participants were followed for 6 months. Results: The mean and standard deviation of the participants' age were 76 ± 10 years. Prior to implementation of the program, the participants in the control and intervention groups did not differ significantly in age, independence, cognitive status, and severity of the injury. Postimplementation of discharge planning program, a significant decrease in falls (P < .049), hospitalization readmission (P < .014), length of hospital stay (P < .018), and severity of injury (P < .00) were observed in the intervention group compared with the control group. Discussion and Conclusions: Participants in the discharge planning program experienced lower severity of injury in the subsequent episode of falls. In addition, subjects' readmission and hospital stay were shorter in the experimental group. Discharge planning program is recommended to be implemented in other age-related distributions.
{"title":"The Effect of Nursing Discharge Planning Program to Prevent Recurrent Falls, Readmission, and Length of Hospital Stay in the Aged Patients","authors":"A. Dadgari, Parvaneh Rahmani, Seyed mohammad Mirrezaie","doi":"10.1097/TGR.0000000000000377","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000377","url":null,"abstract":"Background and Purpose: One of the interventions that can be effective in preventing recurrence and readmission due to falls is the use of nursing discharge planning program. The aim of this study was to determine the effect of nursing discharge planning program in preventing recurrent falls and readmission in the elderly referred to the trauma center. Methods: The study was a parallel randomized controlled trial. The data were collected from hospital electronic data, patients' self-report, and injury severity scale. In this study, participants (n = 169) were divided into 2 groups using an Excel-generated random sequence. In the experimental group, a discharge planning program was applied. Individualized training with a booklet for the patient and his primary caregiver was conducted for 4 sessions; each session lasted 30 to 60 minutes. The participants were followed for 6 months. Results: The mean and standard deviation of the participants' age were 76 ± 10 years. Prior to implementation of the program, the participants in the control and intervention groups did not differ significantly in age, independence, cognitive status, and severity of the injury. Postimplementation of discharge planning program, a significant decrease in falls (P < .049), hospitalization readmission (P < .014), length of hospital stay (P < .018), and severity of injury (P < .00) were observed in the intervention group compared with the control group. Discussion and Conclusions: Participants in the discharge planning program experienced lower severity of injury in the subsequent episode of falls. In addition, subjects' readmission and hospital stay were shorter in the experimental group. Discharge planning program is recommended to be implemented in other age-related distributions.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"277 - 284"},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48264956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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