Pilot feasibility study of a home‐based fall prevention exercise program ( StandingTall ) delivered through a tablet computer (iPad) in older people with dementia

2019 ◽  
Vol 39 (3) ◽  
Author(s):  
Morag E. Taylor ◽  
Jacqueline C. T. Close ◽  
Stephen R. Lord ◽  
Susan E. Kurrle ◽  
Lyndell Webster ◽  
...  
Keyword(s):  
Older People ◽  
Feasibility Study ◽  
Fall Prevention ◽  
Exercise Program ◽  
Tablet Computer ◽  
People With Dementia ◽  
Home Based ◽  
Pilot Feasibility Study

A home-based, carer-enhanced exercise program improves balance and falls efficacy in community-dwelling older people with dementia

2016 ◽  
Vol 29 (1) ◽  
pp. 81-91 ◽  
Author(s):  
Morag E. Taylor ◽  
Stephen R. Lord ◽  
Henry Brodaty ◽  
Susan E. Kurrle ◽  
Sarah Hamilton ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Exercise Program ◽  
Community Dwelling ◽  
Future Research ◽  
Exercise Interventions ◽  
People With Dementia ◽  
Home Based ◽  
Increased Risk ◽  
Community Dwelling Older People

ABSTRACTBackground:Older people with dementia are at increased risk of physical decline and falls. Balance and mood are significant predictors of falls in this population. The aim of this study was to determine the effect of a tailored home-based exercise program in community-dwelling older people with dementia.Methods:Forty-two participants with mild to moderate dementia were recruited from routine health services. All participants were offered a six-month home-based, carer-enhanced, progressive, and individually tailored exercise program. Physical activity, quality of life, physical, and psychological assessments were administered at the beginning and end of the trial.Results:Of 33 participants (78.6%) who completed the six-month reassessment ten (30%) reported falls and six (18%) multiple falls during the follow-up period. At reassessment, participants had better balance (sway on floor and foam), reduced concern about falls, increased planned physical activity, but worse knee extension strength and no change in depression scores. The average adherence to the prescribed exercise sessions was 45% and 22 participants (52%) were still exercising at trial completion. Those who adhered to ≥70% of prescribed sessions had significantly better balance at reassessment compared with those who adhered to <70% of sessions.Conclusions:This trial of a tailored home-based exercise intervention presents preliminary evidence that this intervention can improve balance, concern about falls, and planned physical activity in community-dwelling older people with dementia. Future research should determine whether exercise interventions are effective in reducing falls and elucidate strategies for enhancing uptake and adherence in this population.

Designing an app for home-based enriched Music-supported Therapy in the rehabilitation of patients with chronic stroke: a pilot feasibility study

Brain Injury ◽  
2021 ◽  
pp. 1-13
Author(s):  
Emma Segura ◽  
Jennifer Grau-Sánchez ◽  
David Sanchez-Pinsach ◽  
Myriam De la Cruz ◽  
Esther Duarte ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Chronic Stroke ◽  
Home Based ◽  
Pilot Feasibility Study

scholarly journals Supporting people with dementia and their family caregivers through a home‐based, dyadic, multisensory stimulation intervention: A feasibility study

2020 ◽  
Vol 16 (S7) ◽  
Author(s):  
Patrick Pui Kin Kor ◽  
Clare Yu ◽  
Justina Yat Wa Liu ◽  
Daphne Sze Ki Cheung ◽  
Rick Yiu Cho Kwan ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Feasibility Study ◽  
Multisensory Stimulation ◽  
People With Dementia ◽  
Home Based

scholarly journals Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: "While it's tough, it's useful"

PLoS ONE ◽  
2017 ◽  
Vol 12 (11) ◽  
pp. e0188225 ◽  
Author(s):  
Nina Lindelöf ◽  
Lillemor Lundin-Olsson ◽  
Dawn A. Skelton ◽  
Berit Lundman ◽  
Erik Rosendahl
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
High Intensity ◽  
Exercise Program ◽  
People With Dementia ◽  
Functional Exercise

Older People’s Perceptions of a Multifaceted Podiatric Medical Intervention to Prevent Falls

2013 ◽  
Vol 103 (6) ◽  
pp. 457-464 ◽  
Author(s):  
Hylton B. Menz ◽  
Martin J. Spink ◽  
Karl B. Landorf ◽  
Keith D. Hill ◽  
Stephen R. Lord
Keyword(s):  
Older People ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Program ◽  
Medical Intervention ◽  
Difficulty Level ◽  
Foot And Ankle ◽  
Home Based ◽  
Degree Of Satisfaction ◽  
Ankle Strength

Background: Falls are common in older people and are associated with substantial health-care costs. A recent randomized controlled trial of a multifaceted podiatric medical intervention demonstrated a 36% reduction in the fall rate over 12 months. We evaluated the acceptability of and levels of satisfaction with this intervention in the older people who participated in the trial. Methods: Participants allocated to the intervention group (which included a home-based program of foot and ankle exercises, assistance with the purchase of safe footwear when necessary, and provision of prefabricated foot orthoses) completed a structured questionnaire 6 months after they had received the intervention. The questions addressed participants’ perceptions of their balance and foot and ankle strength, the perceived difficulty of the exercise program, and the degree of satisfaction with the footwear and orthoses provided. Results: Of 153 participants, 134 (87.6%) attended the 6-month follow-up assessment and completed the questionnaire. Most participants perceived improvements in balance (62.7%) and foot and ankle strength (74.6%) after 6 months of performing the exercises, and 86.6% considered the difficulty level of the exercises to be “about right.” Most participants reported that they were somewhat or very satisfied with the footwear (92.3%) and orthoses (81.6%) provided. Conclusions: The multifaceted podiatric medical intervention used in this trial was generally perceived to be beneficial and demonstrated high levels of satisfaction among participants. Further research is now required to evaluate the feasibility of implementing the intervention in a range of clinical practice settings. (J Am Podiatr Med Assoc 103(6): 457–464, 2013)

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