Motor reeducation to improve activities of daily living in older adults
DOI:
https://doi.org/10.56183/iberojhr.v4is.696Palavras-chave:
postural balance; muscular strength; daily activities; fragile elderlyResumo
Background: Postural control disorders have a high correlation with sensory and cognitive aspects in the elderly. It is reflected in the execution of activities of daily living. In this way, the interest arises to re-educate the upper and lower limb in older adults to improve the execution of activities of daily living through motor control exercises. Method: The research was of a descriptive type of longitudinal cohort, under a quantitative approach on 30 older men and women who met the inclusion and exclusion criteria of the "Mi Viejo Guaytacama" Care Unit. The Barthel index was applied to evaluate the activities of daily living and the level of independence of the elderly. The initial evaluation and review of the scientific evidence allowed the design of a protocol that was reviewed and validated by three experts, to be applied for 16 weeks, twice a week and with duration of between 25 to 45 min per session. Results: The results after the application of the physiotherapeutic intervention reflect an improvement in the execution of the activities of daily living, going from severe and moderate levels of dependence to independence in all activities. In addition, significant differences were obtained between the measures (p<0.000). Conclusion: The motor re-education of the lower and upper limb improves the execution of activities of daily living and the level of independence of the elderly.
Referências
Bayona-Marzo, I., Fernández de Santiago, FJ, Martínez León, M., & Navas Cámara, FJ (2012). Functional dependency of the institutionalized elderly assessed using the Barthel index. Gerokomos, 23(1), 19-22. Available from:https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2012000100004
Caballero, J., Navarrete, G., Crisp, F., Brizzolara A., et al. (2018). Geriatrics Manual for Physicians. First. 427 p. Available from:http://familiarycomunitaria.cl/FyC/wp-content/uploads/2019/01/Manual-Geriatria.pdf
Cid-Ruzafa, J., & Damián-Moreno, J. (1997). Assessment of physical disability: Barthel's index [Disability evaluation: Barthel's index]. Spanish Journal of Public Health, 71(2), 127–137. Available from:https://scielo.isciii.es/pdf/resp/v71n2/barthel.pdf
Correction in the article «PRISMA 2020 Declaration: an updated guide for the publication of systematic reviews», Rev Esp Cardiol. 2021;74:790-799. (2022). Spanish Journal of Cardiology (English ed.), 75(2), 192.https://doi.org/10.1016/j.rec.2021.10.019
Chalapud-Narváez LM, Escobar Almario AE. (2017). Physical activity to improve strength and balance in the elderly. Univ and Health. 19(1):94. Available from:http://www.scielo.org.co/scielo.php?pid=S0124-71072017000100094&script=sci_abstract&tlng=en
Chávez-Pantoja, M., López-Mendoza, M., & Mayta-Tristán, P. (2014). Effect of a physiotherapeutic exercise program on physical performance in institutionalized older adults. Spanish Journal of Geriatrics and Gerontology, 49(6), 260-265https://doi.org/10.1016/j.regg.2014.05.010.
De Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., & Millán-Calenti, JC (2015). Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC geriatrics, 15, 154.https://doi.org/10.1186/s12877-015-0155-4
Esain, I., Gil, SM, Rodriguez-Larrad, A., Duñabeitia-Usategui, I., & Bidaurrazaga-Letona, I. (2021). Women over 65 years of age who perform supervised physical exercise: differences in physical capacity, physical activity and quality of life depending on their walking speed. Spanish Journal of Geriatrics and Gerontology, 56(6), 343-348. Available from:https://www.sciencedirect.com/science/article/abs/pii/S0211139X21001219
Font-Jutglà, C., Gimeno, EM, Roig, JB, da Silva, MG, & Villarroel, RM (2020). Effects of light intensity physical activity on the physical conditions of older adults: systematic review. Spanish Journal of Geriatrics and Gerontology, 55(2), 98-106. Available from:https://www.sciencedirect.com/science/article/abs/pii/S0211139X19301969
Garatachea, N., Molinero, O., Martínez-García, R., Jiménez-Jiménez, R., González-Gallego, J., & Márquez, S. (2009). Feelings of well being in elderly people: relationship to physical activity and physical function. Archives of gerontology and geriatrics, 48(3), 306–312.https://doi.org/10.1016/j.archger.2008.02.010
Geurts, A.C., de Haart, M., van Nes, I.J., & Duysens, J. (2005). A review of standing balance recovery from stroke. Gait & posture, 22(3), 267–281.https://doi.org/10.1016/j.gaitpost.2004.10.002
Guirao-Goris, Josep Adolf, Cabrero-García, Julio, Moreno Pina, J. Patricia, & Muñoz-Mendoza, Carmen Luz. (2009). Structured review of questionnaires and scales that measure physical activity in older adults and the elderly. Gaceta Sanitaria, 23(4), 334.e51-334.e67. Available from:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112009000400015&lng=es&tlng=es.
Hernandez-Nieto R. (2011). Data collection instruments in social sciences and biomedical sciences: Validity and Reliability: University of Los Andes-Faculty of Humanities and Education. Available from:https://www.academia.edu/37886946/Instrumentos_de_recoleccion_de_datos_en_ciencias_sociales_y_ciencias_biomedicas_Rafael_Hernandez_Nieto_pdf
National Institute of Statistics and Censuses. (2010). Cotopaxi provincial fascicle. Available from:https://www.ecuadorencifras.gob.ec/wp-content/descargas/Manu-lateral/Resultados-provinciales/cotopaxi.pdf
Kirker, S.G., Simpson, DS, Jenner, JR, & Wing, A.M. (2000). Stepping before standing: hip muscle function in stepping and standing balance after stroke. Journal of neurology, neurosurgery, and psychiatry, 68(4), 458–464.https://doi.org/10.1136/jnnp.68.4.458
Laguado Jaimes, Elveny, Camargo Hernández, Katherine del Consuelo, Campo Torregroza, Etilvia, & Martín Carbonell, Marta de la Caridad. (2017). Functionality and degree of dependency in older adults institutionalized in wellness centers. Gerokomos, 28(3), 135-141.Available from:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2017000300135&lng=es&tlng=es
Landinez Parra, Nancy Stella, Contreras Valencia, Katherine, & Castro Villamil, Ángel. (2012). Aging process, exercise and physiotherapy. Cuban Journal of Public Health, 38(4), 562-580. Available from:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662012000400008&lng=es&tlng=es
Loredo-Figueroa, MT, Gallegos-Torres, RM, Xeque-Morales, AS, Palomé-Vega, G., & Juárez-Lira, A. (2016). Level of dependency, self-care and quality of life of the elderly. University Nursing, 13(3), 159-165. Available from:https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=s1665-70632016000300159
Martínez-Martín, P., Fernández-Mayoralas, G., Frades-Payo, B., Rojo-Pérez, F., Petidier, R., Rodríguez-Rodríguez, V., ... & Pedro Cuesta, JD (2009 ). Validation of the functional independence scale. Gaceta Sanitaria, 23, 49-54. Available from:https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112009000100010
Ministry of Economic and Social Inclusion. (2022). Senior Population Address. Available from:https://www.inclusion.gob.ec/direction-poblacion-adulta-mayor/
Moher, D., Liberati, A., Tetzlaff, J., Altman, DG, & PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS medicine, 6(7), e1000097.https://doi.org/10.1371/journal.pmed.1000097
Moreira, NB, Gonçalves, G., da Silva, T., Zanardini, FEH, & Bento, PCB (2018). Multisensory exercise program improves cognition and functionality in institutionalized older adults: A randomized control trial. Physiotherapy research international: the journal for researchers and clinicians in physical therapy, 23(2), e1708.https://doi.org/10.1002/pri.1708
World Health Organization. (2018). Aging and health. Available from:https://www.who.int/es/news-room/fact-sheets/detail/aging-and-health
Osoba, MY, Rao, AK, Agrawal, SK, & Lalwani, AK (2019). Balance and gait in the elderly: A contemporary review. Laryngoscope investigative otolaryngology, 4(1), 143–153.https://doi.org/10.1002/lio2.252
Restrepo, SL, Morales, RM, Ramírez, MC, López, MV, & Varela, LE (2006). Eating habits in older adults and their relationship with protective and deteriorating health processes. Chilean Nutrition Journal, 33(3), 500-510. Available from:https://www.scielo.cl/scielo.php?pid=S0717-75182006000500006&script=sci_arttext
Rodríguez Díaz Orlando. (2009). Functional rehabilitation of the elderly. MEDISAN;13(5). Available at: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192009000500014&lng=es.https://www.minsal.cl/sites/default/files/files/Taller%20Estimulaci%C3%B3n%20de%20Funciones%20Motoras%20y%20Prevenci%C3%B3n%20de%20Ca%C3%ADdas.pdf
Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of clinical epidemiology, 42(8), 703–709.https://doi.org/10.1016/0895-4356(89)90065-6
Soliz Rivero, G., & Martínez Espinoza, BB (2015). Comprehensive health and rights of the elderly. I study in the community of Maluay, el Valle. Rev. Fac. Cienc. Med. Univ. Cuenca, 69-78. Available from:https://pesquisa.bvsalud.org/portal/resource/esSiqueira/biblio-1000250
Tarazona-Santabalbina, FJ, Gómez-Cabrera, MC, Pérez-Ros, P., Martínez-Arnau, FM, Cabo, H., Tsaparas, K., Salvador-Pascual, A., Rodriguez-Mañas, L., & Viña, J. (2016). A Multicomponent Exercise Intervention that Reverses Frailty and Improves Cognition, Emotion, and Social Networking in the Community-Dwelling Frail Elderly: A Randomized Clinical Trial. Journal of the American Medical Directors Association, 17(5), 426–433.https://doi.org/10.1016/j.jamda.2016.01.019
Vasconcelos-Rocha, S., Souza dos Santos, S., Carneiro Vasconcelos, LR, & Alves dos Santos, C. (2016). Strength and ability to implement activities of daily living in older adults living in rural areas. Colombia Médica, 47 (3), 167-171. Available from:https://www.redalyc.org/journal/283/28348402007/
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Paola Bibiana Jiménez Laverde, Lisbeth Josefina Reales Chacón, Gerardo Fernando Fernández Soto, María Alexandra Vaca Sánchez, Erika Yazmín Sánchez Villacís
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
