Physical exercises improve the physical capacity of older individuals during hospitalization

estudo longitudinal

Authors

DOI:

https://doi.org/10.15448/2357-9641.2023.1.45138

Keywords:

Functional Status, Hospitalization, Physical Exercise, elderly person health

Abstract

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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Author Biographies

Flavia Dawidowicz Cania , Curitiba Municipal Health Department; State Health Care Foundation (FEAS) – Multidisciplinary Residency Program in Elderly Health, Curitiba, PR, Brazil.

Postgraduate in the Multidisciplinary Residency in Elderly Health from the Municipal Health Department of Curitiba and the State Health Care Foundation (FEAS), in Curitiba, PR, Brazil; graduated in Physiotherapy from the Pontifical Catholic University of Paraná (PUCPR), in Curitiba, PR, Brazil.

Elizabete Cristina Faustino, Curitiba Municipal Health Department; State Foundation for Health Care (FEAS) – Multiprofessional Residency Program in Elderly Health, Curitiba, PR, Brazil.

Postgraduate in the Multidisciplinary Residency modality in Elderly Health and Family Health from the Municipal Health Department of Curitiba and the State Health Care Foundation (FEAS), in Curitiba, PR, Brazil; graduated in Physiotherapy from Centro Universitário UniDomBosco, in Curitiba, PR, Brazil.

Paulo Henrique Coltro, State Foundation for Health Care (FEAS), Curitiba, PR, Brazil.

Master in Communication Disorders from Universidade Tuiuti do Paraná (UTP), in Curitiba, PR, Brazil; specialist in intensive care from Faculdade Inspirar and certified by ASSOBRAFIR/COFFITO, in Curitiba, PR, Brazil; specialist in Quality and Safety in Patient Care at Hospital Sírio Libanês; and specialist in gerontology by the Brazilian Society of Geriatrics and Gerontology (SBGG), PR, Brazil. Graduated in Physiotherapy from the Pontifical Catholic University of Paraná (PUCPR), in Curitiba, PR, Brazil.

Tatiane Caroline Boumer, State Foundation for Health Care (FEAS), Curitiba, PR, Brazil.

Master in Technology from the Pontifical Catholic University of Paraná (PUCPR), in Curitiba, PR, Brazil; postgraduate in the Multidisciplinary Residency in Elderly Health from the Municipal Health Department of Curitiba and the State Health Care Foundation (FEAS), in Curitiba, PR, Brazil; postgraduate degree in Intensive Care from Facuminas, MG, Brazil; specialist in gerontology from the Brazilian Society of Geriatrics and Gerontology (SBGG), PR, Brazil; graduated in Physiotherapy from the Pontifical Catholic University of Paraná (PUCPR), in Curitiba, PR, Brazil. PhD student in Technology at the Pontifical Catholic University of Paraná (PUCPR), in Curitiba, PR, Brazil.

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Published

2023-12-04

How to Cite

Dawidowicz Cania , F., Faustino, E. C., Coltro, P. H., & Boumer, T. C. (2023). Physical exercises improve the physical capacity of older individuals during hospitalization: estudo longitudinal. PAJAR - Pan American Journal of Aging Research, 11(1), e45138. https://doi.org/10.15448/2357-9641.2023.1.45138

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