Fragile and More Vulnerable, Mildly Frail
Conditions
Keywords
Muscle strength, Joint mobility, Self-efficacy, Life satisfaction, technology assisted physical activity program, residents in institutions, standing time
Brief summary
This study aims to examine the effectiveness of a technology-assisted physical activity program on improving muscle strength, joint mobility, standing time, self-efficacy, and life satisfaction among residents in institutions. With the rapid growth of the aging population in Taiwan and the associated decline in physical function, innovative interventions are urgently needed. The program integrates interactive digital displays to provide safe, guided exercise routines tailored to residents in institutions, with the goal of enhancing both physical and psychological well-being, thereby improving overall quality of life.
Detailed description
Taiwan is rapidly entering a super-aged society, with individuals aged 65 and above projected to exceed 20% of the total population by 2025. Aging is associated with declines in muscle endurance, joint mobility, balance, and functional independence, which severely affect daily living performance. Although aging cannot be prevented, appropriate interventions can slow down functional decline and improve quality of life. This study used a randomized controlled trial design to investigate the effects of a technology-assisted exercise intervention in long-term care facilities. Residents classified as frail or mildly frail according to the Clinical Frailty Scale were recruited and randomly assigned to either the intervention group (n=26) or the control group (n=25). The intervention group will participate in eight sessions of a technology-assisted exercise program, consisting of 26 seated movements covering the neck, shoulders, chest, upper and lower limbs. The program, designed by faculty and students from National Taiwan University of Sport, emphasizes safety and accessibility for Residents. Exercises will be demonstrated via an advanced digital display system with real-time feedback, and each session will last approximately 30 minutes. The control group will maintain routine physical activities without digital assistance.
Interventions
BEHAVIORALphysical activity program
Received eight sessions of technology-assisted exercise courses, covering 26 movements in the shoulders, neck, chest, upper limbs and lower limbs, with demonstrations and real-time feedback on movement performance through high-end monitors
Sponsors
National Taiwan Normal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Suitable for participation in an exercise intervention program. Able to understand and comply with study instructions, willingly participate, and sign an informed consent form.
Exclusion criteria
Residents with severe cognitive impairment or unable to cooperate with exercise guidance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Joint Mobility | Baseline and post-intervention (8 weeks). | Range of motion of upper and lower limb joints measured with goniometer (degrees). |
| Muscle Strength | Baseline and post-intervention (8 weeks). | Description: Grip strength measured by dynamometer (kg). |
| Standing Time | Baseline and post-intervention (8 weeks). | Description: Maximum duration of standing measured in seconds to assess balance and lower-limb strength. |
| Self-Efficacy | Baseline and post-intervention (8 weeks). | Self-efficacy for daily activities assessed using validated self-efficacy scale. Higher scores indicate stronger confidence. scale scored on a 5-point Likert scale (1 = strongly disagree, 5 = strongly agree). Higher scores indicate stronger self-efficacy. |
| Life Satisfaction | Baseline and post-intervention (8 weeks). | Global life satisfaction assessed with the Satisfaction with Life Scale (SWLS). Higher scores indicate greater satisfaction. Global life satisfaction assessed with the Satisfaction with Life Scale (SWLS), a 5-item scale scored on a 7-point Likert scale (1 = strongly disagree, 7 = strongly agree). Higher scores indicate greater life satisfaction. |
Countries
Taiwan
Outcome results
None listed