Physical Exercise Programme on Fall Prevention using Technological Interface: Pre-test Study (Preprint)

2020 ◽  
Author(s):  
Nilza Nogueira ◽  
Fátima Araújo ◽  
Joana Silva ◽  
Joana Lopes ◽  
Isabel Nogueira ◽  
...  

BACKGROUND Prevention of falls among the elderly has boosted the development of technological solutions, requiring testing in clinical contexts and robust studies that need prior validation of procedures and data collection tools. OBJECTIVE This pre-test sought to i) test the data collection tool and its application; ii) test the application of functional tests; iii) train the researchers; iv) test the usability of the FallSensing Games application by the elderly in a community setting METHODS The pre-test was carried out on a sample of eleven elderly participants attending a day care centre. Several tests (30-Second Chair Stand Test; Timed-Up and Go Test and 4 Stage Balance Test) were applied to assess functional capacity and the risk of fall. Physical exercise sessions were held using the interactive game FallSensing Games. RESULTS The pre-test was conducted on a sample of 11 participants with a mean age of 75.08 (SD=3.80) years, mostly female (90.9%) and with low schooling (3-6 years) (90.9%). Clinically, the results show a group of elderly people with comorbidities who portray the epidemiological profile of chronic disease, with high expressiveness of HBP, osteoarticular disease and urinary incontinence. In this sample, despite the high prevalence of osteoarticular disease, only two elderly people used walking aids. The cognitive evaluation of the participants through the Mini Mental State Examination (MMSE), showed results with an average score of 25.64 (SD=3.5). The functional capacity assessed using the Lawton & Brody scale (overall score varying between 0-23, with lower scores reflecting worse capacity to carry out activities), showed impairment in different instrumental activities of daily living (average score =14.27). CONCLUSIONS The present study was conducted as a pre-test of a future pilot study, to identify the weaknesses of the data collection tool, to test the application of functional tests and a physical exercise programme (using technology), to train procedures and to standardise the "modus operandi" of data collection. The data collection tool has proven to enable a clear interpretation, however, its structure needed small readjustments to facilitate the data collection process. Despite the length of the questionnaire, its implement took an average of 21 minutes. For the assessment of the prevalence of fear of falling, the need to add a question was identified, to clarify whether or not the participant was afraid of falling. The performance of functional tests by the participants, under the guidance and the presence of rehabilitation nurses, proved to be favourable to enhance their self-confidence. As aforementioned, the use of the technology, both in the data collection phase and in the execution of the exercise session, led to adjustments to its implementation. The interactive games were well accepted by the participants, and the physical exercises allowed data collection on the functionality of the elderly, such as the number of repetitions in the tests, the range of movement (angle), the duration of the movements and the execution of each cycle. The fact that the games were played in groups enabled to develop a spirit of competitiveness among the participants, in the search for a better score in the games, which can be interpreted as a positive aspect. Despite the pre-test results, this study aims to contribute to the practice of professionals in clinical and research contexts, given the scarcity of information on this relevant stage in experimental/quasi-experimental studies.

2015 ◽  
Vol 36 (1) ◽  
pp. 14-20 ◽  
Author(s):  
Ana Cláudia Fuhrmann ◽  
Carla Cristiane Becker Kottwitz Bierhals ◽  
Naiana Oliveira dos Santos ◽  
Lisiane Manganelli Girardi Paskulin

The aim of this study was to characterize dependent elderly people and their main family caregivers and the association between functional capacity of the elderly and the burden of caregivers. This cross-sectional study was conducted with 112 elderly people and caregivers connected to a primary care service in Porto Alegre, Brazil. The applied instruments related to care and socioeconomic variables were Physical and Instrumental Activities of Daily Living (PADL and IADL) and the Burden Interview. The Spearman correlation coefficient was also used. Average age of the elderly individuals in this study was 81.41 years, while the average score for PADL was 10.36 and 6.25 for IADL. Of the 112 elderly individuals, 71.4% had severe dependence. Among caregivers, 75% were women, 61.6% were the sons or daughters with an average age of 57.98 and an average burden of 29.53, which is equivalent to moderate burden. Results revealed a significant correlation between functional capacity of the elderly and caregiver burden. It was verified that the higher the dependence of elderly people, the greater the burden of caregivers.


2020 ◽  
Author(s):  
Jorge Luiz Andrade Da Silva Júnior ◽  
Daiana Biduski ◽  
Ericles Andrei Bellei ◽  
Osvaldo Henrique Cemin Becker ◽  
Luciane Daroit ◽  
...  

BACKGROUND Elderly people often do not meet the recommended levels of exercise required to reduce functional decline. Social interaction is mentioned by these people as a reason for joining group-based exercises, which does not occur when exercising alone. In this perspective, exergames can be used as a motivational resource. However, most of the exergames available are generic and obtained from commercial sources, usually not specifically designed or adapted for the elderly. OBJECTIVE First, we intended to co-design and develop a new exergame alongside elderly participants to tailor the game mechanics and optimize their adherence and enjoyment for exercise. Afterward, we tested the participant's functional capacity, motivation, and adherence to the exergaming program while comparing these scores between those who played alone and those who played with peers. METHODS We conducted a co-design process to develop a new exergame adapted to the elderly. For user testing, 23 participants were divided into two groups to play individually (Alone Group) or competing in pairs (With Peers Group). They played the game twice a week, resulting in 21 exergaming sessions. We assessed the participants’ General Physical Fitness Index before and after the intervention. We also applied questionnaires about the gaming experience and exercise adherence with its motivators and barriers. RESULTS We introduced a new bowling exergame for Xbox with a Kinect motion sensor that can be played in a single or multi-player mode. After the exergaming sessions, both groups showed a statistically significant improvement in functional capacity. Participants recognized the benefits and expressed enthusiasm towards the exergame. Considering adherence to physical exercise, both groups had improvements and showed interest in playing together. Still, when analyzing the post-test between groups, the With Peers Group had better outcomes than the Alone Group. CONCLUSIONS The findings suggest that the developed exergame is effective in improving functional capacity and adherence to physical exercise of the elderly, with even better results for those who played with peers. Besides leading to more appropriate products, a co-design approach may positively influence the motivation and adherence of participants to elicit better health outcomes. CLINICALTRIAL


2019 ◽  
Vol 8 (1) ◽  
pp. 18
Author(s):  
Ilham Wardi ◽  
Nelfia Adi

The purpose of this study was to obtain information about student discipline development by teachers at SMK Negeri 1 Gunung Tuleh, West Pasaman Regency as seen from 1) student disciplinary guidance by teachers through discipline, 2) student discipline development by teachers through exemplary governance, 3) coaching student discipline by the teacher through guidance, 4) student discipline development by the teacher through punishment, 5) student discipline development by the teacher through supervision.This study was a descriptive study. The total population in this study was 236 people. Samples were taken with Simple Random Samplingtechniquewith 70 people. The data collection tool used is a Likert scale model questionnaire with 5 alternative answers Questionnaires have been tested for validity and reliability. Data were analyzed using the average formula.The results of the study show that: 1) student discipline development by teachers through discipline is stated to be good with an average score of 3.69, 2) student discipline development by teachers through exemplary governance is stated to be quite good with an average score of 3.52, 3) student disciplinary guidance by the teacher through guidance expressed either with an average score of 3.65, 4) student discipline development by the teacher through punishment expressed both with an average score of 3.75, 5) student discipline development by the teacher through supervision expressed well with an average score 3.75. Overall, Student Discipline Development by Teachers at SMK Negeri 1 Gunung Tuleh, West Pasaman Regency is 3, 76 in the good category. This indicates that the discipline of student discipline by teachers at SMK Negeri 1 Gunung Tuleh, West Pasaman Regency is good, but it still needs to be maintained and improved again so that it increases in the excellent category.


Author(s):  
Karina Amalia

The COVID-19 vaccination aims to reduce the transmission of COVID-19, reduce morbidity and mortality due to COVID-19, achieve herd immunity, and protect the community from COVID-19 to remain socially and economically productive. UPTD Puskesmas Bogor Tengah has entered the Covid-19 vaccine service targeting the elderly from March 30 to April 10, 2021, but the coverage is still low. Coordination with cross-sectors, RT, and RW administrators has been carried out and the result is that there are no more elderly people in the area who are willing to be vaccinated. The purpose of this study was to know the effectiveness of the knock the door strategy in increasing the achievement of Covid 19 vaccination for the elderly at UPTD Puskesmas Bogor Tengah. The method used is the descriptive method. This study was used to interview and documentation for data collection. Data analysis using qualitative analysis. The results of the study showed an increase in achievement from previously no more elderly people who were willing to be vaccinated, after conducted a knock the door strategy the achievement increased. It can be concluded that efforts to increase the coverage of the Covid 19 vaccine for the elderly require a special communication strategy and approach because the elderly have different characteristics in receiving information. The door-knocking strategy is quite effective in increasing the Covid 19 vaccination achievement for the elderly at the UPTD Puskesmas Bogor Tengah.


2020 ◽  
Author(s):  
pouran raeissi ◽  
mohammad salimi ◽  
Seyed-Masoud Hashemi ◽  
nahid Reisi ◽  
seyed ahmad ahmadi

Abstract Background: Terminally illnesses such as cancer, AIDS, dementia, and advanced heart disease will require special supportive and palliative care, although a few numbers of these patients are provided with these services.Objective: The present study was conducted aiming to perform a comparative study of supportive-palliative care provision in selected countries.Methods: This research was a descriptive-comparative study that its research population was the frameworks of palliative and supportive care provision in Egypt, Turkey, America, Australia, Canada, the Netherlands, and China. These frameworks were compared across 6 dimensions of service receivers, financing, providers, service provider centers, type of services provided and training. Data collection tool has included checklist and information sources, documents, evidence, articles, books and journals collected through the internet and organizations related to the health information of selected countries and by library search. Data was investigated and analyzed using data collection tool and checklists.Findings: The findings showed that the developed countries having decentralized trusteeship structure had a more favorable status in palliative and supportive care provision. The type of services provided was a combination of mental, psychological, social, spiritual, financial, and physical and communication services. Provider centers included hospital, the elderly, and cancer, and charity centers.Conclusion: Regarding the investigation and recognition of the status of supportive-palliative care provision, it was observed that the provision of these services was a concern of the selected countries, but they did not have a defined model or pattern to provide these services. Therefore, it is suggested that each country takes a step to redesign and define frameworks and structures in the evolution of supportive-palliative cares in accordance with the particular conditions, indigenous culture, religion and other effective cases of that country and pays special attention to the role and position of supportive-palliative cares.


2020 ◽  
Vol 15 (3) ◽  
pp. 348
Author(s):  
Ragilia Indah Lutfiana

Fitness center / gymnasium is one of the sports favored by the public because in the fitness center has a range of tools and facilities that have been designed so that it can be used as a tool for physical exercise that right. So the longer the gymnasium has also become a necessity for people, Necessity (need) here are divided into two categories, felt or perceived (subject assessment) and evaluated (clinical diagnosis).This study uses a quantitative approach. While the survey research techniques are activities taking samples from a population and using questionnaires as the main data collection tool to understand the needs of students related Airlangga University gymnasium. The results of the study that students need a gymnasium facilities are only accessible by only academy person and in which there is a pool and a cafeteria. This may indicate that students are given follow the advice of doctors to perform the sport swim and is in accordance with the desired exercise by students.


Author(s):  
Gabriela Furst Vaccarezza ◽  
Raissa Lopes Fuga ◽  
Stephanie Regiane Prata Ferreira

Introduction: The Brazilian population has been aging rapidly since the early 1960s, when the age structure of the population began to change. In 1996, only 5% of the population was 60 years old or more, while today they are 9% of the population. Objective: The objective of this study is to assess oral health conditions of the elderly who live in Vila dos Idosos, collecting information about their condition of life, and trying to correlate how much oral health can compromise the quality of life and autonomy of these elderly people. Methods: Data collection was carried out through questionnaires and clinical examination; elderly people over 60 years old, of both sexes, were interviewed. All interviews were conducted in the Vila dos Idosos itself. Results: The results show that tooth loss or the use of inadequate prostheses has negative impacts on quality of life, especially with regard to worry, stress resulting from problems in the mouth and shame. It was obtained in the research that, in general, oral health in the elderly is fragile, requiring greater attention from health professionals; however, when self-perceived oral health is analyzed, the vast majority assess it as very good or good. Conclusion: The most important finding of the study was that, although the data obtained indicate a fragile oral health that reveals a commitment to quality of life, the vast majority of the elderly evaluated their own health positively. This may indicate that, for this population, health oral health is dissociated from health.


10.3823/2314 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Karoline De Lima Alves ◽  
Mônica Rocha Rodrigues Alves ◽  
Célia Maria Cartaxo Pires de Sá ◽  
José Alves Xavier Junior ◽  
Kilma Da Cunha Barros ◽  
...  

The natural aging process accelerate the appearance and the installation of diseases and symptoms characteristic of the age in which the physical and cognitive aspects are compromised progressively. Increasing the necessity of specialized cares and intensive accompaniment. This study aimed to evaluate through the Nursing Activities Score appliance, the nursing team’s working load, destined to elderly people assisted at intensive unit care and subsidize the personal sizing according to what advocate the legislation. It is about a descriptive and documental study of quantitative approach. It was used as data basis 50 patient records of elderly users admitted at a public intensive unit care from João Pessoa, Paraíba, Brazil. It was determined that 56% (28) of the elderly in his first hospitalization day at the Intensive Unit Care, required a nursing high working load while 44% (42) a nursing low working load. Through the sum of the Nursing Activities Score average score, we can achieve the total of hours at the nursing assistance necessaries to the elderly patient care during the hospitalization. The average scores obtained by the total score, corresponded to 59.2 ± 7.8, transforming in hours according to the conducted calculus, correspond to 14.47 hours of nursing assistance turned to the elderly people. It is waited that the results can contribute to quantify the expended assistance time and also evidence the real necessity of the people to ensure safe and quality assistance practices to the elderly people.  Descriptors: Workload. Nursing. Aged. Intensive Care Units.


2020 ◽  
Vol 33 ◽  
Author(s):  
Daniel Vicentini de Oliveira ◽  
Naelly Renata Saraiva Pivetta ◽  
Fabiana Cristina Scherer ◽  
José Roberto Andrade do Nascimento Júnior

Abstract Introduction: Regular physical activity is one of the main ways of avoiding compromised functional capacity and gaining muscle mass. Objective: investigate the differences in muscle strength and functional capacity of elderly people engaged in two types of strength exercises. Method: a cross-sectional study of 80 seniors of both sexes, 40 of whom engaged in weight training and 40 from the Fitness Zone in the city of Maringá, Paraná, state. A sociodemographic questionnaire, the sitting-rising and elbow flexion tests, and the functional capacity tests of the Latin American Development Maturity Group (GDLAM) were applied. The data were analyzed using the Shapiro-Wilk, Mann-Whitney “U” and Spearman’s correlation tests (p<0.05). Results: Most seniors who performed well in the sitting and rising test, rising from a chair and moving around the house and rising from the dorsal decubitus position engaged in weight training (p=0.001). Those engaged in weight training exhibited better upper limb strength and functional capacity in all the tests performed (p <0.05). Muscle strength is inversely related to functional capacity, that is, the better the result in the upper and lower limb muscle strength tests, the better the functional capacity of the elderly engaged in weight training. Conclusion: According to the results obtained, older people who engage in weight training display better upper limb strength and functional capacity than seniors from the Fitness Zone.


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