Document Detail


Physical activity and performance in older persons with musculoskeletal impairment: results of a pilot study with 9-month follow-up.
MedLine Citation:
PMID:  19448383     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIMS: Physical activity in older adults improves fitness, but few studies have examined the short- and long-term effects on physical performance. This analysis is preliminary to a RCT investigating physical activity effects on performance over time in older persons with musculoskeletal impairment.
METHODS: Fifty sedentary participants, aged 65+, with musculoskeletal impairment and difficulties in complex mobility, but independent in basic activities of daily living (ADLs) were randomly assigned to 3- monthly, twice-a-week, supervised physical exercise (E) or unsupervised regular walking (W), and advised to keep active.
ASSESSMENTS: baseline (T0), discharge (T1), 6 (T2) and 9 (T3) months from baseline.
OUTCOME: Summary of Performance Score (SPS), strength, flexibility; general mental health (GMH), vitality, and self reported disability.
RESULTS: All participants completed follow-ups. At T3, only 12 E and 2 W participants reported exercising regularly. Each outcome, except for GMH, trunk flexibility and basic ADLs, changed over time significantly more in E than in W. After training, E increased SPS (1 point), along with muscle strength, flexibility, vitality, and reduced difficulties in complex mobility. At 9 months, all parameters, except passive hip flexion and shoulder abduction, had reverted to baseline levels. In the same time-frame, W progressively decreased SPS, knee flexion/ extension strength and passive flexion, and increased difficulties in basic and complex mobility.
CONCLUSIONS: In this physically impaired sample, a 3- month exercise program, compared with unsupervised regular walking, was associated with improved performance, fitness and vitality after discharge, and to delayed physical decline in the next 6-month follow-up.
Authors:
Francesca Cecchi; Guido Pasquini; Massimiliano Chiti; Raffaello Molino Lova; Enrico Enock; Giacomo Nofri; Anita Paperini; Andrea A Conti; Alessandro Mannoni; Claudio Macchi
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Aging clinical and experimental research     Volume:  21     ISSN:  1594-0667     ISO Abbreviation:  Aging Clin Exp Res     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-18     Completed Date:  2009-07-13     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  101132995     Medline TA:  Aging Clin Exp Res     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  122-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Aged
Aging / physiology
Female
Follow-Up Studies
Humans
Male
Motor Activity*
Musculoskeletal Diseases / physiopathology*,  therapy*
Physical Fitness
Physical Therapy Modalities*
Pilot Projects
Walking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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