The Functional Effects of Physical Exercise Training in Frail Older People

Department of Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands.
Sports Medicine (Impact Factor: 5.04). 02/2008; 38(9):781-93. DOI: 10.2165/00007256-200838090-00006
Source: PubMed


This systematic review describes the effect of exercise training on physical performance in frail older people. Randomized controlled trials were identified from searches in PubMed, EMBASE and CENTRAL from January 1995 through August 2007. Two reviewers independently screened the trials for eligibility, rated their quality, and extracted data. Randomized controlled trials that examined the effects on performance-based measures of physical function among frail older adults were included. The systematic search identified 20 studies, examining 23 different exercise programmes. The methodological quality score (0-9) of the trials ranged from 2 to 7 points. Sixteen of the studies were scored as high quality. There was a large variety in the studies concerning sample size, degree of frailty, types of interventions and types of assessments. The majority of the programmes were facility-based, group-exercise programmes that were performed three times a week for 45-60 minutes. The intervention programmes comprised resistance training (n = 9), Tai Chi training (n = 2), or multi-component training (n = 12). Six of the total selected 20 studies did not find a beneficial exercise effect on functional performance. This systematic review suggests that older adults with different levels of abilities can improve their functional performance by regular exercise training. To determine the most appropriate design of the exercise programme (type, intensity, frequency and duration of exercise) for functional improvement or prevention of loss of function, more high-quality trials are needed in which different training protocols are compared.

177 Reads
  • Source
    • "Intervenciones sobre el aspecto físico La mayoría de los estudio han demostrado efecto positivo significativo sobre diferentes aspectos físicos en adultos mayores frágiles (Chin et al., 2008). Algunos otros han demostrado que el entrenamiento de resistencia progresiva promueve un mejor desempeño físico con mejoría de 4.4 segundos en la prueba de levántate y anda. "

    Full-text · Dataset · Sep 2015
  • Source
    • "These results and other several lines of evidence suggest that the primary BMS associated with neuropathic disorder might be peripheral, central or mixed depending on the individual [17] [24]. Thus, although a variety of pain interventions have been developed and their effectiveness have been investigated , the dropout rate in pain management has always been high and a matter of concern [27] [42]. Poor attendance rates and poor compliance with interventions are factors contributing to the unsatisfactory effect of pain management interventions. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Please cite this article in press as: Naganawa T, et al. Effect of motivational interviewing on medication non-adherence for patients with chronic intraoral pain. J Oral Maxillofac Surg Med Pathol (2015), http://dx. a b s t r a c t Motivational interviewing (MI) is a technique for helping clients to recognize and address their problems. This approach is useful for clients who are reluctant to change or who are ambivalent about changing their behaviors. We describe a case of medication non-adherence in a patient with chronic intraoral neuropathic pain. A 54-year-old man visited the Tokyo Women's Medical University Hospital with spontaneous pain on the gingiva and tongue. Although, pharmacotherapy was initiated, pain management was inadequate. The patient was unwilling to take any more medications (medication non-adherence) because of his previous experience, where the medications prescribed were non-effective in controlling his pain. MI was performed for his ambivalent condition (unwilling to take medicine vs. willing to achieve pain relief). The patient's behavior changed after three MI sessions, and then 2 weeks of pharma-cotherapy (amitriptyline, 10 mg/day) decreased the pain score from 8 to 4 on the numerical rating scale (0–10). Another 8 weeks on amitriptyline at 20 mg/day further improved pain score from 4 to 0. MI may be effective as a psychological approach for addressing non-adherence to medication in the management of chronic intraoral pain.
    Full-text · Article · Aug 2015
  • Source
    • "que se requiere . Hay casos donde una función cognitiva responde a un tipo de ejercicio y no a otro ( Angevaren , Aufdemkampe , Verhaar , Aleman y Vanhees , 2008 ) . Además , se han reportado estudios con resultados inconsistentes , con problemas metodológicos que no permiten establecer una suficiente relación clínica o estadística significativa ( Chin et al . , 2008 ; Smith et al . , 2013 ) ."

    Full-text · Article · Jan 2015
Show more