Clinical effects of task-oriented exercise in hospitalized elderly patients with frailty
Objective To develop a task-oriented exercise(TOE)program suitable for hospitalized elderly frailty patients,and to evaluate its effects on patients'upper and lower limb mobility and activities of daily living.Methods Using the convenience sampling method,60 elderly frailty patients admitted to Beijing Hospital between August and December 2019 were selected and randomly divided into a TOE group and a conventional care group,with 30 in each group.In addition to conventional treatment and care,the TOE group performed task-oriented training(turning to fetch objects and multidirectional stepping),while the conventional care group performed aerobic training and resistance training.Both groups completed 10 training sessions.Baseline data of patients in both groups were assessed before intervention.Grip strength(as a measure of upper limb motor function),the motor component of the World Health Organization disability assessment schedule(WHODAS)2.0(as a measure of lower limb motor function),and the modified Barthel index(as measure of the ability to perform activities of daily living)were assessed after intervention.Results Before intervention,the grip strength values of the TOE group and the conventional care group were(20.21±6.39)kg and(17.61±10.59)kg,and the scores of the motor component of WHODAS 2.0 were(16.07±6.64)and(20.23±1.18),respectively.After intervention,the grip strength value and the score of the motor component of WHODAS 2.0 of the TOE group were(22.13±5.97)kg and(12.86±5.17)kg,respectively,with statistically significant differences compared with those of the conventional care group,which were(19.05±9.16)kg for grip strength and(15.67±1.11)for the motor component of WHODAS 2.0(t=2.005,P=0.049;t=-18.210,P＜0.001).The value of grip strength and the score of the motor component of WHODAS 2.0 were higher post-intervention than pre-intervention in the TOE group(t=5.005、-5.291,P＜0.001 for both),but they showed no statistical differences in the conventional care group(t=0.247、1.614,P=0.806,0.112).After intervention,the total modified Barthel index scores of the TOE and conventional care groups were(55.27±37.12)and(57.27±33.39),respectively,higher than the pre-intervention scores,which were(42.27±29.92)and(40.54±20.55),respectively(both P＜0.05).There was no statistical difference in total Barthel score between the two groups after intervention(t=1.042,P=0.303).Conclusions For hospitalized elderly frailty patients,the TOE program is simple,easy to implement,safe and effective,and can not only achieve the same purpose of improving the ability to perform activities of daily living as the conventional exercise program,but also improve the performance of upper and lower limb motor function more quickly.
FrailtyBehavior rehabilitation trainingHand strengthActivities of daily living
NETL
NSTL
万方数据
