Issue №5-22, 2023

Original article

Enhancing Quality of Life in Sedentary Elderly Individuals: The Impact of the Home-Based Full-Body In-Bed Gym Program — A Prospective, Observational, Single-Arm Study



1 ORCIDMaria Chiara Maccarone, 2,3,4 ORCIDUgo Carraro,1 ORCIDAllegra Caregnato, 2,3,4 ORCID Barbara Ravara,  2 ORCIDWalter Giuriati,  1 ORCIDAlessandra Carriero,  1 ORCIDGiacomo Casellato, 1 ORCID Claudia Finamoni,  1 ORCIDRossella Jirillo, 1 Olena Laskova,  1 ORCIDElena Marigo,  1 ORCIDDaniela Yolanda Sánchez, 1 Irene Seno, 1ORCIDChiara Venturin, 1 ORCIDHillary Veronese,1 ORCIDGianluca Regazzo, 1,5 ORCID Stefano Masiero

1 Physical Medicine and Rehabilitation School, University of Padova, Padua, Italy
2 Department of Biomedical Sciences, University of Padova, Padua, Italy
3 CIR-Myo-Interdepartmental Research Center of Myology, University of Padova, Padua, Italy
4 A&CM-C Foundation for Translational Myology, Padua, Italy
5 Department of Neuroscience, Section of Rehabilitation, University of Padova, Padua, Italy


ABSTRACT

INTRODUCTION. The limitations in mobility frequently encountered by the elderly, often linked to advanced age and concurrent medical conditions, have significant implications for their overall well-being and self-reliance. This decrease in physical activity not only curtails their independence but also elevates the likelihood of prolonged hospitalization and the accompanying complications.
AIM. To assess the impact of a home-based Full-Body in-Bed Gym program, a 10-exercise protocol consisting of three sessions per week for two months, on the quality of life of elderly individuals.
MATERIALS AND METHODS. The study involved participants of both genders aged over 65, who were classified as sedentary, engaging in less than one hour of physical activity per week. Participants with recent orthopedic conditions, severe cardiovascular or oncological diseases, and significant neurological disorders were excluded due to their potential to confound the effects of the Full-Body in-Bed Gym program and impact overall health and quality of life.
RESULTS. A total of 22 subjects, with a median age of 71.90 years, participated in the study. Elderly individuals engaging in the Full-Body in-Bed Gym program, experienced improvements in their quality of life. These gains were noticeable in the 12-Item Short Form Health Survey (SF-12) Physical Component Summary (p = 0.07) and reached statistical significance in the Mental Component Summary (p = 0.04).
DISCUSSION. The observed gains in the quality of life among elderly participants engaging in the home-based Full-Body in-Bed Gym program are noteworthy. The positive impact on the mental component of the SF-12 is particularly significant, indicating improvements in mental well-being. This aligns with the broader understanding that physical activity in the elderly is intricately linked to various aspects of their health, including mental health. While the preliminary findings suggest positive outcomes, future research with larger and more diverse cohorts could provide a more robust understanding of the Full-Body in-Bed Gym program’s impact.
CONCLUSION. Our findings underscore the potential of a home-based Full-Body in-Bed Gym program to enhance the quality of life in elderly participants, highlighting the need for further exploration of rehabilitation and prevention strategies in this context.

KEYWORDS: frailty, elderly, exercise, quality of life, motor function

Acknowledgments: The study had no sponsorship.

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: Maccarone M.C., Carraro U., Caregnato A., Ravara B., Giurati W., Carriero A., Casellato G., Finamoni C., Jirillo R., Laskova O., Marigo E., Sánchez D.Y., Seno I., Venturin C., Veronese H., Regazzo G., Masiero S. Enhancing Quality of Life in Sedentary Elderly Individuals: The Impact of the Home-Based Full-Body In-Bed Gym Program — A Prospective, Observational, Single-Arm Study. Bulletin of Rehabilitation Medicine. 2023; 22(5): 8-14. https://doi.org/10.38025/2078-1962-2023-22-5-8-14 

For correspondence: Maria Chiara Maccarone; E-mail: mariachiara.maccarone@phd.unipd.it



Список литературы:

  1. National Spinal Cord Injury Statistical Center. Spinal Cord Injury: facts and figures at a glance. The Journal of Spinal Cord Medicine. 2014; 37(3): 355–6. https://doi.org/10.1179/1079026814Z.000000000260.
  2. Леонтьев М. А. Эпидемиология спинальной травмы и частота полного анатомического повреждения спинного мозга. Актуальные проблемы реабилитации инвалидов. Новокузнецк. 2003: 37–38. [Leont’ev M. A. Epidemiologiya spinal’noj travmy i chastota polnogo anatomicheskogo povrezhdeniya spinnogo mozga. Aktual’nye problemy reabilitacii invalidov. Novokuzneck. 2003: 37–38 (In Russ.).]
  3. Морозов И. Н., Млявых С. Г. Эпидемиология позвоночно- спинномозговой травмы (обзор). Медицинский альманах.2011; 4(17): 157–159. [Morozov I. N., Mlyavyh S. G. Epidemiologiya pozvonochno-s pinnomozgovoj travmy. Medicinskij Al’manah. 2011; 4 (17): 157–159 (In Russ.).]
  4. National Spinal Cord Injury Statistical Center (SCISC). The 2008 annual statistical report for the spinal cord injury model systems.
  5. Marino R. J., Ditunno Jr. J.F., Donovan W. H., Maynard Jr. F. Neurologic recovery after traumatic spinal cord injury: data from the Model Spinal Cord Injury Systems. Archives of Physical Medicine and Rehabilitation. 1999; 80(11): 1391–1396. 
  6. Sharif S., Jazaib Ali M. Y. Outcome Prediction in Spinal Cord Injury: Myth or Reality. World Neurosurgery. 2020; (140): 574–590. https://doi.org/10.1016/j.wneu.2020.05.043
  7. Van Middendorp J. J., Hosman A. J.F., Donders A. R.T., Pouw M. H., Ditunno Jr. J.F., Curt A., C H Geurts A. C.H., Van de Meent H., EM-SCI Study Group A clinical prediction rule for ambulation outcomes after traumatic spinal cord injury: a longitudinal cohort study. The Lancet. 2011; 377(9770): 1004–10. https://doi.org/10.1016/S0140-6736(10)62276-3
  8. Velstra I. M., Bolliger M., Krebs J., Rietman J. S., Curt A. Predictive Value of Upper Limb Muscles and Grasp Patterns on Functional Outcome in Cervical Spinal Cord Injury. Neurorehabilitation and Neural Repair. 2016; 30(4): 295–306. https://doi.org/10.1177/1545968315593806
  9. Finnerup N. B. Neuropathic pain and spasticity: intricate consequences of spinal cord injury. Spinal Cord. 2017; 55(12): 1046–1050. https://doi.org/10.1038/sc.2017.70
  10. Diong J., Harvey L. A., Kwah L. K., Eyles J., Ling M. J., Ben M., Herbert R. D. Incidence and predictors of contracture after spinal cord injury —  a prospective cohort study. Spinal Cord. 2012; 50(8): 579–84. https://doi.org/10.1038/sc.2012.25
  11. Anderson K. D. Targeting recovery: priorities of the spinal cord-injured population. Journal of Neurotrauma. 2004; 21(10): 1371–83. https://doi.org/10.1089/neu.2004.21.1371.
  12. Simpson L. A., Eng J. J., Hsieh J. T.C, Wolfe D. W., Spinal Cord Injury Rehabilitation Evidence Scire Research Team The Health and Life Priorities  of Individuals with Spinal Cord Injury: A Systematic Review. Journal of Neurotrauma. 2012; 29(8): 1548–55. https://doi.org/10.1089/neu.2011.2226
  13. Schönherr M. C., Groothoff J. W., Mulder G. A., Eisma W. H. Prediction of functional outcome after spinal cord injury: a task for the rehabilitation team and the patient. Spinal Cord. 2000; 38(3): 185–91. https://doi.org/10.1038/sj.sc.3100965
  14. Burns A. S., Ditunno J. F. Establishing prognosis and maximizing functional outcomes after spinal cord injury: a review of current and future directions in rehabilitation management. Spine. 2001; 26(24): 137–145. https://doi.org/10.1097/00007632-200112151-00023
  15. Bozzo A., Marcoux J., Radhakrishna M., Pelletier J., Goulet B. The role of magnetic resonance imaging in the management of acute spinal cord injury. Journal of Neurotrauma. 2011; 28(8): 1401–1411. https://doi.org/10.1089/neu.2009.1236
  16. Donnelly C., Eng J. J., Hall J., Alford L., Giachino R., Norton K., Kerr D. S. Client- centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury. Spinal Cord. 2004; 42(5): 302–7. https://doi.org/10.1038/sj.sc.3101589
  17. Ginis K. A., Van der Scheer J. W., Latimer- Cheung A. E. Evidence-b ased scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline. Spinal Cord. 2018; 56(4): 308–321. https://doi.org/10.1038/s41393-017-0017-3
  18. Ведение больных с последствиями позвоночно- спинномозговой травмы на втором и третьем этапах медицинской и медико-с оциальной реабилитации. Клинические рекомендации. М., 2017: 326 с. [Vedenie bol’nyh s posledstviyami pozvonochno-s pinnomozgovoj travmy na vtorom i tret’em etapah medicinskoj i mediko- social’noj reabilitacii. Klinicheskie rekomendacii. Moscow. 2017: 326 p. (In Russ.).] 
  19. Mulcahey M. J., Hutchinson D., Kozin S. Assessment of upper limb in tetraplegia: considerations in evaluation and outcomes research. Journal  of Rehabilitation Research and Development. 2007; 44(1): 91–102. 
  20. Harvey L. A., Glinsky J. V., Chu J. Do any physiotherapy interventions increase spinal cord independence measure or functional independence measure scores in people with spinal cord injuries? A systematic review. Spinal Cord. 2021; 59(7): 705–715. https://doi.org/10.1038/s41393-021-00638-0
  21. Post M. W.M., Van Lieshout G., Seelen H. A.M., Snoek G. J., Jzerman I.M, Pons C. Measurement properties of the short version of the Van Lieshout test (VLT-SF). Spinal Cord. 2006; 44(12): 763–71. https://doi.org/10.1038/sj.sc.3101937
  22. Даминов В. Д., Зимина Е. В., Уварова О. А., Кузнецов А. Н. Роботизированная реконструкция ходьбы у больных в промежуточном периоде позвоночно- спинномозговой травмы. Вестник восстановительной медицины. 2009; 3(31): 62–64. [Daminov V. D., Zimina E. V., Uvarova O. A., Kuznecov A. N. Robotizirovannaya rekonstrukciya hod’by u bol’nyh v promezhutochnom periode pozvonochno-s pinnomozgovoj travmy. Bulletin of Rehabilitatiom Medicine. 2009; 3(31): 62–64 (In Russ.).] 
  23. Бодрова Р. А., Аухадеев Э. И., Якупов Р. А., Закамырдина А. Д. Эффективность активной медицинской реабилитации у пациентов с травматической болезнью спинного мозга. Доктор.ру. 2016; 12(129): 31–38. [Bodrova R. A., Auhadeev E. I., YAkupov R.A., Zakamyrdina A. D. Effektivnost’ aktivnoj medicinskoj reabilitacii u pacientov s travmaticheskoj bolezn’yu spinnogo mozga. Doktor.ru. 2016; 12(129): 31–38 (In Russ.).]




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