Clinical interventions in aging
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Randomized Controlled Trial
Circumstances of falls and falls-related injuries in a cohort of older patients following hospital discharge.
Older people are at increased risk of falls after hospital discharge. This study aimed to describe the circumstances of falls in the six months after hospital discharge and to identify factors associated with the time and location of these falls. ⋯ Older patients who have been recently discharged from hospital and receive assistance with activities of daily living are at high risk of injurious falls indoors, most often in the bedroom. These data suggest that targeted interventions may be needed to reduce falls in this population.
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Randomized Controlled Trial
Cognitive function affects trainability for physical performance in exercise intervention among older adults with mild cognitive impairment.
Although much evidence supports the hypothesis that cognitive function and physical function are interrelated, it is unclear whether cognitive decline with mild cognitive impairment influences trainability of physical performance in exercise intervention. The purpose of this study was to examine the association between cognitive function at baseline and change in physical performance after exercise intervention in older adults with mild cognitive impairment. ⋯ General cognitive function was associated with improvements in physical performance after exercise intervention in subjects with mild cognitive impairment. Further research is needed to examine the effects of exercise programs designed to address cognitive obstacles in older adults with mild cognitive impairment.
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Randomized Controlled Trial
A randomized controlled trial of Tai chi for balance, sleep quality and cognitive performance in elderly Vietnamese.
To evaluate the effects of Tai chi exercise on balance, sleep quality, and cognitive performance in community-dwelling elderly in Vinh city, Vietnam. ⋯ Tai chi is beneficial to improve balance, sleep quality, and cognitive performance of the elderly.
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Randomized Controlled Trial
Extubation process in bed-ridden elderly intensive care patients receiving inspiratory muscle training: a randomized clinical trial.
The purpose of this study was to evaluate the extubation process in bed-ridden elderly intensive care patients receiving inspiratory muscle training (IMT) and identify predictors of successful weaning. ⋯ The IMT intervention significantly increased maximum inspiratory pressure and significantly reduced the Tobin index; both measures are considered to be good extubation indices. IMT was associated with a reduction in noninvasive positive pressure time in the experimental group.
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Randomized Controlled Trial
Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes.
Residents in nursing homes (NHs) are often frail older persons who have impaired physical activity. Urinary incontinence (UI) is a common complaint for residents in NHs. Reduced functional ability and residence in NHs are documented to be risk factors for UI. ⋯ The intervention group had significant better results compared with the control group after an individualized training program designed to improve ADL and physical capacity. Further studies are needed to evaluate the effect of a goal-oriented physical training program toward NH residents UI complaints.