Rehabilitation
Conditions
Interventions
The subjects will be assigned randomly to one of three groups: Group 1: Basic exercises Group 2: Movement exercises with elements of dance movement therapy: Group 3: No Intervention: control, routine
Sponsors
University of Rzeszow
Eligibility
Inclusion criteria
Inclusion criteria: 1. Residents of nursing homes for the elderly and people with chronic illness. 2. Wheelchair-bound seniors BBS 4 19 pts 6. GDS < 10 pts. BBS- Berg Balance Scale Assessment of static and dynamic balance based on 14 types of movement in the standing and sitting position of the patient. Each task of the test is scored using a four-point scale. A maximum score of 56 points is possible. Patients with a score below 20 pts indicate high risk of fall and need of using wheelchairs. Barthel Index is a scale for ADL (Activities of Daily Living) measurement, with lower scores indicating greater dependency in ADL. The score value ranges between 0 and 100 points. The assessment of the total score is as follows: 0–20 completely dependent; 21–61 almost completely dependent; 62–85 dependent; 91–100 – independent The Mini–Mental State Examination (MMSE), is a brief, quantitative measure of cognitive status of adults. It can be used to screen the cognitive impairment. The score is the number of correct items. The measure yields a total score of 30. A score of 30-24 means no cognitive impairment , 23-19 pts - mild cognitive impairment, 18 or less is the severe cognitive impairment. The Geriatric Depression Scale (GDS) is a 15-item self-report assessment used to identify depression in the elderly. Scores of 0-5 are considered normal; 6-10 indicate moderate depression; and 11-15 indicate severe depression.
Exclusion criteria
Exclusion criteria: 1. Having severe and acute cardiovascular, musculoskeletal, or pulmonary illnesses 2. Suffering from spinal cord injury with no rehabilitation potential 3. Lack of consent of elderly person or their doctor for participation in exercises.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Grip strength Grip Strength will be assessed using a dynamometer (JAMAR PLUS+Hydraulic Hand Dynamometer, Patterson Medical) [At baseline, at 12 weeks and at 24 weeks after commencement of intervention.] | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life –SF-36 The 36-Item Short Form Health Survey (SF-36) is widely validated and popularly used in assessing the subjective quality of life (QOL) of patients and the general public. SF-36 includes one multi-item scale measuring each of eight health concepts: 1) physical functioning; 2) role limitations because of physical health problems; 3) bodily pain; 4) social functioning; 5) general mental health (psychological distress and psychological well-being); 6) role limitations because of emotional problems; 7) vitality (energy/fatigue); and 8) general health perceptions. [At baseline and at 12 and 24 weeks after commencement of intervention.] Body Flexibility: Upper Body Flexibility Back Scratch Test, Lower Body Flexibility Chair Sit-and-Reach Test Upper Body Flexibility, The Back Stretch (BS) test is used to assess flexibility of the upper limbs. It will be carried out in a standing position. The participants will be directed to take one hand up and over the shoulder and reach down the back, and the other hand behind and reaching up the back, with the intention of meeting the hands in the middle of the back, between the shoulder blades. Flexibility will be determined as the distance (in centimeters) between the middle fingers Lower Body Flexibility Chair The Chair Sit and Reach (CSR) test is used to assess flexibility of the lower limbs. From the sitting position, the participant will be directed to use two hands to reach forward towards the flexed toes of the extended leg. Flexibility will be determined as the distance (in centimeters) between the toes on the flexed foot of the extended leg and the fingers of the hands. [ At baseline and at 12 and 24 weeks after commencement of intervention.] Index Barthel Barthel Index is a scale for ADL (Activities of Daily Living) measurement, with lower scores indicating greater dependency in ADL. The score value ranges between 0 and 100 points. The assessment of the total score is as follows: 0–20 | — |
Countries
Poland
Contacts
Public ContactAgnieszka Wisniowska-Szurlej
Doctor of Health Science
Outcome results
None listed