Cited by 145Geriatric Care and Nursing HomesAging, Health, and DisabilityNutrition and Health in Aging

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Nursing Rehabilitation and Exercise Strategies in the Nursing Home

Morris, J. N., Fiatarone, M., Kiely, D. K., Belleville-Taylor, P., Murphy, K., Littlehale, S., Ooi, W. L., O'Neill, E., Doyle, N.·1999·The Journals of Gerontology Series A: Biological Sciences and Medical Sciences

DOI 10.1093/gerona/54.10.m494

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Abstract

BACKGROUND: The purpose of this study was to evaluate how weight training or nursing-based rehabilitative care programs in nursing homes impact on resident performance of Activities of Daily Living (ADL) and objectives tests of physical performance. METHODS: This study involved a quasi-experimental control, longitudinal comparison of functional status over a 10-month period, where baseline status was adjusted through a weighting procedure based on functional status, cognitive status, and age. All residents from six residential care nursing home facilities were eligible except those with a terminal prognosis, a projected stay of less than 90 days, or with health complications that prohibited contact. Homes were placed into matched triplets based on patient characteristics: two members of each triplet were randomly designated to be experimental sites, the third became the control site. Baseline data were available for 468 subjects, follow-up for 392. ADL self-performance measures derived from the Minimum Data Set, including indicators of early loss ADL, locomotion, and late loss ADL; a number of objective functional tests (including measures of balance, power, and endurance); and mood state as measured by the Geriatric Depression Scale. RESULTS: Mean ADL values in the two experimental groups declined at a significantly lower rate than did rates for the controls. Functional decline was also lower in more specific measures: locomotion, early loss ADL, and late loss ADL. CONCLUSIONS: With both interventions, facilities were able to implement a broad-based intervention that resulted in a significant reduction in ADL decline rates. A facility-wide nursing rehabilitation program can play a useful role in reversing functional decline, helping residents to maintain their involvement in a broad spectrum of ADL activities.

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Authors: Morris, J. N., Fiatarone, M., Kiely, D. K., Belleville-Taylor, P., Murphy, K., Littlehale, S., Ooi, W. L., O'Neill, E., & Doyle, N.
Affiliations: Harvard University (US)
Venue: The Journals of Gerontology Series A: Biological Sciences and Medical Sciences
Publisher: Oxford University Press (OUP)
Published: 1999-10-01
Volume: 54
Issue: 10
Pages: M494-M500
ISSN: 1079-5006 (ISSN-L)
1758-535X
DOI: 10.1093/gerona/54.10.m494
OpenAlex: W2164668623
Cited by: 145
References: 15
Citations by year: 2025: 2 · 2024: 2 · 2022: 2 · 2021: 6 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 4 · 2015: 1 · 2014: 3 · 2013: 10 · 2012: 4
FWCI: 17.43
Type: journal article
Language: en
Open access: closed
Locations: The Journals of Gerontology Series A (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5p50ag011719-05)
National Institute on Aging (AG11719)
Topics: Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Keywords: rehabilitation nursing, nursing homes, weight training, exercise intervention, activities of daily living, functional decline, physical performance, balance, endurance, mood, geriatric depression, older adults
MeSH terms: Activities of Daily Living, Aged, Exercise Therapy, Homes for the Aged, Humans, Nursing Homes, Geriatric Assessment, Rehabilitation Nursing

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Nursing Rehabilitation and Exercise Strategies in the Nursing Home

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