In elderly people, hand and upper limb function are essential to maintain independence in the activities of daily living. Living in nursing homes, due to 24h nursing assistance, reduces the amount of activities autonomously performed by the residents, hence supports the physiological age-related decline of the upper limb and hand function. Benefits of physical activity have been well-documented and are universally accepted; however, to the best of our knowledge, the effect of a structured physical activity on the quality of hand and upper limb function has never been investigated in elderly nursing home residents. Fourteen nursing home residents were recruited and randomly assigned to either a control (CG) or experimental (EG) group. The CG subjects did not modify their current activities and treatments, whereas the EG subjects engaged in a 3-month exercise program (3 sessions per week) focused on improving upper limb and hand function. Before and after the intervention, manual and finger dexterity were assessed by means of the Jebsen-Taylor hand functional test and the Nine-hole Peg test, respectively. After the intervention, manual dexterity significantly improved (p<0.05; Wilcoxon test) in both dominant and non-dominant hand of EG participants, whereas manual dexterity of CG and finger dexterity of EG and CG participants did not change (p>0.05; Wilcoxon test), regardless of the hand used. Only delta score (i.e. the difference between the results after and before intervention) of non-dominant manual dexterity improved significantly (p<0.05; Mann-Whitney U Test) in the EG compared to CG participants. Moreover, each test forboth limbs showed improvement trends for EG, whereas CG had mostly either no trend on a decline of performance. Therefore, structured physical activity seems to improve hand and upper limb function of elderly nursing homes residents. However, additional studies with larger sample size are needed to confirm the results of the present study.
Effect of a psychomotor training program on hand function in nursing home residents: a pilot study
FEDERICI, Ario
;CONTEDUCA, Benedetta;LUCERTINI, Francesco;FERRI MARINI, Carlo;VETRI, Marianna
2018
Abstract
In elderly people, hand and upper limb function are essential to maintain independence in the activities of daily living. Living in nursing homes, due to 24h nursing assistance, reduces the amount of activities autonomously performed by the residents, hence supports the physiological age-related decline of the upper limb and hand function. Benefits of physical activity have been well-documented and are universally accepted; however, to the best of our knowledge, the effect of a structured physical activity on the quality of hand and upper limb function has never been investigated in elderly nursing home residents. Fourteen nursing home residents were recruited and randomly assigned to either a control (CG) or experimental (EG) group. The CG subjects did not modify their current activities and treatments, whereas the EG subjects engaged in a 3-month exercise program (3 sessions per week) focused on improving upper limb and hand function. Before and after the intervention, manual and finger dexterity were assessed by means of the Jebsen-Taylor hand functional test and the Nine-hole Peg test, respectively. After the intervention, manual dexterity significantly improved (p<0.05; Wilcoxon test) in both dominant and non-dominant hand of EG participants, whereas manual dexterity of CG and finger dexterity of EG and CG participants did not change (p>0.05; Wilcoxon test), regardless of the hand used. Only delta score (i.e. the difference between the results after and before intervention) of non-dominant manual dexterity improved significantly (p<0.05; Mann-Whitney U Test) in the EG compared to CG participants. Moreover, each test forboth limbs showed improvement trends for EG, whereas CG had mostly either no trend on a decline of performance. Therefore, structured physical activity seems to improve hand and upper limb function of elderly nursing homes residents. However, additional studies with larger sample size are needed to confirm the results of the present study.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
