Recovery of the decline in activities of daily living after hospitalization through an individualized exercise programme: Secondary Analysis of a Randomized Clinical Trial

2021 ◽  
Author(s):  
Nicolás Martínez-Velilla ◽  
Mikel L Sáez de Asteasu ◽  
Robinson Ramírez-Vélez ◽  
Fabricio Zambom-Ferraresi ◽  
Antonio García-Hermoso ◽  
...  
Keyword(s):  
Exercise Training ◽  
Daily Living ◽  
Group Analysis ◽  
Intervention Group ◽  
Training Programme ◽  
Control Group ◽  
Bladder Control ◽  
Patient Profile ◽  
Climbing Stairs ◽  
Exercise Training Programme

Abstract Background During the period of hospitalization patients can develop functional decline. The main aim of our study was to assess the natural trajectory of each Activity of Daily Living (ADL) and to assess how in-hospital exercise could influence short-term trajectory of ADLs. Methods Acutely hospitalized patients (n=297, 56.5% women) were randomly assigned to the intervention or control (usual care) group within the first 48 hours of admission. An exercise training programme was prescribed in two daily sessions (morning and evening) of 20 minutes duration during 5–7 consecutive days for the intervention group. The primary end-point was the change in every ADL (assessed with the Barthel Index) from 2 weeks before admission to hospital discharge. Results Acute hospitalization per se led to significant in-patient’s functional ability impairment in ADLs during hospitalization, whereas the exercise intervention reversed this trend (3.7 points; 95% CI, 0.5 to 6.8 points). After analyzing the trajectory of each one of the ADLs, patients in the control group significantly worsened all activities, but with a different degree of loss. For the between-group analysis, significant differences were obtained in many ADLs including bathing, dressing, grooming, bladder control, toilet use, transfers, mobility and climbing stairs (p<0.05). The control group had the greatest impairment in all domains analyzed (i.e., feeding, bathing, dressing, grooming, bowel control, bladder control, toilet use, transfers, mobility, and climbing stairs), p<0.05. Conclusions An individualized multicomponent exercise training programme in older adults is effective to reverse the loss of specific ADLs that frequently occurs during hospitalization. Each patient profile should receive an individualized prescription of exercise during hospitalizations.

Exercise training increases arterial compliance in patients with congestive heart failure

2001 ◽  
Vol 102 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Melinda M. PARNELL ◽  
Diane P. HOLST ◽  
David M. KAYE
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Exercise Training ◽  
Arterial Compliance ◽  
Training Programme ◽  
Left Ventricular ◽  
Control Group ◽  
Exercise Training Programme

Systemic arterial compliance (SAC) makes an important contribution to cardiac afterload, and thus is a significant determinant of left ventricular work. Previous studies have suggested that arterial compliance may be reduced in patients with congestive heart failure (CHF), and that SAC is increased after a 4-week exercise training programme in healthy, sedentary individuals. The present study aimed to investigate the effects of an 8-week exercise training programme on arterial mechanical properties, left ventricular performance and quality of life in CHF patients. A total of 21 patients with NYHA class II or III CHF (mean±S.D. age 55±13 years) were randomly allocated to either an 8-week exercise training group or a ‘usual lifestyle’ control group. SAC, as determined non-invasively using applanation tonometry and Doppler aortic velocimetry, increased from 0.57±0.11 to 0.77±0.14 arbitrary compliance units (mean±S.E.M.; P = 0.01) in the exercise group, while no change occurred in the control group. Left ventricular structure and function was assessed by echocardiography, and these parameters were unchanged over the 8-week study period. Exercise training significantly increased exercise capacity, measured by a 6-min walking test (474±27 to 547±34 m; P = 0.008). Quality of life, as assessed using the Minnesota Living with Heart Failure Evaluation, demonstrated a decrease in heart failure symptoms from 46±7 to 24±5units (P = 0.01) following the exercise training programme. These data show that exercise training improves SAC in patients with CHF. The accompanying improvement in exercise capacity may be due, in part, to an improvement in arterial function.

Effectiveness of balance training programme in reducing the frequency of falling in established osteoporotic women: a randomized controlled trial

2016 ◽  
Vol 31 (2) ◽  
pp. 217-224 ◽  
Author(s):  
Ibolya Mikó ◽  
Imre Szerb ◽  
Anna Szerb ◽  
Gyula Poor
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Balance Training ◽  
Training Programme ◽  
Exercise Programme ◽  
Berg Balance Scale ◽  
Control Group ◽  
Timed Up And Go ◽  
Randomized Controlled

Objective: To investigate the effect of a 12-month sensomotor balance exercise programme on postural control and the frequency of falling in women with established osteoporosis. Design: Randomized controlled trial where the intervention group was assigned the 12-month Balance Training Programme and the control group did not undertake any intervention beyond regular osteoporosis treatment. Subjects: A total of 100 osteoporotic women – at least with one osteoporotic fracture – aged 65 years old and above. Main measures: Balance was assessed in static and dynamic posture both with performance-based measures of balance, such as the Berg Balance Scale and the Timed Up and Go Test, and with a stabilometric computerized platform. Interventions: Patients in the intervention group completed the 12-month sensomotor Balance Training Programme in an outpatient setting, guided by physical therapists, three times a week, for 30 minutes. Results: The Berg Balance Scale and the Timed Up and Go Test showed a statistically significant improvement of balance in the intervention group ( p = 0.001 and p = 0.005, respectively). Balance tests using the stabilometer also showed a statistically significant improvement in static and dynamic postural balance for osteoporotic women after the completion of the Balance Training Programme. As a consequence, the one-year exercise programme significantly decreased the number of falls in the exercise group compared with the control group. Conclusion: The Balance Training Programme significantly improved the balance parameters and reduced the number of falls in postmenopausal women who have already had at least one fracture in the past.

scholarly journals Modified Pro-Self Pain Control to Increase Activity in Patients with Colorectal Cancer

2017 ◽  
Vol 7 (1) ◽  
pp. 56
Author(s):  
Khoirunnisa’ Munawaroh ◽  
Untung Sujianto ◽  
Mardiyono Mardiyono
Keyword(s):  
Colorectal Cancer ◽  
Experimental Design ◽  
Activities Of Daily Living ◽  
Pain Control ◽  
Daily Living ◽  
Intervention Group ◽  
Control Group ◽  
Patients With Cancer ◽  
Katz Index ◽  
Significant Difference

Background: Barriers to performing activities of daily living are common complaints of patients with cancer. One of the factors causing these barriers is pain. A modified pro-self pain control is a method used to enhance the patients’ ability to cope with pain to increase their activity.Purpose: This study aimed to evaluate the modified pro-self pain control to increase activity in patients with colorectal cancer undergoing chemotherapy.Methods: The present study employed an experimental design. Patients with colorectal cancer undergoing chemotherapy were randomly assigned to the intervention group (n=24) and the control group (n=24). The patients in the control group were given a standard hospital intervention, while the patients in the intervention group were given the modified pro-self pain control for nine days. The data were collected using the instrument of KATZ index and analyzed using the independent t-test.Results: The result of this study showed that there was a higher increase of activity among the patients in the intervention group than in the control group. Independent t-test showed that there was a significant difference between the intervention group and the control group (p=0.00).Conclusion: The modified pro-self pain control was found more effective to increase the activity in patients with colorectal cancer undergoing chemotherapy than that of the standard hospital intervention. 

An exercise training programme for firemen

Ergonomics ◽  
1982 ◽  
Vol 25 (9) ◽  
pp. 793-800 ◽  
Author(s):  
By A. BROWN ◽  
J. E. COTES ◽  
I. L. MORTIMORE ◽  
J. W. REED
Keyword(s):  
Exercise Training ◽  
Training Programme ◽  
Exercise Training Programme

The effect of a supervised exercise training programme on sleep quality in recently discharged heart failure patients

2014 ◽  
Vol 14 (3) ◽  
pp. 198-205 ◽  
Author(s):  
Jessica M Suna ◽  
Alison Mudge ◽  
Ian Stewart ◽  
Louise Marquart ◽  
Peter O’Rourke ◽  
...  
Keyword(s):  
Heart Failure ◽  
Exercise Training ◽  
Sleep Quality ◽  
Training Programme ◽  
Heart Failure Patients ◽  
Supervised Exercise ◽  
Exercise Training Programme

scholarly journals The reach and adoption of a coach-led exercise training programme in community football

2013 ◽  
Vol 48 (8) ◽  
pp. 718-723 ◽  
Author(s):  
Caroline F Finch ◽  
Kathy Diamantopoulou ◽  
Dara M Twomey ◽  
Tim L A Doyle ◽  
David G Lloyd ◽  
...  
Keyword(s):  
Exercise Training ◽  
Training Programme ◽  
Exercise Training Programme

A 31-day time to surgery compliant exercise training programme improves aerobic health in the elderly

2016 ◽  
Vol 20 (6) ◽  
pp. 375-382 ◽  
Author(s):  
C. L. Boereboom ◽  
B. E. Phillips ◽  
J. P. Williams ◽  
J. N. Lund
Keyword(s):  
Exercise Training ◽  
The Elderly ◽  
Training Programme ◽  
Time To Surgery ◽  
Exercise Training Programme

scholarly journals Weight Reduction by the Low-Insulin-Method—A Randomized Controlled Trial

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3004
Author(s):  
Martin Röhling ◽  
Katharina Martin ◽  
Sabine Ellinger ◽  
Michael Schreiber ◽  
Stephan Martin ◽  
...  
Keyword(s):  
Weight Reduction ◽  
Controlled Trial ◽  
Fasting Blood Glucose ◽  
Group Analysis ◽  
Intervention Group ◽  
Eating Behaviour ◽  
Control Group ◽  
Insulin Levels ◽  
Overweight Or Obesity

Continuous high insulin levels are associated with weight gain and lead to cardiometabolic diseases. Therefore, we have developed the Low-Insulin-Method and integrated it into the multi-component, occupational healthcare program SHAPE-AND-MOTION-Medical-Accompanied-Slimming (SAMMAS) to reduce daily insulin levels for long-term weight reduction in overweight or obesity. Employees were randomized into a starting intervention group (SI, n = 15) or waiting list control group (WL, n = 15). SAMMAS consisted of group-based seminars, low-carbohydrate nutrition including formula diet, continuous glucose monitoring, telemetric monitoring, and telemedical coaching. Both groups received telemetric devices at baseline. Intention-to-treat analyses were performed after 12, 26, and 52 weeks. The estimated treatment difference in weight reduction after 12 weeks, which is the primary endpoint of the study, showed a pronounced effect in favour of SI (−6.3 kg with (95% confidence interval) (−7.4; −4.5) (p < 0.001)) after 12 weeks. Furthermore, SI improved fasting blood glucose, HbA1c, quality of life, fasting insulin, blood pressure, and eating behaviour (all p < 0.05) in the within-group analysis, while WL did not. After 26 and 52 weeks, weight reduction could be maintained in the whole group (both groups together) by −6.7 kg (−9.5; −3.8) (p < 0.001) and −6.1 kg (−9.2; −2.7) (p < 0.01). SAMMAS supports clinically relevant weight reduction and long-term weight loss maintenance in individuals with overweight or obesity.

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