Physical exercises improve the physical capacity of older individuals during hospitalization
estudo longitudinal
DOI:
https://doi.org/10.15448/2357-9641.2023.1.45138Keywords:
Functional Status, Hospitalization, Physical Exercise, elderly person healthAbstract
Objective: to investigate whether physical exercises improve the physical capacity of older individuals during hospitalization. Methods: the sample consisted of 67 older person with a median age of 73 (range 60 - 90) years, hospitalized in an inpatient unit due to acute health conditions (20.9% due to renal/urinary causes, 19.4% due to metabolic causes, and 17.9% due to respiratory conditions) who participated in a physiotherapy program of physical exercises based on the literature. The program aimed to improve balance, walking training, and strengthen lower limb muscles. Participants were assessed using clinical tests, including the Short Physical Performance Battery (SPPB), handgrip strength (HGS), and the Medical Research Council (MRC) manual muscle strength test, administered in two assessments conducted before and after the intervention. Wilcoxon test (=0.05) was used for comparisons. Results: the median length of hospital stay was 6 (3 - 19) days, and the median number of interventions was 3 (1 - 8) sessions. Statistical differences between pre- and post-interventions were found in SPPB scores (4 [2 - 5] vs. 5 [3 - 4]), direct HGS (18 [9.60 - 35.4] vs. 20 [10 - 36.6] kgf), left HGS (17.2 [5.30 - 29.7] vs. 18 [7.20 - 32.0] kgf), and MRC score (48 [40 - 60] vs. 56 [44 - 60]). Conclusion: physical exercises with an emphasis on balance training, walking training, and lower limb strengthening improve the physical capacity of older individuals during hospitalization.
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