Effects of chair-based resistance band exercise on physical functioning, sleep quality, and depression of older adults in long-term care facilities: Systematic review and meta-analysis.
Ferry Efendi, Santo Imanuel Tonapa, Eka Mishbahatul M Has and 1 others
PMID 36860706WHAT IT FOUND
Chair-based resistance band exercise improved daily living independence, strength, endurance, flexibility, balance, sleep quality and depression in older adults in long-term care.
Sessions were about 40 to 46 min, three times weekly, for 12 to 60 weeks.
Key findings
01Independence in daily living improved (standardized mean difference 0.30; 95% confidence interval 0.11 to 0.48; P = 0.001).
02Sleep quality improved (Pittsburgh Sleep Quality Index mean difference -1.71; 95% confidence interval -2.56 to -0.86; P < 0.001).
03Depression improved (standardized mean difference -0.33; 95% confidence interval -0.64 to -0.02; P = 0.035).
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs
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What it does not show
Only English-language studies were included. The included trials were fair or good quality, none used intention-to-treat, and only 12.5% blinded outcome assessors. Upper limb muscle endurance had considerable heterogeneity (I2 = 80.9%). Lower body flexibility had evidence of publication bias (P = 0.032). Sleep quality and depression findings came from only two studies each. No adverse events were reported in the included studies.
Declared interests
Funded by Universitas Airlangga, Indonesia through Article Review scheme number 200/UN3.15/PT/2022. The authors declared no conflicts of interest.
The easy way to misread this
Do not read the pooled improvements as proof that every resident will benefit. The trials were fair or good quality, none used intention-to-treat, only 12.5% blinded outcome assessors, and sleep and depression results came from only two studies.