Application of two structured rehabilitation regimens in the frail octogenarians (over 85) with disturbances of daily-life functioning
Journal Title: Rehabilitacja Medyczna - Year 2006, Vol 10, Issue 2
Abstract
Background. Disturbances in functioning associated with performing simple tasks of daily living, especially in conjunction with a constant hazard of incidental falls, constitute major challenges any elderly population has to face.Aim. To assess the effects of two specifically structured physical rehabilitation regimens on enhancing individual functional capabilities and minimising the risk of incidental falls among the frail octogenarians (over 85).Material and methods. Duration of the study was 3 months (comprising two exercise sessions a week). Fifty subjects (mean age: 87 years) randomised into two groups: Group I – 25, Group II (controls) – 18. Group I was assigned an intensive rehabilitation regimen combining active exercises, multi-sensory training, instruction on performing safe postural shifts and rising effectively from falls, walking short distances; Group II – active exercises and multi-sensory training. Twenty five subjects in Group I and 18 subjects in Group II completed the study,. The Timed UP & GO and Tinetti (POMA) tests were applied respectively to assess individual mobility before and upon completion of the study. The results were subsequently processed, inter alia, with a non-parametric Wilcoxon test.Results. Statistically significant improvement was observed in Group I (p<0.05) in the Timed UP & GO test score (mean time 26.1 sec. vs. 20.9 sec.), as well as in the Tinetti (POMA) test (balance assessed before: 11.2 ±1.8 after 13.1 ±1.8, gait assessed before: 8.9 ±1.5; after 10.4 ±1.7), whereas the changes observed in Group II were not statistically significant.Conclusions. Structured rehabilitation regimen combining diverse active exercises, walking training, multi-sensory training, instruction on safe postural shifts and rising effectively from incidental falls is believed to significantly enhance individual functional capabilities in the frail octogenarians.
Authors and Affiliations
Marek Żak, Barbara Gryglewska
Keywords
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