Tag: osoby starsze

The effect of low-impact aerobic exercise on fasting blood glucose and uric acid levels in community-dwelling healthy older adults

Fatkurahman Arjuna, Sulistiyono, Tri Winarti Rahayu, Gallant Pamungkas

Fatkurahman Arjuna, Sulistiyono, Tri Winarti Rahayu, Gallant Pamungkas – The effect of low-impact aerobic exercise on fasting blood glucose and uric acid levels in community-dwelling healthy older adults –  Fizjoterapia Polska 2025; 25(4); 225-230

DOI: https://doi.org/10.56984/8ZGA4314G42

Abstract
Background. Given the prevalence of metabolic disorders among aging populations and their impact on physical, psychological, and social well-being, this study aimed to evaluate the effectiveness of a non-pharmacological, community-based intervention that is safe, accessible, and appropriate for older adults.
Purpose. This study investigated the effects of low-impact aerobic exercise on fasting blood glucose and uric acid levels in older adults.
Method. A quasi-experimental one-group pre-test–post-test design was employed. The study involved 28 older adult participants, the majority (67.9%) aged 65–70 years. The intervention consisted of 15 sessions of low-impact aerobic exercise over five weeks (three sessions per week). Fasting blood glucose and uric acid levels were measured before and after the intervention and analyzed using paired sample t-tests.
Results and conclusion. The results demonstrated significant improvements in all measured variables following the 5-week intervention. Body weight and body mass index (bmi) decreased significantly (p = 0.009 and p = 0.007, respectively), indicating positive changes in body composition. Significant reductions were also observed in fasting blood glucose (p < 0.001) and uric acid levels (p = 0.021). Effect size analysis revealed large effects for fasting blood glucose (d = 2.69), body weight (d = 1.31), and uric acid (d = 1.39), while bmi showed a moderate effect (d = 0.56).
These findings suggest that low-impact aerobic exercise, although light in intensity, can positively influence anthropometric and metabolic parameters in community-dwelling older adults. The intervention shows potential as a safe, affordable, and non-pharmacological approach to supporting metabolic health in the elderly. Further studies are needed to confirm these benefits and explore long-term effects.
Key words
older adults, aerobic exercise, low impact, fasting blood glucose, uric acid
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Impact of Feldenkrais exercise on elderly patients with low back pain: a systematic literature review

Annisa Putri Fahmawati, Rina Yuniana

Annisa Putri Fahmawati, Rina Yunianag – Impact of Feldenkrais exercise on elderly patients with low back pain: a systematic literature review –  Fizjoterapia Polska 2025; 25(4); 27-32

DOI: https://doi.org/10.56984/8ZGA431U0Y0

Abstract
The aging process leads to a decline in physiological capacity among the elderly, including a decrease in musculoskeletal function and an increased risk of lower back pain (LBP). One of the emerging non-pharmacological interventions is Feldenkrais Exercise (FE), which is a conscious movement approach focused on enhancing body awareness, mobility, and functional integration. The aim of this study is to examine the impact of Feldenkrais Exercise on elderly individuals suffering from lower back pain. The method employed in this research is a systematic literature review utilizing the PRISMA approach. Data sources were obtained from national and international articles (Scopus and Google Scholar) within the last 7 years. A total of 6 articles were selected based on inclusion criteria relevant to the topics of Feldenkrais, LBP, and the elderly. Results of this research indicate that Feldenkrais Exercise is effective in enhancing dynamic balance and functional activities; reducing fear and risk of falling; maintaining executive function and cognitive vitality; decreasing the intensity of lower back pain; and overall improving quality of life. The conclusion drawn from this study is that Feldenkrais Exercise can be considered an effective holistic and non-invasive approach to enhance movement function and quality of life for elderly individuals suffering from lower back pain.
Key words
Feldenkrais exercise, elderly, low back pain
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The effect of self-exercise therapy and relaxation on health-related quality of life (HRQoL) in the elderly

Cerika Rismayanthi, Enggista Hendriko Delano, Sabda Hussain As Shafi, Wahyu Aji Nugroho

Cerika Rismayanthi, Enggista Hendriko Delano, Sabda Hussain As Shafi, Wahyu Aji Nugroho – The effect of self-exercise therapy and relaxation on health-related quality of life (HRQoL) in the elderly –  Fizjoterapia Polska 2025; 25(3); 370-375

DOI: https://doi.org/10.56984/8ZG7D19UN6Z

Abstract
Limitations in physical activity reduce independence and often lead elderly individuals to spend more time at home, which can increase anxiety and stress, ultimately lowering quality of life. Self-exercise therapy and relaxation are alternative forms of exercise that can be performed independently, economically, and easily by the elderly to help prevent a sedentary lifestyle. Therefore, research on the impact of self-exercise and relaxation on health-related quality of life (HRQoL) in older adults is important. This study aimed to evaluate the effects of self-exercise and relaxation on HRQoL in the elderly, focusing on four indicators: physical health, mental health, social relations, and environment. The study used a quasi-experimental design with pre- and post-tests to assess changes before and after the intervention. The intervention was conducted once a week for two months. The sample included 45 men and women aged 60 years or older. The WHOQOL-BREF questionnaire, which is valid and reliable (Cronbach’s alpha = 0.91, α < 0.01), was used to measure physical health, mental health, social relationships, and environment. The results demonstrated significant improvements in all measured indicators: physical health (p = 0.006), mental health (p = 0.043), social relations (p = 0.019), and environment (p = 0.002). In conclusion, self-exercise and relaxation therapy performed once a week for two months significantly improved the quality of life of elderly participants across all key indicators. This program can be implemented by physiotherapists in elderly homes or care centers, supports rehabilitation in individuals with mobility disorders, reduces pain, increases balance, and may help prevent falls.
Key words
self-exercise therapy, relaxation, health-related quality of life, elderly
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The effect of local cryotherapy on temperature changes in the ankle joint in individuals with chronic ankle instability

Bartosz Pańczyszak, Katarzyna Bogacz, Łukasz Mączka, Danuta Lietz-Kijak, Jacek Łuniewski, Anna Szczegielniak, Jan Szczegielniak

 

Bartosz Pańczyszak et al. – The effect of local cryotherapy on temperature changes in the ankle joint in individuals with chronic ankle instability –  Fizjoterapia Polska 2025; 25(2); 172-177

DOI: https://doi.org/10.56984/8ZG00E1ON2V

Abstract
Objective. The aim of this study was to evaluate the impact of local cryotherapy on temperature changes in the ankle joint. Additionally, a subjective assessment of joint function was performed in individuals with chronic ankle instability and in healthy controls.
Materials and methods. The chronic ankle instability (CAI) group consisted of 10 participants, while the healthy control group included 22. In both groups, ankle joint temperature was measured at four time points: 10 minutes before testing, immediately before cryotherapy, immediately after the procedure, and 10 minutes post-treatment. Functional status of the ankle joint was assessed using the FADI-Q questionnaire.
Results. The lowest temperature was recorded at the Achilles tendon during the first measurement, and the CAI group showed a higher Achilles tendon temperature before testing began. The experimental group scored lower on the FADI-Q questionnaire than the control group.
Conclusions.
1. The CAI group exhibited higher temperature at the distal insertion of the Achilles tendon before the study began.
2. Ten minutes after the procedure, skin temperature had not returned to baseline values.
3. The FADI-Q questionnaire revealed that the group with chronic ankle instability rated their functional status lower.
Key words
functional status, quality of life, erderly people, institutional care
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Ocena stanu funkcjonalnego i jakości życia pacjentów po 60. roku życia

Tomasz Wiktorek, Robert Irzmański, Małgorzata Kilon

Tomasz Wiktorek, Robert Irzmański, Małgorzata Kilon – Assesment of the functional status and quality of life of patient over 60 years of age –  Fizjoterapia Polska 2025; 25(1); 71-77

DOI: https://doi.org/10.56984/8ZG007DZ3QF

Abstract
Aim. The aim of the study was to asses the functional status and quality of life of patients over 60 years of age living in the community and using institutional care.
Materials and Methods. The study included 60 people aged 66 to 98 (82.8 ± 8.4), residents of a long-term care facility (HCC) and patients of geriatric clinic. Both groups were equal in size. An original survey was used in the study. In order to assess the functional status, handgrip measurement (HGS), the Up and Go test (TUG), short Physical Performance Battery (SPPB) and the Barthel scale were performed and the WHOQOL-BREEF questionnaire was used to assess the quality of life. The obtained results were subjected to statistical analysis. The normality of the distributions was verified using the Shapiro-Wilk test. Student’s T-test and non-parametric Mann-Whitney U test were used to determine the statistical significance of differences between groups. The significance level was set to p < 0.05.
Results/ All tests assessing functional status and quality of life differed between groups at the level of statistical significance (p < 0.001).Physical fitness significantly influenced the quality of life (p < 0.001).
Conclusions/ People living in an institutional environment achieved poorer results in all functional and quality of life tests. The quality of life depended on the functional status and was higher in people living in an institutional environment.
Key words
functional status, quality of life, erderly people, institutional care
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Analysis of factors affecting exercise rehabilitation of mildly disabled elderly in nursing homes

Maoqiang Xu, Asha Hasnimy Mohd Hashim, Zhiwei Chen

Maoqiang Xu, Asha Hasnimy Mohd Hashim, Zhiwei Chen – Analysis of factors affecting exercise rehabilitation of mildly disabled elderly in nursing homes –  Fizjoterapia Polska 2024; 24(5); 328-333

DOI: https://doi.org/10.56984/8ZG020CG2PD

Abstract This study explores the key factors influencing participation in exercise rehabilitation among mildly disabled elderly residents in nursing homes. The primary factors identified include the rehabilitation service capacity of nursing homes, individual health characteristics of elderly residents, and levels of government support. Nursing homes with well-trained rehabilitation personnel, adequate equipment, and robust health education programs show greater effectiveness in promoting regular rehabilitation participation. Additionally, individual health factors such as muscle strength, coordination, and the presence of chronic conditions significantly impact the success and acceptance of rehabilitation exercises, emphasizing the need for tailored exercise programs. Government support, including financial aid and policy frameworks, is also essential for enhancing accessibility and sustainability of rehabilitation services. A supportive rehabilitation environment, featuring safe, well-designed, and clean facilities, further encourages resident participation. The findings suggest that a comprehensive approach—considering service capacity, personal health needs, supportive environments, and policy-level interventions—is critical for improving self-care abilities and independence among elderly residents. Continued government support remains pivotal in reducing participation barriers and facilitating broader access to rehabilitation services.
Key words nursing homes, elderly, exercise rehabilitation
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Cross-cultural adaptation, validity and reliability of the Tamil version of the Falls-Efficacy Scale – International in Indian elderly population

Sivakumar Ramachandran, Nandini Rajan

Sivakumar Ramachandran, Nandini Rajan – Cross-cultural adaptation, validity and reliability of the Tamil version of the Falls-Efficacy Scale – International in Indian elderly population –  Fizjoterapia Polska 2024; 24(1); 187-191

DOI: https://doi.org/10.56984/8ZG2EF86RB

Abstract
Background. Fall Efficacy Scale – International (FES-I) is a valid and reliable measure used to assess fear of fall. However, it is worth noting that FES-I is currently not available in the Tamil language. Therefore, the objective of this particular study was to cross-culturally adapt the measure into Tamil and subsequently test the validity and reliability of the translated version.
Methods. The original English version of FES-I was translated according to the protocol set by ProFaNE. The Tamil version, FES-I (T), was given to 81 elderly Tamil-speaking participants. Statistical analyses were done to compare groups based on age, gender, fear of falling, and fall history. The validity of FES-I (T) was assessed by comparing its scores with the TUG test and SPPB. The reliability of FES-I (T) was evaluated using the Intraclass correlation coefficient.
Results. The total scores obtained from FES-I (T) exhibited a positive correlation with the scores obtained from the TUG test (rs = 0.584), while displaying a negative correlation with the scores obtained from the SPPB (rs = −0.619, p-value < 0.001). Furthermore, the test-retest reliability of FES-I (T) was found to be excellent, with the Intraclass correlation coefficient for the total score recording a value of 0.99.
Conclusion. Based on the findings of this study, it can be concluded that the FES-I (T) is a valuable tool that can be effectively utilized in both clinical practice and research settings to assess fear of falling in elderly individuals who speak Tamil.
Keywords
fall efficacy, elderly, Tamil language
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Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer

Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma


Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma – Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer. A randomized clinical trial. Fizjoterapia Polska 2022; 22(2); 186-192

Abstract
Purpose of the study. To compare between the effectiveness of extracorporeal shock wave therapy (ESWT), photobiomodulation(PBMT) and patients receiving routine physical therapy(PT) on tissue viability, pain, and quality of life in older adults with diabetic foot ulcer.
Methods. Forty-five older adults with diabetic foot ulcer (age, 62-70 years) were enrolled into a randomized control trial with parallel group design, assigned into three equal groups; two study groups (ESWT group and PBMT group), and control group (CG). All the groups received the routine PT program, in addition, ESWT group received ESWT and PBMT group received LLLT. Tissue viability, pain, and quality of life (QoL) were assessed pre- and immediately post-treatment.
Results. Non-significant differences in the outcome measures between groups pre-treatment(P > 0.05). Regarding the post-treatment, the study groups showed significant improvements in the study outcome measures (P < 0.001), whereas the control group did not show significant changes (p ˃ 0.05).
Conclusion. ESWT and PBMT produced similar effects on tissue viability, pain, and QoL in older adults with DFU.
Key words:
diabetic foot ulcer, extracorporeal shock wave therapy, photobiomodulation, older adults
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Effect of virtual reality training on risk of falls and quality of life among elderly

Asmaa M. AL-Emrany, Nagwa M. Badr, Abeer A. Farghaly, Heba A. Abed El Ghaffar

Asmaa M. AL-Emrany, Nagwa M. Badr, Abeer A. Farghaly, Heba A. Abed El Ghaffar – Effect of virtual reality training on risk of falls and quality of life among elderly. Fizjoterapia Polska 2021; 21(5); 138-143

Abstract
Purpose. One of the fall risk factors associated with aging is the deterioration of postural stability. This study aimed to evaluate the effects of Virtual Reality Training (VRT) on the risk of falls, and quality of life among elderly.
Methods. Thirty-five community-dwelling elderly aged 65 to70 years from both genders were included in the study. Participant were randomly assigned into two groups; VRT group: included 30 participants and were provided with VRT sessions using Xbox 360 Kinect. Each session was determined to be for 30 minutes; 5 days weekly throughout the program period which was 6 weeks (30 sessions in total). The Control group: included 10 participants, they were advised to follow conventional balance exercises. The dynamic postural stability was assessed using the overall stability index (OSI) of Biodex and the Functional reach test (FRT) before and immediately after the program for all the participants. And 36-items short form (SF-36) Questionnaire was employed to evaluate the general health quality of life.
Results. The overall balance showed statistically significant improvements after VRT. Results revealed significant improvement of OSI and FRT (p < 0.05) after VRT. Also, the results demonstrated significant improvements in levels of general health quality of life after the VRT compared with those of the Control group (p < 0.05).
Conclusion. VRT improves overall postural stability and general health quality of life and can help reduce the risk of falls in healthy older adults.
Key words:
elderly, postural stability, quality of life, overall stability index
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Impact of lung boost exerciser on lung compliance and quality of life in elderly

Mai M. Ahmed, Manar M. Badawy, Nesreen G. El­ Nahas, Zahra M. Hassan

Mai M. Ahmed, Manar M. Badawy, Nesreen G. El­ Nahas, Zahra M. Hassan – Impact of lung boost exerciser on lung compliance and quality of life in elderly. Fizjoterapia Polska 2021; 21(5); 26-31

Abstract
Purpose. To assess the effect of lung boost exerciser on lung compliance, aerobic functional capacity and quality of life in elderly. Materials and methods: sixty subjects of both sexes (31 women and 29 men) participated in this study with age group from 70­80 years. Subjects assigned randomly into two equal groups. Group A received a conventional physical therapy programme for the chest in form of diaphragmatic breathing exercise, pursed-lip breathing exercise and upper limb Exercises connected with respiration, while Group B received Lung boost exerciser in addition to conventional physical therapy programme for the chest. Received three sessions a week for the next 12 weeks. The treatment was applied for 12 weeks, three sessions per week. Variables were assessed before and after intervention for each subject and statistically analyzed: (forced vital capacity (FVC), forced expiratory volume in one second (FEV1), maximum inspiratory pressure (MIP) were assessed by spirometry), diaphragmatic excursion (was assessed by percussion), quality of life (was assessed by quality of life score (QoL) and aerobic functional capacity (was assessed by six-minute walk test). Results: statistical analysis using mixed MANOVA showed that there was no significant difference in all parameters between both groups before treatment (p > 0.05). Comparison between groups after treatment revealed a significant increase in FVC, FEV1, MIP, and 6MWD of the group B compared with that of the group A (p < 0.001). Also, there was a significant decrease in QoL score (p < 0.001) and a significant increase in diaphragmatic excursion of the group B compared with that of group A after treatment. Conclusions: Lung boost exerciser is an effective modality that can be added to traditional physical therapy protocols and revealed a positive impact on lung compliance and quality of life in elderly.
Key words:
elderly, respiratory exercises, lung boost exerciser, spirometry
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