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Titre : | Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial (2021) |
Auteurs : | Sara Suikkanen ; Paula Soukkio ; Eeva M. Aartolahti ; Sanna M. Kääriä ; Hannu Kautiainen ; Markku T. Hupli ; Kaisu H. Pitkälä ; Sarianna Sipilä ; Katriina T. Kukkonen-Harjula |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 12, 2021) |
Article en page(s) : | p. 2283-2290 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.06.017 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Chutes accidentelles ; Fragilité ; Performance fonctionnelle physique ; Réadaptation ; Techniques de physiothérapie ; Vieillissement |
Résumé : |
Objectives
To investigate the effects of a 12-month home-based exercise program on functioning and falls among persons with signs of frailty. Design A randomized controlled trial with a 1:1 allocation. Setting Home-based. Participants Home-dwelling persons aged 65 years or older meeting at least 1 frailty phenotype criteria (N=300). The mean age of the participants was 82.2±6.3 years, 75% were women, 61% met 1-2 frailty criteria, and 39% met ≥3 criteria. Interventions A 12-month, individually tailored, progressive, and physiotherapist-supervised physical exercise twice a week (n=150) vs usual care (n=149). Main Outcome Measures FIM, Short Physical Performance Battery (SPPB), handgrip strength, instrumental activities of daily living (IADL), and self-reported falls and physical activity (other than intervention). Assessed 4 times at home over 12 months. Results FIM deteriorated in both groups over 12 months, −4.1 points (95% confidence interval [CI], −5.6 to −2.5) in the exercise group and −6.9 (95% CI, −8.4 to −2.3) in the usual care group (group P=.014, time P<.001 interaction p=".56)." the mean improvement in sppb was significantly greater exercise group ci than usual care to time reported fewer falls per person-year rate ratio there no significant difference between groups over months terms of handgrip strength iadl function or self-reported physical activity.> Conclusions One year of physical exercise improved physical performance and decreased the number of falls among people with signs of frailty. FIM differed between the groups at 12 months, but exercise did not prevent deterioration of FIM, IADL, or handgrip strength. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321005086#! |