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Nursing rehabilitation and exercise strategies in the nursing home
Author(s)John N Morris, Maria Fiatarone, Dan K Kiely
Journal titleThe Journals of Gerontology Series A: Biological sciences and Medical Sciences, vol 54A, no 10, October 1999
Pagespp M494-500
KeywordsRehabilitation ; Exercise ; Nursing homes ; Longitudinal surveys ; United States of America.
AnnotationThis is an evaluation of how weight training of nursing-based rehabilitative care programmes in six US nursing homes affect resident performance of activities of daily living (ADLs) and objective tests of physical performance. The study involved comparison over a 10 month period, where baseline status was adjusted through a weighting procedure based on functional and cognitive statuses and age. All residents were eligible, except those with a terminal prognosis, a projected stay of less than 90 days, or with health complications prohibiting contact. At the homes assigned as experimental sites, mean ADL values declined at a significantly lower rate than did rates for controls. Functional decline was also lower in more specific measures: locomotion, early loss ADL, and late loss ADL. With both interventions, homes were able to implement a broad-based intervention resulting in a significant reduction in ADL decline rates. Offering rehabilitation programmes can play a useful role in reversing functional decline, helping residents to maintain their involvement in a broad spectrum of ADL activities. (RH).
Accession NumberCPA-000118223 A
ClassmarkLM: CEA: LHB: 3J: 7T

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