Pain. Accidental Falls. Hypertension Health of the Elderly
Conditions
Interventions
The study will be a quasi-experimental, longitudinal study with a quantitative approach, conducted as part of a university extension project, without a control group, with a single group, a single arm
and standing sideways to the bar, on one leg, with one hand resting on the bar, performing a circular movement with the opposite leg outward and then inward – each leg (3 sets of 8 reps – each leg), s
a balance block (15 min), consisting of an exercise with the participant standing on one leg, either freely or with a light touch, performing hip flexion and extension with the knee straight (3x8 – e
Sponsors
Universidade Estadual de Goiás
Acqua Íris Casa de Esporte
Eligibility
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: People aged 60 or older; of both sexes; who are able to walk with or without the aid of walking aids
Exclusion criteria
Exclusion criteria: Older adults with severe cognitive impairment that precludes the use of assessment tools; older adults with contraindications to immersion in a therapeutic pool (uncontrolled blood pressure, severe heart failure, severe kidney disease, fever, recent surgery, uncontrolled epilepsy, low vital capacity, and deep vein thrombosis); or those who are clinically unstable at the time of assessment or intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood pressure: A decrease in blood pressure is expected when comparing readings before and after each visit; blood pressure will be measured using the OMRON HEM 7122 device. The patient should remain seated for at least 5 minutes before having their blood pressure measured. They will be instructed to empty their bladder beforehand, not to talk during the measurement, to keep their feet on the floor, legs uncrossed, and back against the backrest, with their arm at heart level and the palm of their hand facing upward. To standardize the study, the cuff will preferably be placed on the left upper limb; the right arm will be used only in the presence of pain, edema, or any other factor that prevents measurement on the left side.;Heart rate: A significant reduction in heart rate is expected following each aquatic physical therapy session. This data will be collected both before and after each session. It will be measured concurrently with blood pressure using the OMRON HEM 7122 blood pressure monitor. The patient must remain seated for at least 5 minutes before the data is collected.;Pain: We expect to observe a reduction in participants’ pain when comparing pain levels before and after each session and before and after the eight sessions. Pain will be assessed using the Numerical Pain Scale, which rates the patient’s pain on a scale of 0 to 10, consisting solely of whole numbers, where 0 means “no pain” and 10 is the “worst pain imaginable.”;Fear of falling: We expect to find a reduction in fear of falling, which will be assessed using the Fall Efficacy Scale – International – Brazil (FES-I-Brasil), which assesses fear of falling and self-efficacy through 16 items scored from 1 to 4, ranging from “not at all concerned” to “extremely concerned.” This assessment will be conducted at the beginning and end of the 8 sessions.;Balance and functional mobility: We expect to observe improvements in balance and functional mobility, which will be assessed using the Timed Up and G | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life: It is expected that by the end of the 8 interventions, there will be an improvement in perceived quality of life, as measured by the WHOQOL-Short, which consists of 26 items scored on a 1-to-5 Likert scale. These items are subdivided into the domains of physical health, psychological health, social relationships, and the environment, and also address overall quality of life and general health.;Perception of well-being: It is expected that, at the end of each session, the participant’s perception of well-being will remain stable or improve. Self-perceived well-being will be assessed using a simple Likert scale, scored from 1 to 5, ranging from very poor (1) to very good (5), from which the participant must select one option. It will be administered verbally, with the aid of a visual card, on which the older adult will point to or state their current level of well-being.;Lower limb muscle strength: A slight improvement in lower limb muscle strength is expected by the end of the 8 sessions. Lower limb strength will be assessed using the 5-repetition sit-to-stand test, which is performed with the patient seated on a chair approximately 42 cm high, with the knees maintained at a 90-degree angle; the time is measured from the moment the person begins to stand up for the first time until they touch the seat for the fifth time. The shorter the time taken to complete the test, the greater the estimated muscle strength of the lower limbs.;Functional capacity: A slight improvement in the functional capacity of older adults is expected by the end of the 8 sessions. Functional capacity will be assessed using the 30-second Sit-to-Stand Test. The test is performed similarly to the Sit-to-Stand Test (5 repetitions): the individual will also perform the movements of standing up and sitting down from a chair, with arms crossed over the chest and feet shoulder-width apart; however, the test must be performed for 30 seconds, and the number of times the individual compl | — |
Countries
BR
Contacts
Public ContactRayne Rigonatto
Universidade Estadual de Goiás
Outcome results
None listed