Mobility Decline Prevention
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Modules - Mobility Decline Prevention
Exercise with Physically Restrained Nursing Home Residents: Maximizing Benefits of Restraint Reduction
John F. Schnelle, Priscilla G. Macrae, Karen Giacobassi, Holden S.H. MacRae, Sandra F. Simmons, and Joseph G. Ouslander, 1996, in Journal of the American Geriatrics Society; 44:507-512.
This randomized, controlled trial evaluated an intervention that was designed to improve mobility in physically restrained residents. The intervention, provided to 35 residents, consisted of walking or wheelchair propulsion, supplemented by rowing exercise three times per week for nine weeks. Intervention residents also practiced behaviors related to safe movement. Compared to the control group (N=37 residents), the exercise group members significantly improved their upper body rowing performance, handgrip strength, and wheelchair endurance, and decreased injury risk factors. There was no evidence that the exercise was associated with negative side effects. Unfortunately, many physically restrained residents were not candidates for the intervention, either because of unresponsiveness or because they were too physically debilitated to participate. In addition, about 30% of the residents who initially consented to participate in the program had to drop out due to death, hospitalization, or transfer from the facility. This attrition rate reflects the extreme frailty of this population.
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