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November 2016 CME Article No. 11: Elastic Band Exercises Improved Activities of Daily Living and Functional Fitness of Wheelchair-bound Older Adults with Cognitive Impairment A Cluster Randomized Cont
Additional Information
Objective:
The purpose of this study was to test the effects of a 6-month Wheelchair-bound Senior Elastic Band (WSEB) exercise program on the activities of daily living (ADL) and functional fitness of wheelchair-bound older adults with cognitive impairment.

Design:
Cluster randomized controlled trial was used. A convenience sample of 138 wheelchair-bound older adults with cognitive impairment were recruited from 8 nursing homes in southern Taiwan and were randomly assigned based on the nursing homes they lived to the experimental (4 nursing homes; n = 73) or the control group (4 nursing homes; n=65). The experimental group performed WSEB exercises 3 times per week and 40 minutes per session for 6 months. The ADL and functional fitness (cardiopulmonary function, body flexibility, range of joint motion, and muscle strength and endurance) were examined at baseline, 3 months, and the end of 6-month study.

Results:
The ADL and functional fitness indicators of participants in the experimental group showed significant improvements compared to the control group (all P G 0.05).

Conclusions:
The WSEB exercises have positive benefits for the ADL and functional fitness of wheelchair-bound older adults with cognitive impairment. It is suggested that WSEB exercises be included as a routine activity in nursing homes.

Learning Objectives:
  1. Understand the risk factors for functional decline in older adults with dementia
  2. Articulate the benefits of structured activities and exercises in the older adult with dementia
  3. Incorporate elastic band exercises into the treatment plan of wheelchair bound older adults with dementia
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