Feasibility of a Modified Otago Exercise Program for Older Adults With Cognitive Vulnerability.
Kathleen K MangioneHope DarreffMcKenna WelshWeihong NiEdward WolffJulie T BoothSusan S GlenneyRichard H FortinskyPublished in: Journal of applied gerontology : the official journal of the Southern Gerontological Society (2023)
Cognitive vulnerability, that is, clinically significant symptoms of dementia, depression, or delirium, puts older adults at high risk for physical inactivity and falls. Programs addressing activity and falls are needed. The purpose was to determine feasibility of an in-home, modified, Otago Exercise Program (OEP) for those with cognitive vulnerability, based on acceptability (retention and adherence), safety (pain intensity and falls), and potential positive effects (change in short physical performance battery (SPPB)). This secondary analysis of a randomized controlled trial included 80 participants who received the OEP; 64 completed it, 48% had depression, 22% had dementia, and 30% had a combination dementia/depression/delirium. Adherence to home exercise was low to moderate; pain was stable over 16 weeks; 31% of participants reported falls unrelated to OEP. SPPB increased from 6.95 to 7.74 ( p < .01); age by time and diagnosis by time interactions were not significant. The modified OEP shows promising feasibility for older adults with cognitive vulnerability.
Keyphrases
- physical activity
- high intensity
- community dwelling
- climate change
- mild cognitive impairment
- sleep quality
- depressive symptoms
- chronic pain
- cognitive impairment
- mental health
- pain management
- resistance training
- quality improvement
- cardiac surgery
- middle aged
- type diabetes
- acute kidney injury
- glycemic control
- adipose tissue
- hip fracture
- risk assessment