Long-Term Maintenance of Executive-Related Oculomotor Improvements in Older Adults with Self-Reported Cognitive Complaints Following a 24-Week Multiple Modality Exercise Program

2017 ◽  
Vol 58 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Erin M. Shellington ◽  
Matthew Heath ◽  
Dawn P. Gill ◽  
Robert J. Petrella
Keyword(s):  
Older Adults ◽  
Exercise Program ◽  
Cognitive Complaints ◽  
Multiple Modality ◽  
Term Maintenance

Does a Multicomponent Exercise Program Improve Physical Fitness in Older Adults? Findings From a 5-Year Longitudinal Study

2021 ◽  
pp. 1-8
Author(s):  
Andréa Kruger Gonçalves ◽  
Eliane Mattana Griebler ◽  
Wagner Albo da Silva ◽  
Débora Pastoriza Sant´Helena ◽  
Priscilla Cardoso da Silva ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Fitness ◽  
Cardiorespiratory Fitness ◽  
Upper Limb ◽  
Exercise Program ◽  
Potential Benefits ◽  
Multicomponent Program ◽  
Post Hoc

The objective was to assess the physical fitness of older adults participating in a 5-year multicomponent exercise program. The sample consisted of 138 older adults aged 60–93 years (70.4 ± 7.8 years) evaluated with the Senior Fitness Test (muscle strength, flexibility, balance, and cardiorespiratory fitness). The multicomponent program was carried out between the months of March and November of each year. Data were analyzed using generalized estimating equations (factor year: Year 1, Year 2, Year 3, Year 4, and Year 5; factor time: pretest and posttest) with Bonferroni’s post hoc test. Participation in the multicomponent exercise program for 5 years (baseline pretest Year 1 and follow-up Year 5) improved lower and upper limb strength, lower limb flexibility, and balance and cardiorespiratory fitness, while upper limb flexibility was maintained. Year-by-year analysis revealed variable patterns for each fitness parameter. The results of this study show the potential benefits of implementing a long-term community-based exercise program.

scholarly journals Group-based exercise and cognitive-physical training in older adults with self-reported cognitive complaints: The Multiple-Modality, Mind-Motor (M4) study protocol

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Michael A. Gregory ◽  
Dawn P. Gill ◽  
Erin M. Shellington ◽  
Teresa Liu-Ambrose ◽  
Ryosuke Shigematsu ◽  
...  
Keyword(s):  
Older Adults ◽  
Study Protocol ◽  
Physical Training ◽  
Cognitive Complaints ◽  
Multiple Modality

What Sustains Long-Term Adherence to Structured Physical Activity After a Cardiac Event?

2012 ◽  
Vol 20 (2) ◽  
pp. 135-147 ◽  
Author(s):  
Antonia M. Martin ◽  
Catherine B. Woods
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Program ◽  
Clinical Group ◽  
Group Discussions ◽  
Community Based ◽  
Established Coronary Heart Disease ◽  
Rich Information ◽  
Constant Comparative Analysis

Purpose:Research addressing methods to sustain long-term adherence to physical activity among older adults is needed. This study investigated the motivations and supports deemed necessary to adhere to a community-based cardiac rehabilitation (CBCR) program by individuals with established coronary heart disease.Methods:Twenty-four long-term adherers (15 men, 9 women; age 67.7 ± 16.7 yr) took part in focus-group discussions.Results:Constant comparative analysis supported previous research in terms of the importance of referral procedures, social support, and knowledge of health benefits in influencing uptake and adherence to CBCR. Results also highlighted the routine of a structured class and task-, barrier-, and recovery-specific self-efficacy as necessary to sustain long-term adherence for this specific clinical group.Discussion:Older adults themselves provide rich information on how to successfully support their long-term adherence to structured exercise sessions. Further research into how to build these components into any exercise program is necessary.

P3-287: A multiple-modality exercise program plus dual-task training improved mobility but did not impact vascular health in active older adults without dementia

2015 ◽  
Vol 11 (7S_Part_16) ◽  
pp. P742-P742
Author(s):  
Michael A. Gregory ◽  
Dawn P. Gill ◽  
Ashleigh De Cruz ◽  
Ryosuke Shigematsu ◽  
Robert J. Petrella
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Exercise Program ◽  
Vascular Health ◽  
Task Training ◽  
Dual Task Training ◽  
Multiple Modality

scholarly journals Long-Term Maintenance of Physical Function in Older Adults Following a DVD-Delivered Exercise Intervention

2017 ◽  
Vol 25 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Sarah Roberts ◽  
Elizabeth Awick ◽  
Jason T. Fanning ◽  
Diane Ehlers ◽  
Robert W. Motl ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Exercise Intervention ◽  
Term Maintenance

scholarly journals Effect of quadriceps strengthening exercises alone and in combination with Baduanjin qigong on older adults with knee osteoarthritis: a quasi-experimental study

2020 ◽  
Author(s):  
fenglan wang ◽  
Xiaoli Zhang ◽  
Xiao Tong ◽  
Min Zhang ◽  
Fengmei Xing ◽  
...  
Keyword(s):  
Older Adults ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Physical Function ◽  
Self Efficacy ◽  
Exercise Program ◽  
Exercise Group ◽  
Strengthening Exercises ◽  
Quasi Experimental

Abstract BackgroundExercise is recommended as a core treatment for individuals with KOA. However, the optimal exercise program to promote long-term compliance for KOA patients is not clear. The aim of this study is to compare the effects of the combination exercise program (quadriceps strengthening exercises (QSE) plus Baduanjin qigong) versus QSE alone on older adults with knee osteoarthritis (KOA). MethodsA two-arm, quasi-experimental trial with repeated measurements was used. As a cluster randomized trial, participants from one community center were assigned to combination exercise group while participants from the other center were assigned to QSE group. We assessed pain intensity, physical function, self-efficacy, and HRQoL with standardized instruments at baseline, 3 and 6 months. Results87 participants with KOA who aged above 60 completed the study. Over the 6 months, There were significant time by group interaction effects on pain intensity (F = 44.419, p < 0.001), physical function (F = 46.904, p < 0.001) and self-efficacy (F = 49.754, p < 0.001), as well as in the physical component summary (F = 15.205, p < 0.001) and mental component summary of SF-12 (F = 19.205, p < 0.001), with the combination exercise group exhibiting significantly greater improvements in all outcomes than QSE group. ConclusionsCombination exercise treatment is more effective than QSE for relieving pain, increasing physical functioning, and improving self-efficacy, and quality of life in community-dwelling KOA older adults. Also, it could promote long-term compliance for KOA community patients.Trial registrationChinese Clinical Trails Registry number ChiCTR2000033387 (retrospectively registered). Registered 30 May 2020

scholarly journals Implementation of the mHealth App for Swallowing Tongue Pressure Strengthening Exercises in Older Adults (Preprint)

2020 ◽  
Author(s):  
HyangHee Kim ◽  
Nam-Bin Cho ◽  
Kyung Min Kim ◽  
Minji Kang ◽  
Jinwon Kim ◽  
...  
Keyword(s):  
Older Adults ◽  
Mobile Health ◽  
Intervention Program ◽  
Community Dwelling ◽  
Tongue Pressure ◽  
Post Intervention ◽  
Main Trial ◽  
Home Based ◽  
Term Maintenance

BACKGROUND Tongue pressure is one of the effective indices of swallowing function, which decreases with aging and disease progression. Previous research has shown beneficial effects of swallowing exercises combined with myofunctional tongue strengthening therapy on tongue function. Tongue exercises utilizing mobile Health (mHealth) technologies may have tremendous potential in advancing healthcare in the digital age to be more efficient for people with limited resources, especially for older adults. OBJECTIVE The purpose of this study was to explore the immediate and long-term maintenance effects of an 8-week home-based mHealth app intervention program aimed at improving the swallowing tongue pressure in older adults. METHODS We developed a mobile health (mHealth) app for intervention which was utilized for 8 weeks (3 times/day, 5 days/week, a total of 120 sessions) by 11 community-dwelling older adults (10 women; mean age: 75.7 years) who complained of swallowing difficulties. The app was used for three therapy maneuvers: effortful prolonged swallowing (EPS), effortful pitch glide (EPG), and effortful tongue rotation (ETR). Pre-intervention and post-intervention isometric and swallowing tongue pressures were measured using the Iowa Oral Performance Instrument (IOPI). We also investigated the maintenance effects of the intervention on swallowing tongue pressure at 12-week post-intervention. RESULTS Eight out of 11 participants adhered to the home-based 8-week app therapy program with optimal intervention dosage. At the main trial endpoint (i.e., 8-week) of the intervention program, the participants demonstrated a significant increase in swallowing tongue pressure (median = 17.5 kPa at pre-intervention and 26.5 kPa at post-intervention; P < .05). However, long-term maintenance effects of the training program on swallowing tongue pressure at 12-week post-intervention were not observed. CONCLUSIONS Since swallowing tongue pressure is closely related with dysphagia symptoms, the combined methods of EPS, EPG, and ETR training have positively affected swallowing tongue pressure with their use as indirect and direct exercises. The mHealth app is a promising platform which can be used to deliver effective therapeutic service to vulnerable older adults. To investigate the therapeutic efficacy with a larger sample size as well as long-term effects of the intervention program, further studies are warranted. INTERNATIONAL REGISTERED REPORT RR2-10.2196/19585

scholarly journals Implementation of a Home-Based mHealth App Intervention Program With Human Mediation for Swallowing Tongue Pressure Strengthening Exercises in Older Adults: Longitudinal Observational Study

10.2196/22080 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e22080
Author(s):  
HyangHee Kim ◽  
Nam-Bin Cho ◽  
Jinwon Kim ◽  
Kyung Min Kim ◽  
Minji Kang ◽  
...  
Keyword(s):  
Older Adults ◽  
Intervention Program ◽  
Mobile App ◽  
Community Dwelling ◽  
Tongue Pressure ◽  
Main Trial ◽  
Home Based ◽  
Intervention Protocol ◽  
Term Maintenance

Background Tongue pressure is an effective index of swallowing function, and it decreases with aging and disease progression. Previous research has shown beneficial effects of swallowing exercises combined with myofunctional tongue-strengthening therapy on tongue function. Tongue exercises delivered through mobile health (mHealth) technologies have the potential to advance health care in the digital age to be more efficient for people with limited resources, especially older adults. Objective The purpose of this study is to explore the immediate and long-term maintenance effects of an 8-week home-based mHealth app intervention with biweekly (ie, every 2 weeks) human mediation aimed at improving the swallowing tongue pressure in older adults. Methods We developed an mHealth app intervention that was used for 8 weeks (3 times/day, 5 days/week, for a total of 120 sessions) by 11 community-dwelling older adults (10 women; mean age 75.7 years) who complained of swallowing difficulties. The app included a swallowing monitoring and intervention protocol with 3 therapy maneuvers: effortful prolonged swallowing, effortful pitch glide, and effortful tongue rotation. The 8-week intervention was mediated by biweekly face-to-face meetings to monitor each participant’s progress and ability to implement the training sessions according to the given protocol. Preintervention and postintervention isometric and swallowing tongue pressures were measured using the Iowa Oral Performance Instrument. We also investigated the maintenance effects of the intervention on swallowing tongue pressure at 12 weeks postintervention. Results Of the 11 participants, 8 adhered to the home-based 8-week app therapy program with the optimal intervention dosage. At the main trial end point (ie, 8 weeks) of the intervention program, the participants demonstrated a significant increase in swallowing tongue pressure (median 17.5 kPa before the intervention and 26.5 kPa after the intervention; P=.046). However, long-term maintenance effects of the training program on swallowing tongue pressure at 12 weeks postintervention were not observed. Conclusions Swallowing tongue pressure is known to be closely related to dysphagia symptoms. This is the first study to demonstrate the effectiveness of the combined methods of effortful prolonged swallowing, effortful pitch glide, and effortful tongue rotation using mobile app training accompanied by biweekly human mediation in improving swallowing tongue pressure in older adults. The mHealth app is a promising platform that can be used to deliver effective and convenient therapeutic service to vulnerable older adults. To investigate the therapeutic efficacy with a larger sample size and observe the long-term effects of the intervention program, further studies are warranted. International Registered Report Identifier (IRRID) RR2-10.2196/19585

scholarly journals Evaluating the effects of an exercise program (Staying UpRight) for older adults in long-term care on rates of falls: study protocol for a randomised controlled trial

2019 ◽  
Author(s):  
Lynne Taylor ◽  
John Parsons ◽  
Denise Taylor ◽  
Elizabeth Binns ◽  
Sue Lord ◽  
...  
Keyword(s):  
Older Adults ◽  
New Zealand ◽  
Cost Effectiveness ◽  
Long Term Care ◽  
Controlled Trial ◽  
Exercise Program ◽  
Community Dwelling ◽  
Control Group ◽  
Term Care

Abstract BackgroundFalls are two to four times more frequent amongst long-term care (LTC) than community-dwelling older adults and have deleterious consequences. It is hypothesized that a progressive exercise program targeting balance and strength will reduce falls rates when compared to a seated exercise program and do so cost effectively.Methods/DesignThis is a single blind, parallel-group, randomized controlled trial with blinded assessment of outcome and intention-to-treat analysis. LTC residents (age ≥65 years) will be recruited from LTC facilities in New Zealand. Participants (n= 528 total; with a 1:1 allocation ratio) will be randomly assigned to either a novel exercise program (Staying UpRight), comprising strength and balance exercises designed specifically for LTC and acceptable to people with dementia, (intervention group) or a seated exercise program (control group). The intervention and control group classes will be delivered for 1 hour twice weekly over 1 year. The primary outcome is rate of falls (per 1000 person years) within the intervention period.Secondary outcomes will be risk of falling (the proportion of fallers per group), falls rate relative to activity exposure, hospitalisation for fall-related injury, change in gait variability, volume and patterns of ambulatory activity and change in physical performance assessed at baseline, 6 and 12 months. Cost effectiveness will be examined using intervention and health service costs. The trial commenced recruitment on 31 November 2018.DiscussionThis study evaluates the efficacy and cost effectiveness of a progressive strength and balance exercise program for aged-care residents to reduce falls. The outcomes will aid development of evidenced-based exercise programs for this vulnerable population.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12618001827224. Registered on November 9 2018; Universal trial number U1111-1217-7148

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