Effects of a 12-week marching in place and chair rise daily exercise intervention on ADL and functional mobility in frail older adults.
Yoshiji Kato, Mohammod M Islam, Daisuke Koizumi and 2 others
PMID 29706704WHAT IT FOUND
Frail nursing home residents who marched in place and rose from a chair for 25 minutes daily for 12 weeks improved their ability to perform daily tasks and their walking speed.
The exercise group also generated significantly more power when standing up. The non-exercise group showed no such gains.
Key findings
01The exercise group improved their Barthel Index score by 11.6%, their 10-meter walk time by 14.6%, and their chair stand power by 33.0% compared to the non-exercise group.
02The non-exercise group showed no significant changes in any measured variable after 12 weeks.
03All participants in the exercise group completed the training without injury.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study was not randomized; participants were assigned to groups based on facility availability. The exercise and control groups were from different facilities, which may introduce confounding variables. The sample size was small (31 participants). The control group received some physical therapy (relaxation therapy and joint mobilization), which may have influenced the comparison. The definition of 'frailty' was not strictly applied using a standard phenotypic definition, though participants had low baseline function.
Declared interests
None declared.
The easy way to misread this
Do not assume this program is superior to other exercise types or that it can be applied to all older adults. The participants were already able to walk independently indoors, and the control group received some therapy services. The lack of randomization and the small sample size mean the results should be interpreted with caution.