Use of a device to support standing during a physical activity program to improve function of individuals with disabilities who reside in a nursing home.
OBJECTIVE
To demonstrate the feasibility of an innovative program of physical activity using a standing-support device targeted towards adult residents of a nursing home who are unable to transfer or stand independently.


METHODS
Intervention study.


METHODS
Thirteen residents, age 82 +/- 11 years, at the Beit Bayer Nursing Home, Jerusalem, Israel, who were unable to transfer or stand independently.


METHODS
Eight-week observational period followed by 12-week physical activity performed while standing in a Standing-Support Device.


METHODS
Manual Muscle Testing, joint range of motion, forward and lateral reach, time to stand independently, distance walked with a walker, Functional Independence Measure.


RESULTS
Compared to the observational period, significant post-intervention improvements were noted particularly in lower extremity muscle strength. Improvements in the Functional Independence Measure were noted in sphincter control, locomotion, mobility, motor score, and total score. Over 60% of those previously requiring assistance in standing became able to stand for an average of 1 min unassisted and walk an average of 14 m with a walker.


CONCLUSIONS
A pilot program of physical activity using a Standing-Support Device is feasible in selected stance-disabled older adult nursing home residents. Participants showed evidence of muscle strength and functional improvement. Future studies of the device with a concurrent examination of healthcare costs, functional improvement, and staff burden, are recommended.
Netz
Yael
Y
The Zinman College of Physical Education and Sport Sciences, Wingate Institute 42902, Israel. neyael@wincol.ac.il
Argov
Esther
E
Burstin
Arie
A
Brown
Riki
R
Heyman
Samuel N
SN
Dunsky
Ayelet
A
Alexander
Neil B
NB
D000369:Aged, 80 and over; D004867:Equipment Design; D015444:Exercise; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes; D026741:Physical Therapy Modalities; D012656:Self-Help Devices