Gait speed characteristics and Its spatiotemporal determinants in nursing home residents: A cross-sectional study

Fien, S ORCiD: 0000-0003-0181-5458BACKGROUND AND PURPOSE: Low and slowing gait speeds among nursing home residents are linked to a higher risk of disability, cognitive impairment, falls, and mortality. A better understanding of the spatiotemporal parameters of gait that influence declining mobility could lead to effective rehabilitation and preventative intervention. The aims of this study were to objectively quantify the spatiotemporal characteristics of gait in the nursing home setting and define the relationship between these parameters and gait speed. METHODS: One hundred nursing home residents were enrolled into the study and completed 3 habitual gait speed trials over a distance of 3.66 m. Trials were performed using an instrumented gait analysis. The manner in which the spatiotemporal parameters predicted gait speed was examined by univariate and multivariable regression modeling. RESULTS: The nursing home residents had a habitual mean (SD) gait speed of 0.63 (0.19) m/s, a stride length of 0.83 (0.15) m, a support base of 0.15 (0.06) m, and step time of 0.66 (0.12) seconds. Multivariable linear regression revealed stride length, support base, and step time predicted gait speed (R = 0.89, P < .05). Step time had the greatest influence on gait speed, with each 0.1-second decrease in step time resulting in a 0.09 m/s (95% confidence interval, 0.08-0.10) increase in habitual gait speed. CONCLUSIONS: This study revealed step time, stride length, and support base are the strongest predictors of gait speed among nursing home residents. Future research should concentrate on developing and evaluating intervention programs that were specifically designed to focus on the strong predictors of gait speed in nursing home residents. We would also suggest that routine assessments of gait speed, and if possible their spatiotemporal characteristics, be done on all nursing home residents in an attempt to identify residents with low or slowing gait speed

Clinical importance of assessing walking speed in older adults in general practice

No abstract available

Pumping iron in residential aged adults: why isn't this more commonly available?

No abstract available

Clinical importance of assessing walking speed in older adults in general practice

7 ABSTRAKT Univerzita Karlova v Praze, Farmaceutická fakulta v Hradci Králové Katedra biologických a lékařských věd Školitel: PhDr. Zděnka Kudláčková, Ph.D. Kandidát: Mirka Dohnalová Název diplomové práce: Etiopatogeneze selhání ledvin Úvod: Selhání ledvin je stav, který doprovází řadu civilizačních nemocí. Nejčastěji vzniká na podkladě špatně kompenzovaného diabetu mellitu, hypertenze, obezity nebo vlivem nežádoucích účinků některých léků a toxinů. Důležitým opatřením při léčbě renální insuficience je včasná a správně vedená léčba, která přispívá ke snížení rizika možných komplikací. Cíl práce: Cílem práce bylo zhodnotit vliv jednotlivých rizikových faktorů na funkci ledvin. Metody: Data jsme zjišťovali pomocí dotazníkové metody a sběru ze zdravotnické databáze. Závěr: Podle našich výsledků je nejrizikovější skupinou skupina pacientů s vysokým krevním tlakem, zvýšenou hladinou cholesterolu a diabetem mellitem. U těchto pacientů jsme zjistili na základě našich šetření riziko ledvinového selhání. Mezi další příčiny tohoto onemocnění patří také nezdravý životní styl, omezená pohybová aktivita a kouření. Klíčová slova: příčiny, selhání ledvin,8 ABSTRACT Charles University in Prague, Faculty of Pharmacy in Hradec Králové Department of Biological and Medical Studies Supervisor: PhDr. Zděnka Kudláčková, Ph.D. Candidate: Mirka Dohnalová Title of Diploma thesis: Etiopathogensis of Kidney Failure Introduction: A kidney failure is a state that accompanies a number civilization illnesses. This illness arises mostly from badly compensated diabetes mellitus, hypertension, obesity or from the influence of unwanted effects caused by some medicaments and toxins. An important precaution in the treatment of renal insufficiency is well-timed and proper treatment. It contributes to reduce other possible complications. The aim of the thesis: The aim of the thesis was to evaluate effects of individual risk factors on the function of the kidneys. This result has been given by health database. Methods: We collected information using a questionnaire method and collected from a medical database. Conclusion: According to our results, the most risky group is the group of patients with high blood pressure, high cholesterol and diabetes. These patients have a higher risk of renal failure. Other causes of this disease include unhealthy lifestyle, limited physical activity and smoking. Key words: causes, kidney failureKatedra biologických a lékařských vědDepartment of Biological and Medical SciencesFarmaceutická fakulta v Hradci KrálovéFaculty of Pharmacy in Hradec Králov

Feasibility and benefits of group-based exercise in residential aged care adults: a pilot study for the GrACE programme

The objective of the study was to examine the feasibility and benefits of a group resistance training exercise programme for improving muscle function in institutionalised older adults. A feasibility and acceptability study was designed for a residential aged care (RAC) facility, based on the Gold Coast, Australia. Thirty-seven adults, mean age 86.8 ± 6.1 years (30 females) living in a RAC facility. Participants were allocated into an exercise (n = 20) or control (n = 17) group. The exercise group, the Group Aged Care Exercise (GrACE) programme, performed 12 weeks of twice weekly resistance exercises. Feasibility was measured via recruitment rate, measurement (physiological and surveys) completion rate, loss-to-follow-up, exercise session adherence, adverse events, and ratings of burden and acceptability. Muscle function was assessed using gait speed, sit-to-stand and handgrip strength assessments. All intervention participants completed pre- and post-assessments, and the exercise intervention, with 85% (n = 17) of the group attending ≥ 18 of the 24 sessions and 15% (n = 3) attending all sessions. Acceptability was 100% with exercise participants, and staffwho had been involved with the programme strongly agreed that the participants "Benefited from the programme." There were no adverse events reported by any participants during the exercise sessions. When compared to the control group, the exercise group experienced significant improvements in gait speed (F(4.078) = 8.265, p = 0.007), sit to stand performance (F(3.24) = 11.033, p = 0.002) and handgrip strength (F(3.697) = 26.359, p < 0.001). Resistance training via the GrACE programme is feasible, safe and significantly improves gait speed, sit-to-stand performance and handgrip strength in RAC adults