The effects of an active-assisted stretching program on functional performance in elderly persons: A pilot study

This study examined the impact of an eight-week active-assisted (AA) stretching program on functionality, mobility, power, and range of motion (ROM) in elderly residents of a residential retirement community. Seventeen volunteers (4 male, 13 female; 88.8 ± 5.36 years) were randomly assigned to an AA or control group. The AA group performed 10 different AA stretches targeting the major joints of the body twice weekly for eight weeks. Controls attended classes requiring limited physical activity. All participants were assessed using four flexibility and six functional tests, one week before and after the eight-week training period. A fully randomized repeated-measures ANCOVA with pretest scores as a covariate was used to detect differences between groups across time. The AA group demonstrated significant increases in ROM for most of the joints evaluated (p < 0.05) and significant increases in all performance measures (p < 0.05). Controls showed no improvements in functional or ROM measures (α = 0.05). Additionally, the AA group showed significantly better performance outcomes across the training period than controls. We conclude that our eight-week flexibility program effectively reduces age-related losses in ROM and improves functional performance in elderly persons with insufficient physical reserves to perform higher-intensity exercises

Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment

The relationship between perceived health and walker use has seldom been addressed. Concerns over falls and falls risk are precursors to walker use. We compared the SF-36 scores of 26 women and 14 men, mean age 86.8 ± 6.0 years based on walker use and faller status. An analysis of covariance (ANCOVA) with age as the covariate, compared groups for the SF-36 constructs and totals score. Significant differences were noted between walker users and nonusers in physical functioning, role limitations due to physical problems, general health, and the total SF-36 score. Pairwise comparisons favored nonusers, while no differences were seen due to faller status. Walker use is associated with lower self-perceptions of physical functioning, role limitations due to physical problems, and general health in assisted-living residents. Faller status is not associated with self-perceived health status. Although walker use aids mobility and lowers the probability of falls, further research is needed to determine if the prescription of assistive devices has a more negative impact on self-perceived health than does falling. This possibility could be explained, in part, by the greater activity levels of those individuals who do not depend on walkers

The Modified Total Body Rotation Test: A Rapid, Reliable Assessment of Physical Function in Older Adults

OBJECTIVES: To describe a quick, modified measure of total body rotation with performance rankings for elderly persons and to highlight the importance of total body rotational ability for overall physical performance. DESIGN: Scores were collected during the same testing session and were compared with other measures using a Pearson correlation. SETTING: Community-based senior centers. PARTICIPANTS: One hundred forty-five participants aged 79.6 ± 7.2 were recruited using flyers distributed at health fairs, senior centers, and lifelong learning programs. MEASUREMENTS: The modified total body rotation test (MTBR), the back-scratch test, the modified sit-and-reach test, the 30-second chair-stand test, the Short Physical Performance Battery, and the short version of the Continuous-Scale Physical Functional Performance Test. RESULTS: The MBTR significantly correlated to all standard measures of physical performance. Norms are reported for all participants, and reliability analyses were conducted using data from 18 participants. Data were divided into quintiles to create cutoffs for physical performance rankings that can be used when reporting results to the general public. CONCLUSION: Many evaluations measure isolated components of physical performance, but few examine whole body movements that allow all components necessary for independence and function to work in harmony as needed considering the task and the individual’s movement strategy. The current study offers the MTBR as a quick, easy, and cost-effective evaluation method to quantify the degree of impairment or injury and the rate of improvement with treatment or training