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Zeng L, Zhong Y, Chen Y, Zhou M, Zhao S, Wu J, Dong B, Dou Q. Effect of long-term care insurance in a pilot city of China: Health benefits among 12,930 disabled older adults. Arch Gerontol Geriatr 2024; 121:105358. [PMID: 38341956 DOI: 10.1016/j.archger.2024.105358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 01/18/2024] [Accepted: 01/29/2024] [Indexed: 02/13/2024]
Abstract
BACKGROUND The surge of disabled older people have brought enormous burdens to society. The aim of this study was to examine the impact of long-term care insurance (LTCI) implementation on mortality and changes in physical ability among disabled older adults. METHODS This was a prospective observational study based on data from the government-led LTCI program in a pilot city of China from 2017 to 2021. Administrative data included the application survey of activities of daily living (ADL), the baseline characteristics and all-cause mortality. Return visit surveys of ADL were conducted between August 2021 and December 2021. A regression discontinuity model was used to analyze the impact of LTCI on mortality. RESULTS A total of 12,930 individuals older than 65 years were included in this study, and 10,572 individuals were identified with severe disability and participated in the LTCI program. LTCI implementation significantly reduced mortality by 5.10 % (95 % CI, -9.30 % to -0.90 %) and extended the survival time by 33.74 days (95 % CI, 13.501 to 53.970). The ADL scores of the LTCI group dropped by 2.5 points on average, while the ADL scores of those did not participated in LTCI dropped by 25.0 points. The heterogeneity analysis revealed that the impact of LTCI on mortality reduction was more significant among females, individuals of lower age, those who were married, cared for by family members, and who lived in districts with rich care resources. CONCLUSIONS LTCI implementation had a favorable impact on the mortality and physical ability of participants.
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Affiliation(s)
- Lijun Zeng
- Laboratory of Heart Valve Disease, West China Hospital, Sichuan University, Chengdu, China
| | - Yue Zhong
- Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China
| | - Yuxiao Chen
- School of Politics and Public Administration, Zhengzhou University, Zhengzhou, China
| | - Mei Zhou
- School of Public Administration, Southwestern University of Finance and Economics, Chengdu, China
| | - Shaoyang Zhao
- School of Economics, Sichuan University, Chengdu, China
| | - Jinhui Wu
- National Clinical Research Center for Geriatrics, Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, China
| | - Birong Dong
- National Clinical Research Center for Geriatrics, Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, China
| | - Qingyu Dou
- National Clinical Research Center for Geriatrics, Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, China.
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Elnaggar RK, Osailan AM, Elbanna MF, Abd-Elmonem AM. Effectiveness of a dose-graded aerobic exercise regimen on cardiopulmonary fitness and physical performance in pediatric survivors of acute lymphoblastic leukemia: a randomized clinical trial. J Cancer Surviv 2024:10.1007/s11764-024-01534-1. [PMID: 38267738 DOI: 10.1007/s11764-024-01534-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 01/08/2024] [Indexed: 01/26/2024]
Abstract
PURPOSE To determine whether a 12-week supervised dose-graded aerobic exercise (D-GAE) training, when implemented in conjunction with traditional rehabilitation, could help pediatric survivors of acute lymphoblastic leukemia (ALL) enhance their cardiopulmonary capacity and improve their physical performance. METHODS Fifty-eight pediatric survivors of ALL (age 13.78 ± 2.47 years; boys 60.34%) were assigned at random to either undergo the D-GAE in addition to the traditional physical rehabilitation (D-GAE group; n = 29) or the traditional physical rehabilitation solely (control group; n = 29). The cardiopulmonary fitness (peak oxygen uptake (VO2peak), ventilatory equivalent (VEq/VO2), minute ventilation (VE, L/min), oxygen pulse (O2P), maximum heart rate (HRmax), 1-min heart rate recovery (HRR1), and respiratory exchange ratio (RER)) and physical performance (6-min walk test (6-MWT), timed up and down stairs (TUDS), and 4 × 10-m shuttle run test (4 × 10mSRT)) were assessed on the pre- and post-intervention occasions. RESULTS The mixed-model ANOVA revealed a meaningful increase of VO2peak (P = .002), VE (P = .026), O2P (P = .0009), HRmax (P = .004), and HRR1 (P = .011), and reduction of VEq/VO2 (P = .003) and RER (P = .003) in the D-GAE group compared with the control group. Besides, the analysis detected a favorable increase in the physical performance for the D-GAE group (6-MWT (P = .007), TUDS (P < .001), 4 × 10mSRT (P = .009)). CONCLUSION A 12-week D-GAE program in conjunction with traditional rehabilitation holds promise in enhancing cardiopulmonary fitness and improving the physical performance of pediatric survivors of ALL. Clinicians and physical rehabilitation professionals can, therefore, integrate the D-GAE into the traditional rehabilitation protocols for such a patient population to optimize their cardiopulmonary fitness and physical function, while also facilitating a gradual transition to practice and adaption. IMPLICATIONS FOR CANCER SURVIVORS The favorable outcomes of this study bolster the inclusion of D-GAE as a crucial element in the care and rehabilitation of pediatric survivors of ALL. By embracing these findings, healthcare professionals and oncologists can contribute to mitigating the long-term cardiopulmonary and physical complications associated with cancer treatments and fostering a state of enhanced well-being and increased physical activity among survivors.
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Affiliation(s)
- Ragab K Elnaggar
- Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
| | - Ahmad M Osailan
- Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | - Mohammed F Elbanna
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
- Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Amira M Abd-Elmonem
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
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Mejía ST, Nielsen KE, Raichur V, Carmichael AG, Tavares E, Jarvis J, Smith J, Gonzalez R. Assessment of Cognitive-Motor Performance Costs, Task Prioritization, and Adaptation to Dishwashing Under Increased Demand in Older Women With Arthritis. Innov Aging 2020; 5:igaa059. [PMID: 33614990 PMCID: PMC7874570 DOI: 10.1093/geroni/igaa059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Indexed: 11/21/2022] Open
Abstract
Background and Objectives Hand arthritis can limit upper-limb instrumental activities of daily living (IADLs) and require the recruitment of additional cognitive and motor resources to support performance. We devised a dual-task protocol for dishwashing to examine cognitive-motor performance costs and prioritizations under increased demands, processes of adaptation, and individual differences in performance costs. Research Design and Methods Sixty women with hand arthritis (aged 60–91) completed a standardized dishwashing protocol. Motor demand was increased via the properties of the soap dispenser. Cognitive demand was increased using audial attention and response inhibition tasks. The protocol was completed twice per lab visit on 3 occasions. Response time and dishwashing time provided measures of cognitive and motor task performance. Prioritization was determined by comparing the magnitude of dual-task cost (DTC) across tasks. Adaptation to the dishwashing protocol and novel dispenser was assessed by change in DTC across lab visits. Individual differences in cognitive and physical ability were assessed with the trail making B test and gait speed. Results Estimates from linear mixed-effects models revealed that response time increased, whereas dishwashing time decreased, during the dual-task study stages. Cognitive-motor prioritization effects were most pronounced among women with lower cognitive and physical ability. Evidence of prioritization and individual differences in DTC diminished across lab visits. Discussion and Implications The pattern of results suggests that older women with arthritis prioritize the motor over cognitive components of dishwashing, a common IADL. Adaptation across lab visits resulted in improved performance, reduced evidence of prioritization, and attenuated differences in DTC across physical and cognitive abilities.
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Affiliation(s)
- Shannon T Mejía
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, Illinois, US
| | - Karen E Nielsen
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, Georgia, US
| | - Vineet Raichur
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan, US
| | - Alicia G Carmichael
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan, US
| | | | | | - Jacqui Smith
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan, US
| | - Richard Gonzalez
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan, US
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Sugimoto K, Tanaka Y, Sozu T, Nishiyama H, Hoshino T, Watanabe Y, Tamura A, Ohta S, Yamazaki T, Suzuki S, Shimbo T. Association of One-Leg Standing Time with Discontinuation of Injectable Medications During Hospitalization Among Patients with Type 2 Diabetes. Diabetes Ther 2020; 11:1179-1190. [PMID: 32274679 PMCID: PMC7192981 DOI: 10.1007/s13300-020-00814-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Indexed: 12/25/2022] Open
Abstract
INTRODUCTION Persons with type 2 diabetes (T2D) are known to experience impaired physical ability even at the early stages of the disease. However, less attention has been paid to increasing physical ability than to increasing physical activity in the treatment of T2D. The aim of this study was to assess whether improved physical ability parameters are associated with the discontinuation of injectable medications once glycemic targets have been achieved among inpatients with inadequately controlled T2D across a wide range of ages. METHODS Forty-three patients with glycated hemoglobin levels of ≥ 7.5% (58 mmol/mol) aged between 19 and 82 years who received insulin, glucagon-like peptide-1 receptor agonists or both at admission were enrolled in the study. Muscle strength for knee extension, one-leg standing time with eyes open test(OLST), whole-body reaction time and maximal oxygen uptake were assessed as parameters of physical ability. RESULTS At admission, patients who during hospitalization discontinued injectable medications (n = 29; Discontinued group) had a shorter duration of diabetes, lower fat mass and higher skeletal muscle mass and performed better on all of the physical ability test parameters than those who continued on injectable medications during hospitalization (n = 14; Continued group). At discharge, patients in the Discontinued group had achieved better glycemic control than those in the Continued group, as indicated by lower mean plasma glucose levels according to the 7-point profile. Stepwise logistic regression analysis that included those variables that were significantly different between the Continued group and the Discontinued group, with the aim to identify candidate(s) of explanatory variables, revealed that only OLST was significantly associated with the discontinuation of injectable medication. Patients with an OLST of ≥ 60 s were more likely to discontinue injectable medication than those with an OLST of < 60 s (odds ratio 18.9; 95% confidence interval 2.0-178.8; p = 0.011). CONCLUSIONS Among inpatients with inadequately controlled T2D diabetes, longer OLST appear to be associated with discontinuing injectable medications during hospitalization. OLST could possibly be useful as a novel patient factor to consider in de-intensifying injectable medication.
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Affiliation(s)
| | - Yuji Tanaka
- Department of Management Science, Tokyo University of Science Graduate School of Engineering, Tokyo, Japan
| | - Takashi Sozu
- Department of Information and Computer Technology, Faculty of Engineering, Tokyo University of Science, Tokyo, Japan
| | - Hiroshi Nishiyama
- Medicines Development Unit-Japan and Medical Affairs, Eli Lilly Japan K.K, Kobe, Japan
| | - Takehiko Hoshino
- Department of Physical Training and Science, Ohta Nishinouchi Hospital, Koriyama, Japan
| | - Yuko Watanabe
- Diabetes Center, Ohta Nishinouchi Hospital, Koriyama, Japan
| | - Akira Tamura
- Diabetes Center, Ohta Nishinouchi Hospital, Koriyama, Japan
| | - Setsu Ohta
- Diabetes Center, Ohta Nishinouchi Hospital, Koriyama, Japan
| | | | - Susumu Suzuki
- Diabetes Center, Ohta Nishinouchi Hospital, Koriyama, Japan
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Fernández Guerrero M, Feu Molina S, Suárez Ramírez M, Suárez Muñoz Á. [Satisfaction, index of body mass and its influence on physical self-concept]. Rev Esp Salud Publica 2019; 93:e201908058. [PMID: 31409763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 05/28/2019] [Indexed: 06/10/2023] Open
Abstract
OBJECTIVE Over the past decade, overweight and childhood obesity has increased markedly, and children are therefore dissatisfied with their body image due to the beauty canons established in today's society. The purpose of this paper was to examine the level of obesity and body satisfaction based on sociodemographic and contextual variables of the educational center as well as the relationship they have with the physical self-concept on a sample of primary school and compulsory secondary school students city of Badajoz. METHODS The instruments used in the study were the questionnaire of Physical Self-concept (CAF) and questionnaire of Bodily Silhouettes. RESULTS The study involved 1,093 schoolchildren aged between 11 and 14 years old (M = 11.6) from 19 educational centers. CONCLUSIONS There is a high percentage of overweight students (20%) and a high percentage of satisfied students with their body image (79%). Regarding the relationship between the level of obesity and body satisfaction with sociodemographic and contextual variables we can see how obesity presents significant differences depending on the nature of the center and the educational offer. On the other hand, the correlation analyzes carried out reveal significant differences between the level of obesity and body dissatisfaction with some scales of physical self-concept. You can also observe significant differences between the level of obesity of the school with body dissatisfaction (more cases than expected of students satisfied with their body image with normal weight and fewer cases than expected of students satisfied with their body image with overweight and obesity).
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Affiliation(s)
- Manuel Fernández Guerrero
- EFA Casagrande. Valdivia. Badajoz. España
- Departamento de Didáctica de la Expresión musical, plástica y corporal. Facultad de Educación. Universidad de Extremadura. Badajoz. España
| | - Sebastián Feu Molina
- Departamento de Didáctica de la Expresión musical, plástica y corporal. Facultad de Educación. Universidad de Extremadura. Badajoz. España
| | - Miriam Suárez Ramírez
- Departamento de Didáctica de las Ciencias Sociales de las Lenguas y la Literatura. Facultad de Educación. Universidad de Extremadura. Badajoz. España
| | - Ángel Suárez Muñoz
- Departamento de Didáctica de las Ciencias Sociales de las Lenguas y la Literatura. Facultad de Educación. Universidad de Extremadura. Badajoz. España
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Lee JW, Kim SB, Kim SW. Effects of elastic band exercises on physical ability and muscular topography of elderlyfemales. J Phys Ther Sci 2018; 30:248-251. [PMID: 29545687 PMCID: PMC5851356 DOI: 10.1589/jpts.30.248] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Accepted: 11/15/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study examined the effects of band exercise types on the physical ability
and muscular topography for elderly females. [Subjects and Methods] Twenty-six females
older than 65 years were divided into the dynamic band exercise (DBE; n=13) group and the
Static band exercise (SBE; n=13) group. Each participant performed 12 weeks of elastic
band exercises. Physical abilities were measured by leg extension power, sitting trunk
flexion, closed eyes foot balance, and time to get up. Changes in muscle topography were
evaluated with Moire measurement equipment for the chest, abdomen, and lumbar region. All
results were compared before and after 12 weeks of exercise. [Results] Changes in physical
ability were significantly increased in both groups. The scores for the muscular
topography of the chest, abdomen, lumbar region, and all body parts was significantly
improved in both groups for closed eyes foot balance. There were more improvements in the
DBE group. [Conclusion] Two types of static and dynamic elastic band exercises effectively
changed the physical fitness and muscle topography of elderly females. Therefore, to
increase the effects of exercise, dynamic band exercises are considered useful. Because
band exercises are simple, they can be used to maintain the health of elderly people.
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Affiliation(s)
- Jung Won Lee
- Division of Sport Science, College of Sport and Art, Hanyang University, Republic of Korea
| | - Suk Bum Kim
- Department of Rehabilitation and Personal Training, College of Rehabilitation and Welfare and Education, Konyang University, Republic of Korea
| | - Seong Wook Kim
- Division of Social Welfare, Department of Social Science, Hoseo University: 12 Hoseodae-gil, Dongnam-gu, Cheonan-si, Chungcheongnam-do 31066, Republic of Korea
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Tocci N, Howell DR, Sugimoto D, Stracciolini A, Morse J, Meehan WP. Physical activity outside of organised sports is associated with functional performance. Acta Paediatr 2017; 106:825-830. [PMID: 28160518 DOI: 10.1111/apa.13776] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Revised: 01/12/2017] [Accepted: 01/31/2017] [Indexed: 12/25/2022]
Abstract
AIM The purpose of this study was to determine whether high levels of strenuous physical activity outside of organised sports are associated with better functional test performance. METHODS Youth athletes (n = 445, mean = 14.2 ± 2.5 years) reported their frequency of strenuous physical activity outside of organised sports. The functional performance tests: vertical jump height, pro agility test time, estimated maximal oxygen uptake (VO2 max), front plank time and postural stability were measured and compared between groups. RESULTS Athletes in the five or more times a week group demonstrated faster pro agility times (5.37 ± 0.43 seconds) than the never group (5.59 ± 0.56 seconds; p = 0.002) and the 1-4 times a week group (5.52 ± 0.47 seconds; p = 0.005). The five or more times a week group demonstrated higher mean vertical jump height (42.9 ± 13.3 vs. 40.3 ± 10.8 cm; p = 0.009) and higher estimated VO2 max (48.1 vs. 45.6 mL/kg/minute; p = 0.001) than the 1-4 times a week group. CONCLUSION Youth athletes who engaged in strenuous physical activity outside of organised sports five or more times a week performed best on functional performance tests.
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Affiliation(s)
- Noah Tocci
- The Micheli Center for Sports Injury Prevention; Waltham MA USA
- Colby College; Waterville ME USA
| | - David R. Howell
- The Micheli Center for Sports Injury Prevention; Waltham MA USA
- Division of Sports Medicine; Department of Orthopaedics; Boston Children's Hospital; Boston MA USA
- Brain Injury Center; Boston Children's Hospital; Boston MA USA
| | - Dai Sugimoto
- The Micheli Center for Sports Injury Prevention; Waltham MA USA
- Division of Sports Medicine; Department of Orthopaedics; Boston Children's Hospital; Boston MA USA
- Department of Orthopaedic Surgery; Harvard Medical School; Boston MA USA
| | - Andrea Stracciolini
- The Micheli Center for Sports Injury Prevention; Waltham MA USA
- Division of Sports Medicine; Department of Orthopaedics; Boston Children's Hospital; Boston MA USA
- Department of Orthopaedic Surgery; Harvard Medical School; Boston MA USA
| | - Jen Morse
- The Micheli Center for Sports Injury Prevention; Waltham MA USA
| | - William P. Meehan
- The Micheli Center for Sports Injury Prevention; Waltham MA USA
- Division of Sports Medicine; Department of Orthopaedics; Boston Children's Hospital; Boston MA USA
- Brain Injury Center; Boston Children's Hospital; Boston MA USA
- Department of Orthopaedic Surgery; Harvard Medical School; Boston MA USA
- Department of Pediatrics; Harvard Medical School; Boston MA USA
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Raffard S, Bortolon C, Burca M, Gely-Nargeot MC, Capdevielle D. Multidimensional model of apathy in older adults using partial least squares--path modeling. Age (Dordr) 2016; 38:55. [PMID: 27153818 PMCID: PMC5005910 DOI: 10.1007/s11357-016-9916-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Accepted: 04/18/2016] [Indexed: 06/05/2023]
Abstract
Apathy defined as a mental state characterized by a lack of goal-directed behavior is prevalent and associated with poor functioning in older adults. The main objective of this study was to identify factors contributing to the distinct dimensions of apathy (cognitive, emotional, and behavioral) in older adults without dementia. One hundred and fifty participants (mean age, 80.42) completed self-rated questionnaires assessing apathy, emotional distress, anticipatory pleasure, motivational systems, physical functioning, quality of life, and cognitive functioning. Data were analyzed using partial least squares variance-based structural equation modeling in order to examine factors contributing to the three different dimensions of apathy in our sample. Overall, the different facets of apathy were associated with cognitive functioning, anticipatory pleasure, sensitivity to reward, and physical functioning, but the contribution of these different factors to the three dimensions of apathy differed significantly. More specifically, the impact of anticipatory pleasure and physical functioning was stronger for the cognitive than for emotional apathy. Conversely, the impact of sensibility to reward, although small, was slightly stronger on emotional apathy. Regarding behavioral apathy, again we found similar latent variables except for the cognitive functioning whose impact was not statistically significant. Our results highlight the need to take into account various mechanisms involved in the different facets of apathy in older adults without dementia, including not only cognitive factors but also motivational variables and aspects related to physical disability. Clinical implications are discussed.
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Affiliation(s)
- Stéphane Raffard
- Epsylon Laboratory Dynamic of Human Abilities & Health Behaviors, University of Montpellier 3, Montpellier, France.
- University Department of Adult Psychiatry, Hôpital de la Colombière, CHRU Montpellier, Montpellier-1 University, Montpellier, France.
- Laboratory Epsylon, EA 4556, 1 University Department of Adult Psychiatry, Montpellier University 3, 39 Avenue Charles Flahault, 34295, Montpellier Cedex 5, France.
| | - Catherine Bortolon
- Epsylon Laboratory Dynamic of Human Abilities & Health Behaviors, University of Montpellier 3, Montpellier, France
- University Department of Adult Psychiatry, Hôpital de la Colombière, CHRU Montpellier, Montpellier-1 University, Montpellier, France
| | - Marianna Burca
- University Department of Adult Psychiatry, Hôpital de la Colombière, CHRU Montpellier, Montpellier-1 University, Montpellier, France
| | - Marie-Christine Gely-Nargeot
- Epsylon Laboratory Dynamic of Human Abilities & Health Behaviors, University of Montpellier 3, Montpellier, France
| | - Delphine Capdevielle
- University Department of Adult Psychiatry, Hôpital de la Colombière, CHRU Montpellier, Montpellier-1 University, Montpellier, France
- INSERM U-1061, Montpellier, France
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Farhat F, Hsairi I, Baati H, Smits-Engelsman BCM, Masmoudi K, Mchirgui R, Triki C, Moalla W. The effect of a motor skills training program in the improvement of practiced and non-practiced tasks performance in children with developmental coordination disorder (DCD). Hum Mov Sci 2015; 46:10-22. [PMID: 26703915 DOI: 10.1016/j.humov.2015.12.001] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Revised: 12/02/2015] [Accepted: 12/07/2015] [Indexed: 10/22/2022]
Abstract
The purpose of the present study was to examine the effect of a group-based task oriented skills training program on motor and physical ability for children with DCD. It was also investigated if there was an effect on fine motor and handwriting tasks that were not specifically practiced during the training program. Forty-one children aged 6-10years took part in this study. Children were assigned to three groups: an experimental training group consisting of 14 children with DCD, a control non-training group consisted of 13 children with DCD and a control non-training group consisting of 14 typically developed children. The measurements included were, the Movement Assessment Battery for Children (MABC), the Modified Agility Test (MAT), the Triple Hop Distance (THD), the 5 Jump-test (5JT) and the Handwriting Performance Test. All measures were administered pre and post an 8-week training program. The results showed that 10 children of the DCD training-group improved their performance in MABC test, attaining a score above the 15th percentile after their participation in the training program. DCD training-group showed a significant improvement on all cluster scores (manual dexterity (t (13)=5.3, p<.001), ball skills (t (13)=2.73, p<.05) and balance (t (13)=5.13, p<.001). Significant performance improvements were also found in MAT, THD, 5JT (t (13)=-4.55; p<.01), handwriting quality (t (12)=-2.73; p<.05) and speed (t (12)=-4.2; p<.01) after the training program. In conclusion, improvement in both practiced and non-practiced skills, in the training program, may reflect improvement in motor skill but also transfer to other skills.
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Affiliation(s)
- Faiçal Farhat
- Research Unit Neuropediatry UR.0805, HediChaker Hospital Faculty of Medicine, Sfax, Tunisia.
| | - Ines Hsairi
- Research Unit Neuropediatry UR.0805, HediChaker Hospital Faculty of Medicine, Sfax, Tunisia
| | - Hamza Baati
- High Institut of Sports Sciences, UR EM2S-ISSEPS, Sfax, Tunisia
| | - B C M Smits-Engelsman
- Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Old Main Building, Groote Schuur Hospital, Cape Town, South Africa
| | - Kaouthar Masmoudi
- University of Sfax, Functional Exploration Service, Habib Bourguiba Hospital of Sfax, Sfax, Tunisia
| | - Radhouane Mchirgui
- Service de pseudo psychiatrie, Hedi Chaker Hospital Faculty of medicine, Sfax, Tunisia
| | - Chahnez Triki
- Research Unit Neuropediatry UR.0805, HediChaker Hospital Faculty of Medicine, Sfax, Tunisia
| | - Wassim Moalla
- High Institut of Sports Sciences, UR EM2S-ISSEPS, Sfax, Tunisia
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Park SY, Kim JK, Lee SA. The effects of a community-centered muscle strengthening exercise program using an elastic band on the physical abilities and quality of life of the rural elderly. J Phys Ther Sci 2015; 27:2061-3. [PMID: 26311926 PMCID: PMC4540817 DOI: 10.1589/jpts.27.2061] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 03/17/2015] [Indexed: 11/25/2022] Open
Abstract
[Purpose] The purpose of this study was to examine the effects of a muscle strengthening
exercise program using an elastic band on changes in the physical abilities and quality of
life of the rural elderly. [Subjects] The subjects of this study were 46 elderly people (8
males, 38 females) aged 65 or older, who lived in a rural area and managed their daily
lives independently. [Methods] The study’s exercise program was conducted 16 times for 80
minutes each session over an eight-week period. This program consisted of several
exercises to strengthen muscular endurance and improve balance ability based on exercises
using Thera-bands. The physical abilities of the subjects were divided into muscular
endurance, upper-extremity flexibility, balance, and low-extremity agility. Each ability
was measured to compare the effects of the exercise program. In addition, the Korean
version of the World Health Organization Quality of Life (WHOQOL)-BREF questionnaire was
used to examine changes in the subjects’ quality of life. [Results] The subjects showed
improvements in muscular endurance, balance, and low-extremity agility. They also
exhibited an overall statistically significant improvement in quality of life scores after
the exercise program. In terms of the main items, changes were observed in the areas of
psychological relations, social relations, and environment. [Conclusion] The
community-centered muscle strengthening exercise program using the elastic band was found
to improve muscular endurance, balance, agility, and quality of life of rural elderly
subjects.
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Affiliation(s)
- So-Yeon Park
- Department of Occupational Therapy, College of Health Science, Hanseo University, Republic of Korea
| | - Jin-Kyung Kim
- Department of Occupational Therapy, College of Health Science, Hanseo University, Republic of Korea
| | - Seong-A Lee
- Department of Occupational Therapy, College of Medical Science, Soonchunhyang University, Republic of Korea
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