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- Results from a home based exercise protocol to elderly people with osteoarthritisPublication . Pinheira, Vítor; Gonçalves, Bárbara; Pereira, Sara; Rodrigues, Abel; Gonçalves, Rui SolesIntroduction: Osteoarthritis is one of the most commom problems in elderly populations and the most commom cause of disability. Knee is one of the most affected joint and the loss of range of motion and function will limit daily activities and the mobility. Self-management programs with exercises performed at home may be a useful therapy. These programs are based on the quadriceps strengthening exercises, low aerobic strength in order to improve the functional state, pain and aerobic capacity. Objectives: Evaluate the effectiveness of an exercise protocol performed at home on improving the functionality, mobility and health related quality of life of elderly people with knee osteoarthritis. Materials and Methods: Exploratory, descriptive and longitudinal study. 44 subjects have been selected according to the inclusion criteria (age ¡Ý 65 years with symptoms of knee osteoarthritis) and exclusion (inability to perform gait, hip osteoarthritis and prosthetics hip or knee). The subjects made an initial assessment (T0) before beginning the protocol (applied during 8 weeks, daily, in the summer of 2013) performed at home and meeting occasionally in groups, with the researcher, to correct the learned exercises, clarify questions and add some exercises or progressions. After the 8 weeks was applied an new assessment (T1) and the follow-up is taken in T2 and T3, (respectively, at 3 and 6 months later). In the assessment was used the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Timed Up and Go Test (TUG) and the SF-12. Data from changes in daily routine of the subjects are also collected. The protocol was applied by two physical therapists. Results: Between T0 and T1 the subjects present better results in the analyzed variables. Between T1 and T2, these improvement appear be related with the maintenance of the protocol. Conclusion: An home based exercise protocol to elderly people with osteoarthritis revealed results in mobility. The maintenance of the results is related with the continuity of the protocol and with changes in the daily activities.
- Developing a home-based exercise program for elderly people: aplication and overview on two rural portuguese communitiesPublication . Pinheira, Vítor; Aparício, Mariana; Cordeiro, NunoIntroduction: Physical activity and exercise in the elderly has main importance for improving health and quality of life. The exercise prevent incapacity and reduce chronic diseases impact. However most of this population remains sedentary according their lifestyle and increases the chances to becoming dependent of others. The implementation of one home-based program could be more effective for improving physical activity, but is necessary the individual's participation. Program adherence is modulated by psychological and social determinants, moreover low adherence levels are usualy in elderly that living alone and without regular exercise practice. Objectives: The main purpose of this study was to evaluate a home-based exercise program adherence and control his results during six months on elderly rural population. Methods: This study was made in two communities, counting with a sample of 16 participants. The assessment was made in two different moments (T0 and T1), corresponding to the beginning and to the end of the exercises program. A follow-up of 3 and 6 months was also accessed. The individuals performed the exercises twice a week for 8 weeks (in September/October 2013). Local and phone sessions were made by the physiotherapist for assessing the compression and execution of the domiciliary exercises. Adherence was measured by records made by the participants. Assessment includes TUG (mobility), SF-12 (health condition), IPAQ (physical activity levels) and MMSE (cognitive condition). Results: One of the communities perform the exercise program in a community space, with high team spirit and strong adherence. At the end of the program that participants had improvement their health condition, mobility and increase their physical activity levels. Conclusion: Perform an exercise program on community revealed high levels of participant's adherence to the exercise and introduced changes to the home--based program, improving the participation.