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S112
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
P-302
Using the De Morton Mobility Index (DEMMI) to predict
physical activity and outdoor mobility after hospital stay
–
preliminary results
T. Braun
1
, A. Coopers
1
, A. Rieckmann
1
, F. Weber
1
, S. Leimer
2
,
J. Reinke
2
, L. Tofaute
2
, C. Urner
2
, H. Kr¨amer
2
, C. Thiel
1
, R.-J. Schulz
3
,
C. Gr ¨uneberg
1
1
Hochschule f¨ur Gesundheit, Department of Applied Health Sciences,
Physiotherapy Program, Bochum, Bochum, Germany;
2
Catholic Clinic
Bochum, Ruhr-University Bochum, Marien-Hospital Wattenscheid,
Bochum, Bochum, Germany;
3
St. Marien-Hospital, Cologne, Germany
Background:
The De Morton Mobility Index (DEMMI) is a valid
measure of inpatient mobility in the geriatric Setting. These
preleminary data, shown at the WCTP-Poster presentations 2015
will build a useful platform for further clinical trials.
Purpose:
The preliminary analysis of the DEMMI’s prognostic
validity in older patients admitted to an inpatient geriatric clinic in
regard to the expected amount of physical activity after returning
back home.
Methods:
The DEMMI was performed with older individuals in a
geriatric clinic within the last week before discharge. A telephone
follow-up after 4 weeks was used to assess physical activity with
the Physical Activity Scale for the Elderly (PASE) [Washburn 1999],
among others.
Results:
Forty-nine individuals were assessed in the clinic, of which
25 (51%; 80
±
5 years old) attended the telephone interview. Most
of them (88%) showed low PASE scores of less than 70 points,
indicating low levels of physical activity [M¨arki 2004].
There was a significant correlation between DEMMI and PASE scores
(Pearson’s r = 0.65; p
<
0.001) as well as between DEMMI scores and
the number of climbed stair steps on the previous day (r = 0.64;
p = 0.001).
Already in the clinic, participants who walked outdoors in the week
prior to the interview (n = 17; 59
±
11 points) showed significantly
higher (p = 0.013) DEMMI than those individuals that stayed inside
(n = 8; 46
±
10 points).
Conclusions:
These results indicate prognostic validity of the
DEMMI concerning post-clinical physical activity and outdoor
mobility.
P-303
Relationship between age and balance, trunk impairment in
Parkinson’s disease
F. Soke
1
, A. Genc
1
, B.D. Colakoglu
1
, P. Keskinoglu
1
1
Dokuz Eylul University, Izmir, Turkey
Objectives:
Prevalence of Parkinson’s disease (PD) increases with
aging. Balance and trunk impairments lead to disorders and their
treatment are considerably hard in PD. Both of them result in falls
and affect negatively daily living activity and quality of life. Our aim
is to examine the relationship between aging and balance, trunk
impairment in patients with PD.
Methods:
50 patients (19 female and 31 male) with PD mean age
was 67.84
±
1.31 years and mean Hoehn & Yahr stage was 2.46
±
0.76
included this study. Including criteria were consist idiopathic
PD, Hoehn & Yahr stage I-IV, on medication states, not having
orthopedic and neurological disease limiting dexterity. Balance
evaluated with Berg Balance Scale (BBS) and trunk impairment
evaluated with Trunk Impairment Scale (TIS).
Results:
Mean BBS score was 50.90
±
5.47 and mean TIS score was
19.74
±
3.01. There was a significant negative correlation between
age and balance, trunk control. (Pearson Correlation test, BBS;
r = −0.538, TIS; r = −0.476, p
<
0.01). In addition, between balance
and trunk control and Hoehn & Yahr stage was a significant
negative correlation (Spearman Correlation test, BBS; r = −0.651,
TIS; r = −0.758, p
<
0.01). Sex was not predicted both balance
and trunk impairment (Mann–Whitney U test, p = 0.141, p = 0.498,
respectively).
Conclusion:
Our study reflects that there was an association
between aging and balance, trunk control. Balance and trunk
impairments should be assessed along with aging and appropriate
therapeutic interventions might be implemented in early stage of
PD rehabilitation.
P-304
Feasibility of a video-based exercise training program in
institutionalized elderly suffering from dementia
I. Speetjens
1
, P. Feys
1
, J. Spildooren
1
, J. Abrahams
2
, A. Timmermans
1
1
U Hasselt, Diepenbeek, Belgium;
2
VZW Bejaardenzorg GL, Hasselt,
Belgium
Objectives:
There is evidence that exercise programs are feasible
and potentially effective in persons with dementia. The impact of
replacing the therapist by video demonstrated exercises has not
yet been investigated. The aim of this study is to evaluate (1) the
feasibility of a video-based exercise program (2) the motivation,
credibility and expectations regarding the program, in elderly
suffering from dementia.
Methods:
This pilot study contains a three weeks functional
exercise program using a video-based exercise training joined with
background music. Elderly suffering from dementia were recruited
from one nursing home and practiced three times per week for
30 minutes. After each session, the Intrinsic Motivation Inventory
(IMI) and the Credibility Expectancy Questionnaire (CEQ) were
conducted. A Friedman analysis was performed to measure changes
over time (
a
= 0.05). For multiple comparisons, a Wilcoxon signed
ranks test was done (Bonferroni correction,
a
= 0.0167).
Results:
5 participants (89.6
±
5 years) with moderate Alzheimer’s
disease (mean MMSE 14.6
±
3.4) were recruited. Adherence to
exercise sessions averaged 88.9% (individual values of 100% in
two subjects, 77.8% in two subjects and 88.9% in one subject).
The median CEQ and IMI results over the entire program were all
positive. Only credibility changed significantly over time (p = 0.024).
No differences were found with multiple comparison analyses
between weeks.
Conclusions:
High adherence demonstrated the feasibility of the
program. The intervention was well received by the participants, as
shown by favorable scores on motivation, credibility and expectancy
regarding the program.
P-305
Body composition and training after stroke
B. Vahlberg
1
, T. Cederholm
1
, K. Hellstr ¨om
1
, L. Zetterberg
1
,
B. Lindmark
1
1
Uppsala University, Uppsala, Sweden
Objectives:
To study the effects of a progressive resistance and
balance (PRB) exercise program on body composition with regard
to its associations with physical function among individuals
approximately one year after stroke.
Methods:
A total of 43 individuals from the community (age 73
years (SD 5.0), 73% men) were randomly assigned either to an
intervention group (IG, n = 20) that received a PRB exercise program
twice weekly for three months or a control group (CG, n = 23).
The primary objectives were to correlate potential changes in the
fat-free mass (FFM (kg) and FFM index (FFMI) (kg/m
2
), and fat-
mass (FM (kg), (%) of body weight, FMI (kg/m
2
)), as measured by
bioelectrical impedance analyses (Tanita
®
), with physical function,
including walking capacity; i.e., the 6 Min Walk Test; 6MWT,
balance and mobility.
Results:
At three months, a complete case analyses revealed a
significant reduction in fat mass per cent in the intervention
group when compared with the control group; −1.5% vs. 0.13%
respectively; effect size, ES = 0.62, standard error (SE), 0.80;