Lack of physical exercise
Conditions
Interventions
The control group will consist of 230 sedentary elderly (men and women), who will receive guidance on preventing falls as described in the Elderly Health Handbook (SAÚDE, 2017): avoid loose mats
have stairs and corridors with handrails on both sides
wear closed shoes with rubber soles
use non-slip mat in the bathroom
avoid walking in wet areas
avoid waxing the house
avoid scattered furniture and objects
leave the light on at night if you need to get up
put the phone in an accessible place
wait for the bus to stop to get on or off
use crosswalks
use canes, crutches or other support tools if necessary. These orientations will be carried out on a single day, which will be the same day as the initial assessment.
The intervention group will cons
resistance exercises with shin guards (knee extension, knee flexion, hip abduction and ankle plantar flexion and dorsiflexion)
and balance exercises (start with upper limb support and evolve without upper limb support). The intervention group will have a total of four home visits for instructions and exercise progressions, as
G11.427.410.698.277
Sponsors
Universidade Federal do Rio Grande
Núcleo Municipal de Educação em Saúde Coletiva
Eligibility
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: People aged 60 or over, living in the areas covered by the Basic Family Health Units in the city of Rio Grande, Rio Grande do Sul, Brazil, will be included. With medical clearance to participate in the intervention; and with the ability to understand directions.
Exclusion criteria
Exclusion criteria: Previous diagnosis of dementia or cognitive decline that compromises the understanding of guidelines and intervention; Stroke with severe neurological damage, such as loss of strength, sensitivity and language limitations; Progressive neurological disease such as Parkinson's Disease; Visual impairment; dizziness or vertigo; participate in an exercise program or in physical therapy treatment; Inability to stand and walk independently; Another motor disability that incapacitates the participant to perform physical exercise.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The occurrence of falls will be investigated before, during and at the end of the intervention through the question "Since until now, have you had a fall?" Where falls will be defined as: “displacement to surfaces at a level lower than the initial position of the body, being unintentional and unable to correct this position in a timely manner. To minimize possible forgetfulness and recall bias, a self-completed “fall diary” will be provided to each elderly person, where he or she will be able to record daily episodes of falls of any kind. In addition, when monitoring by phone calls, the participant will be asked about the occurrence of falls. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Fear of falling will be assessed with the Self-efficacy Scale related to falls It will be measured using the Brazilian version of the “Falls Efficacy Scale (FES-I BRASIL) which assesses the concern with the fear of falling when performing 16 activities among the elderly. Each item has a score ranging from one to four, with scores ranging from 0 to 64. A score = 23 is an indicator of sporadic falls, while a score = 31 is a predictor of recurrent falls (CAMARGOS et al., 2010 ). - Balance will be assessed using the “Berg Balance Scale”, which assesses the functional balance in fourteen items common to daily life. The maximum score is 56 points, and each item has multiple choice answers with five alternatives ranging from zero to four points, where a score less than or equal to 54 represents a risk of falls (MIYAMOTO et al., 2004). - Mobility and functional performance will be assessed through the “Time Up and Go (TUG) Test”. The time in seconds it takes the individual to get up from a chair and walk 3 meters and return to a sitting chair is evaluated. Time of 12 seconds is considered a performance below normal (BISCHOFF et al., 2003; PODSIADLO; RICHARDSON, 1991). - Strength of the lower limbs will be evaluated through the "Sit to Stand Test (TSL)" which checks the time it takes the individual to perform the movement of standing up and sitting down on a chair without the aid of the hands for five consecutive times. higher execution indicates poor performance (BOHANNON, 1995). - The degree of functional dependence for activities of daily living will be assessed by the Katz index, which assesses the individual's ability to perform activities such as eating, bathing, dressing, among others. It has 6 items, classifying individuals as independent or dependent on the performance of these functions (LINO et al., 2008; MINISTERIO DA SAÚDE, 2006). - The degree of dependence on Instrumental Activities of Daily Living, evaluated with the scale created by Lawton & Brody, in | — |
Countries
Brazil
Contacts
Public ContactTainara ;Nathália Steffens ;Mass
;
Outcome results
None listed