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Titolo:
Usefulness of an individualized balance and gait intervention programme based on the problem-oriented assessment of mobility in nursing home residents
Autore:
Protas, EJ; Wang, CY; Harris, C;
Indirizzi:
Texas Womans Univ, Sch Phys Therapy, Houston, TX USA Texas Womans Univ Houston TX USA Univ, Sch Phys Therapy, Houston, TX USA Tzu Chi Coll Technol, Hua Lien, Taiwan Tzu Chi Coll Technol Hua Lien Taiwan Chi Coll Technol, Hua Lien, Taiwan Seven Acres Geriatr Ctr, Rehabil Ctr, Houston, TX USA Seven Acres Geriatr Ctr Houston TX USA Ctr, Rehabil Ctr, Houston, TX USA
Titolo Testata:
DISABILITY AND REHABILITATION
fascicolo: 5, volume: 23, anno: 2001,
pagine: 192 - 198
SICI:
0963-8288(200103)23:5<192:UOAIBA>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHYSICAL THERAPY; ELDERLY PATIENTS; CARE FACILITIES; FALLS; PERFORMANCE; POPULATION; COMMUNITY; PEOPLE; OLDER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Protas, EJ Texas Womans Univ, Sch Phys Therapy, Houston, TX USA Texas Womans Univ Houston TX USA hys Therapy, Houston, TX USA
Citazione:
E.J. Protas et al., "Usefulness of an individualized balance and gait intervention programme based on the problem-oriented assessment of mobility in nursing home residents", DISABIL REH, 23(5), 2001, pp. 192-198

Abstract

Purpose : To examine the usefulness of an individualized balance and gait training proramme according to the specific problems identified from the problem-oriented assessment of mobility (POAM) in residents of a nursing home. Method: The clinical records of 74 NH residents (49 female, 25 male) who were consecutively referred to physical therapy for problems related to poorbalance or gait or a recent fall in a 2 year period were reviewed retrospectively for the study. According to the medical charts, patients had received a four week (20 sessions) problem-oriented exercise programme that specifically targeted balance and gait deficits identified from the POAM and theretest had been done after four weeks of training. Results : The mean initial and final balance scores were 8.47 +/- 3.80, and 10.77 +/- 3.37, respectively, and the mean gait scores were 6.73+/-2.30 initially and 7.71+/-1.95 finally. A Wilcoxon signed-rank comparison of the initial and final POAM indicated that significant improvement occurred in the balance scores (Z = 5.345, p <0.0001) and the gait scale (Z = 3.589, p <0.0001) in this group. Item analysis demonstrated the number of patients who improved or did not change on individual items. Conclusions : Both balance and gait were significantly improved after a four-week intervention programme based on the deficits identified by POAM. The POAM is a useful tool to guide the clinician to target specific balance and gait deficits for individual nursing home elders.

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Documento generato il 15/07/20 alle ore 21:19:11