Promotion of functional independence institutionalized elderly

  • Carla Mendes Centro Hospitalar Médio Tejo, EPE - Hospital Nossa Senhora da Graça, Tomar, Portugal
Keywords: elderly, physical exercise, independence

Abstract

Introduction: With aging there is a decline in the physical and cognitive function of the elderly, which leads to impairment of the Functional Independence (F.I.) of the elderly person.

Objective: To compare functional independence of two elderly groups with initially similar characteristics, living in a residential structure for the elderly, one of the groups being submitted to a Physical Exercise Program (P.E.P.)

Method: Quantitative, quasi-experimental study. A sample of 20 elderly people divided into two similar groups, experimental and control, of ten elements each. One of the groups practiced P.E.P., which included muscle strength training and aerobic training for 12 weeks, 5 days a week, at moderate intensity. The Functional Independence Measure (FIM) was used to evaluate the functional independence of the elderly at first, and then in second moment, that is, after the implementation of P.E.P. to the experimental group. Data analysis was performed using descriptive and inferential statistics, namely with Fisher's exact test, Mann-Whitney and Wilcoxon, considering p <0.05.

Results: At the end of the study the experimental group improved its functional independence in the "bath", "bath and shower" and "stairs" sub-levels, while maintaining all others, while the control group maintained functional independence in all evaluated sub-levels.

Conclusion: The practice of physical exercise allows to maintain and/or improve functional independence of the elderly.

References

Barros, T., Santos, A., Gonzaga, J., Lisboa, M., & Brand, C. (2016). Capacidade funcional de idosos institucionalizados: revisão integrativa. ABCS HEALTH SCIENCES, 41(3), 176-180. doi:10.7322/abcshs.v41i3.908

Betancourt, C. (2008). Evaluación funcional y anciano frágil. Revista Cubana de Enfermería, 24(2), Retrieved from http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192008000200005&lng=es&tlng=en.

Borges, L., Meurer, S., Borges, R., Gerage, A., & Benedetti, T. (2015). What is the intensity of exercise sessions of a physical exercise program for older adults? Revista Brasileira de Cineantropometris e Desempenho Humano, 17(5), 527-538. doi:10.5007/1980-0037.2015v17n5p527

Breet, L., Traynor, V., & Stapley, P. (2015). Effects of physical exercise on health and well-being of individuals living with a demencia in nursing homes: a systematic review. Journal of the American Medical Directors Associaion, 17(2), 104-116.

Cândido, F., Matnei, T., Galvão, L., Santos, V., Santos, M., Sarris, A., & Sobreiro, B. (2017). Incontinência urinária em mulheres: breve revisão de fisiopatologia, avaliação e tratamento. Visão Acadêmica, 18(3), 67-80.

Carneiro, F., Brasileiro, I., Vasconcelos, T., Arruda, V., Florêncio, R., & Moreira, T. (2012). Independência funcional de idosas residentes em instituições de longa permanência. Acta Fisiat, 19(3), 156-160.

Castro, M., Lima, L., & Duarte, E. (2016). Jogos recreativos para a terceira idade: uma análise a partir da percepção dos idosos. Revista Brasleira de Ciências do Esporte, 38(3), 283-289.

Chow, H., Chen, H., & Lin, L. (2014). Association between out-of-homes trips and older adults functional fitness. Geriatrics Gerontology Internacional, 14, 596-604.

Crocker, T., Young, J., Forster, A., Brown, L., Ozer, S., & Greenwood, D. (2013). The effects of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis. Age and Ageing, 42, 682-688.

Fairhall, N.J., Sherrington, C., & Cameron, I. (2013). Mobility training for increasing and functioning in older people with frailty. Cochrane Database of Systematic Reviews, 5, 1-13. doi:10.1002/14651858.CD010494

Fernández-Mayoralas, G., Pérez, F., Martínez-Martín, P., Prieto-Flores, M., Rodríguez-Blázquez, C., Martín-García, S., Rojo-Abuín, J., & Forjaz, M. (2015). Active ageing and quality of life: factors associated with participation in leisure activities among institutionalized older adults, with and without dementia. Aging & Mental Health, 19(11), 1031-1041. doi: 10.1080/13607863.2014.996734

Ferreira, L., Marino, L. & Cavenaghi, S. (2012). Intervenção fisioterapêutica na incontinência fecal no idoso. Arquivos Brasileiros de Ciências da Saúde, 37(3), 168-172.

Gonçalves, L.H., Silva, A.H., Mazo, G.Z., Benedetti, T.R., Santos, S.M., Marques, S., … Rezende, T. (2010). O idoso institucionalizado: avaliação da capacidade funcional e aptidão física. Cad. Saúde Pública, 26(9), 1738-1746.

Kim, P.S., Mayhem, J., & Peterson, D. (2002). A modified YMCA bench press test as a predictor of 1 repetition maximum bench press strength. Journal of strength and conditioning, 16(3), 440-445.

Kolbe-Alexander, T., Pacheco, K., Tomaz, S., Karpul, D., & Lambert, E. (2015). The relationship between the built environment and habitual levels of physical activity in South African older adults: a pilot study. BMC Public Health, 15, 518-527. doi.10.1186/s12889-015-1853-8

Laíns, J. (1991). Guia para o uso do Banco Uniformizado de Dados para Reabilitação Médica – MIF. Versão Portuguesa de Guide for the Uniform Data System for Medical Rehabilitation, Adult FIM (1984). Produção Sandoz.

Maroco, J., & Garcia-Marques, T. (2006). Qual a fiabilidade do alfa de Cronbach? Questões antigas e soluções modernas? Laboratório de Psicologia, 4(1), 65-90.

Martins, E., Fernandes, R., & Mendes, F. (2017). Bem-estar subjetivo e atividade física em pessoas idosas. Millenium, 2(ed espec nº2), 65-72.

Nogueira, I. (2017). Impacte de um programa de exercício físico na capacidade funcional de idosos institucionalizados. (Dissertação de Mestrado, Escola Superior de Enfermagem do Porto). Retrieved from https://comum.rcaap.pt/bitstream/10400.26/21630

Park, S.H., Han, K., & Kang, C., (2014). Effects of exercise programs on depressive symptoms, quality of life, and self-esteem in older people: A systematic review of randomized controlled trials. Applied Nursing Research, 27(4), 219-226.

Pordata (2014). Indicadores de envelhecimento segundo os Censos em Portugal. Retrieved from http://www.pordata.pt/Portugal/Indicadores+de+envelhecimento+segundo+os+censos++-525

Rocha, C., Guimarães, A., Borba-Pinheiro, C., Santos, C., Moreira, M., Mello, D., & Dantas, E. (2017). Efeito de 20 semanas de treinamento combinado na capacidade funcional de idosas. Revista Brasileira de Ciências do Esporte, 39(4), 442-449.

Santos, C., Rossetti, C., & Ortega, A. (2006). O funcionamento cognitvo de idosos e de adolescentes num contexto de jogos e regras. Estudos Interdisciplinares sobre envelhecimento, 9(3),53-74.

Tiggemann, C., Dias, C., Radaelli, R., Massa, J., Bortoluzzi, R., Schoenell, M., Noll, M., Alberson, C., & Kruel, L. (2016). Effect of traditional resistance and power training using rated perceived exertion for enhancement of muscle strenght, power, and functional performance. Official Jornal of the American Aging Association, 38(42), 1-12.

Published
2019-01-31
Section
Life and Healthcare Sciences