Nursing home patients suffer from chronic diseases which place them at great risk from dysmobility yet few receive rehabilitation services. This study will examine the effects of a theoretically derived exercise program on frail nursing home residents. The impact of the intervention on axial mobility and how this relates to various levels of physical and psychosocial function will be explored. The exercise program focuses on basic motor patterns, (Snow's Intermediate Functional Tasks--SIFT) which comprise more complex activities of daily living. The study will consist of two phases. The first phase will be a cross-sectional study of 140 nursing home residents to examine the test properties of the SIFT assessment instrument, and to examine its relationship with other measures of physical and functional performance. This phase of the study will also include feasibility testing of a group exercise program which is based on the SIFT, and prescribed through the use of an algorithm. After refinement in phase I of the exercise protocol, a limited intervention trial utilizing a placebo controlled cross-over design will be conducted. 96 nursing home patients will be recruited for phase II. Subjects will be randomized to participate in a three times a week exercise group or a social-activities group. The intervention (placebo or exercise) will last four months prior to cross-over. Outcomes to be analyzed will address disability, functional limitation, impairment, and cost-effectiveness. The primary outcome measures for phase II are the Functional Independence Measure (FIM), and the Multidimensional Observational Measure of Elderly Subjects (MOSES). All measures will be repeated at monthly intervals throughout the intervention.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Comprehensive Center (P60)
Project #
5P60AG011268-03
Application #
3746314
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
3
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Duke University
Department
Type
DUNS #
071723621
City
Durham
State
NC
Country
United States
Zip Code
27705
Adams, Rebecca N; Mosher, Catherine E; Blair, Cindy K et al. (2015) Cancer survivors' uptake and adherence in diet and exercise intervention trials: an integrative data analysis. Cancer 121:77-83
Itty, Sujit; Day, Shelley; Lyles, Kenneth W et al. (2014) Vitamin D deficiency in neovascular versus nonneovascular age-related macular degeneration. Retina 34:1779-86
Aslam, Imran; Perjar, Irina; Shi, Xiaoyan A et al. (2014) Associations between biomarkers of joint metabolism, hand osteoarthritis, and hand pain and function: the Johnston County Osteoarthritis Project. J Rheumatol 41:938-44
Feng, Qiushi; Zhen, Zhihong; Gu, Danan et al. (2013) Trends in ADL and IADL disability in community-dwelling older adults in Shanghai, China, 1998-2008. J Gerontol B Psychol Sci Soc Sci 68:476-85
Adams, Julie; Kuchibhatla, Maragatha; Christopher, Eric J et al. (2012) Association of depression and survival in patients with chronic heart failure over 12 Years. Psychosomatics 53:339-46
Demark-Wahnefried, Wendy; Morey, Miriam C; Sloane, Richard et al. (2012) Reach out to enhance wellness home-based diet-exercise intervention promotes reproducible and sustainable long-term improvements in health behaviors, body weight, and physical functioning in older, overweight/obese cancer survivors. J Clin Oncol 30:2354-61
Purser, Jama L; Feng, Qiushi; Yi, Zeng et al. (2012) A new classification of function and disability in China: subtypes based on performance-based and self-reported measures. J Aging Health 24:779-98
Hoenig, Helen; Griffiths, Patricia; Ganesh, Shanti et al. (2012) The accuracy of new wheelchair users' predictions about their future wheelchair use. Am J Phys Med Rehabil 91:511-8
Whitson, Heather E; Steinhauser, Karen; Ammarell, Natalie et al. (2011) Categorizing the effect of comorbidity: a qualitative study of individuals' experiences in a low-vision rehabilitation program. J Am Geriatr Soc 59:1802-9
Nelson, Amanda E; Chaudhary, Sanjay; Kraus, Virginia B et al. (2011) Whole blood lead levels are associated with biomarkers of joint tissue metabolism in African American and white men and women: the Johnston County Osteoarthritis Project. Environ Res 111:1208-14

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