Resistance Exercise, Muscle Weakness, Functional Decline
Conditions
Keywords
resistance exercise, hospitalized elderly, muscle strength, depression, Functional decline
Brief summary
With improved a five-day intensive, low-resistance elastic band exercise program to evaluate its effectiveness in improving total muscle mass, upper and lower extremity muscle strength, self-perceived fear of falling, and depression among hospitalized elderly individuals. This study is a random control trial. Data collection includes elderly patient's total muscle mass, upper and lower extremity muscle strength, self-perceived fear of falling, and depression among hospitalized. The total muscle mass and upper and lower extremity muscle strength will be calculated in kilograms.
Detailed description
Investigators have designed a five-day intensive, low-resistance elastic band exercise program to evaluate its effectiveness in improving total muscle mass, upper and lower extremity muscle strength, self-perceived fear of falling, and depression among hospitalized elderly individuals. Investigators will enroll individuals aged 65 hospitalized elderly. participants will be randomly assigned to either the experimental or control group. The experimental group will undergo a five-day resistance exercise program using elastic bands, with two 20-minute sessions per day (totaling 200 minutes). The program aims to improve muscle mass and strength. Non-invasive instruments will be used to measure muscle mass and strength, and participants will complete self-report questionnaires on fear of fall and geriatric depression.
Interventions
DEVICEElastic Band
Using the newly patented product, the Muscle Exercise and Falling Prevention Elastic Strap (Patent Certificate No. M585601), the procedure involves securing the elastic strap to a high-back chair to administer elastic band intervention exercises for patients.Guided by continuous contextual action demonstration videos, participants will engage in the elastic band resistance intervention twice a day, each session lasting 20 minutes, over a span of five days. These videos are designed to provide a continuous contextual demonstration, incorporating them within the video itself.
Sponsors
National Taiwan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Random control trial
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age of 65 years or older. 2. Anticipated hospital stay exceeding 7 days. 3. Able to follow instructions. 4. Four-limb muscle strength of at least three points, and grip strength measurements with a minimum of 26 kilograms for males and 18 kilograms for females.
Exclusion criteria
1. This includes individuals with cardiovascular diseases such as acute myocardial infarction, unstable angina, poorly controlled arrhythmias, complete atrioventricular block, acute heart failure, acute myocarditis, acute pericarditis, and other cardiac conditions. 2. Poorly controlled hypertension, with systolic blood pressure less than 90 mmHg or greater than 200 mmHg under medication. 3. Individuals hospitalized due to acute neurological injuries or conditions, such as epilepsy, stroke, or Parkinson's disease. 4. Diagnosed with cognitive impairment or Alzheimer's disease. 5. Those who require long-term ventilator support and are unable to participate in the program. 6. Individuals with impaired consciousness who cannot cooperate. 7. A Glasgow Coma Scale score of less than 12, or inability to correctly answer questions about person, time, place, or follow instructions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| total muscle mass and upper and lower extremity muscle strength | 20 minutes | The changes in muscle mass and muscle strength will be measured before and after the intervention,The total muscle mass and upper and lower extremity muscle strength will be calculated in kilograms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Short Falls Efficacy Scale International Short FES | 20 minutes | We will use the scale to measure changes in concerns about falling before and after the intervention. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Geriatric Depression Scale, GDS 15. | 20 minutes | The Geriatric Depression Scale (GDS-15) will be employed to measure changes in depressive symptoms among the elderly before and after the intervention. |
Countries
Taiwan
Contacts
Primary ContactPIAO-YI CHIOU, doctoral
Outcome results
None listed