1. Effectiveness of locomotion training in a home visit preventive care project: one-group pre-intervention versus post-intervention design study.
- Author
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Ito, Shinya, Hashimoto, Mari, Aduma, Saori, and Yasumura, Seiji
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LOCOMOTION , *STIFLE joint , *KNEE , *ARTICULAR ligaments , *LOCOMOTOR control , *PHYSIOLOGICAL control systems , *MEDICAL care , *HOME care service statistics , *GERIATRIC assessment , *COMPARATIVE studies , *EXERCISE therapy , *FRAIL elderly , *HUMAN locomotion , *RESEARCH methodology , *MEDICAL cooperation , *NONPARAMETRIC statistics , *PREVENTIVE health services , *QUALITY of life , *RESEARCH , *ACTIVITIES of daily living , *EVALUATION research , *TREATMENT effectiveness , *EVALUATION of human services programs - Abstract
Background: Locomotion training in a home visit-type preventive-care program has been reported elsewhere. However, continuation of appropriate exercises in a home setting is difficult, and few reports are available on locomotion training in a home setting. The objective of this study was to evaluate the effectiveness of locomotion training over 3 months in a home visit-type preventive-care program for improvement of motor function among elderly people.Methods: Nine hundred and fifty-eight elderly people in Tendo City in Japan who were not currently attending any preventive-care program were invited to participate in the study, and 87 were enrolled. In the pre-intervention and post-intervention assessments, we administered an interview survey (the Kihon Checklist), the timed one-leg standing test with eyes open and the sit-to-stand test, at the participants' homes. The intervention involved one set of training exercises with the participants standing on each leg for 1 min and squatting five or six times. The participants were asked to repeat one set of the exercises three times a day at home. In addition, the participants were regularly asked over the telephone about their performance of the exercises.Results: Physical strength, cognitive function, and total scores of the Kihon Checklist were significantly lower after the intervention than before. In addition, the one-leg standing test time was significantly longer after the intervention (mean ± SD, 23.9 ± 35.4) than before (15.7 ± 20.5), and the sit-to-stand test time was significantly shorter after the intervention (13.0 ± 6.2) than before (14.8 ± 8.3).Conclusion: Locomotion training in a home-visit preventive-care program with telephone support effectively improved the motor function of elderly people who were not currently attending any preventive-care program organized by the long-term care insurance system. [ABSTRACT FROM AUTHOR]- Published
- 2015
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