title: [Feasibility study of locomotion training in a home-visit preventive care program].
abstract: OBJECTIVE
  To evaluate the feasibility of locomotion training (single-leg standing and squats) in a home-visit preventive care program for the elderly.
  
  
  METHODS
  We invited 246 people who were not attending any preventive care programs within the long-term care insurance system. Among these, 60 participated in the current program. We administered a hearing survey, measured the single-leg stance time with eyes open, and subjects underwent locomotion training. Each participant was asked to repeat 1 set of training exercises 3 times per day at home. One set consists of standing on each leg for 1 minute and squatting 5 to 6 times. We telephoned the participants regularly during the 3 month program (locomo call). At the end of the program, we visited the participants and measured the single-leg stance time with eyes open.
  
  
  RESULTS
  A total of 60 elderly adults participated in the program (15 men, 45 women). Among subjects secondary prevention of musculoskeletal (n=313), 67 were participating in site-visit preventive care programs conducted by the local authorities (21.4%). Among these 313, 127 were participating in site-visit preventive care programs or locomotion training (40.6%). It shows the increasing of the participation rate 21.4% to 40.6%. The continuance rate was 91.7%. The single-leg stance time improved for both men (16.2±17.7 sec, p<0.05) and women (57.2±79.7 sec, p<0.01) compared to the baseline. Similarly, improvement was observed in the single-leg stance time for both the young-old (62.2±67.9 sec, p<0.01) and the old-old (39.2±73.8 sec, p<0.01).
  
  
  CONCLUSIONS
  We consider that the locomotion training program which we introduced in the current home-visit preventive care program was effective and highly feasible for the elderly who have not previously responded conventional site-visit preventive care programs.
authors.affiliation: Department of Public Health, Fukushima Medical University School of Medicine, Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Hashimoto
authors.forename: Seiji
authors.initials: S
authors.lastname: Yasumura
authors.forename: Kyoko
authors.initials: K
authors.lastname: Nakano
authors.forename: Midori
authors.initials: M
authors.lastname: Kimura
authors.forename: Kozo
authors.initials: K
authors.lastname: Nakamura
authors.forename: Keiji
authors.initials: K
authors.lastname: Fujino
authors.forename: Hiromoto
authors.initials: H
authors.lastname: Ito
mesh_terms: D000368:Aged; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D006792:House Calls; D006801:Humans; D008124:Locomotion; D008297:Male; D011314:Preventive Health Services / Q000379:methods*