Activities of Daily Living, Functional Fitness
Conditions
Brief summary
This project was aimed to test the effects of a six-month VA program on the activities of daily living (ADL) and functional fitness of institutional older adults with sarcopenia.
Detailed description
A cluster-randomized controlled trial was conducted to test the effects of a six-month VA program on ADL and functional fitness (lung capacity, body flexibility, range of the joint's motion, and muscle endurance) of institutional older adults with sarcopenia. Using convenience sampling, 12 long-term care facilities with 114 older adults were recruited, and then cluster-randomized by the facility to a VA experimental or a control group. The experimental group received the VA program led by certified instructors 3 times per week and 40 minutes per session for six months; the control group continued with their regular daily activities. One pre-test and two post-tests, three months apart, were conducted.
Interventions
The VA had three phases and took 40 minutes to complete.
Participants maintained their daily activities.
Sponsors
Study design
Eligibility
Inclusion criteria
* age ≥ 65 years old * have been living in the facility for at least three months * intact cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ) score ≥ 8 * hand-grip strength \< 28 kg for men and \< 18 kg for women * calf circumference \< 34 cm for men and \< 33 cm for women
Exclusion criteria
* have spinal cord injury * have severe cardiovascular or pulmonary diseases * have musculoskeletal diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lower body flexibility | 6 months | measured by the Chair Sit-and-Reach Test |
| Lung capacity | 6 months | measured by the TruZoneTM Peak Flow Meter |
| Upper body flexibility | 6 months | measured by the Back Scratch Test |
| Leg muscle endurance | 6 months | measured by the Chair-to-Stand Test |
| Range of joint motion | 6 months | measured by the goniometry |
| Arm muscle endurance | 6 months | measured by the Arm Curl Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Activities of daily living (ADL) | 6 months | measured by the Barthel Index. The score of 0-20 means totally dependent; 21-60 means heavily dependent; 61-90 means moderately dependent; 91-99 means mildly dependent; 100 indicates total independence in the ADL of a person. |
Countries
Taiwan