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. 2015 Jan;27(1):199-203.
doi: 10.1589/jpts.27.199. Epub 2015 Jan 9.

Effect of the long-term care prevention project on the motor functions and daily life activities of the elderly

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Effect of the long-term care prevention project on the motor functions and daily life activities of the elderly

Yoshihiro Wada et al. J Phys Ther Sci. 2015 Jan.

Abstract

[Purpose] The purpose of this study was to verify the effects of the long-term care prevention project and develop an effective program. [Subjects] A total of 81 elderly people (age, 79 ± 5.1 years; height, 149.2 ± 9.2 cm; weight, 54.2 ± 11.4 kg). [Methods] Grip, knee extension muscular strength, 10 m walking speed, and Timed Up and Go time were measured for evaluation of motor functions, and the "Locomo 25", a 25-question risk assessment questionnaire, was used as the judgment criterion for evaluation of daily life activities, with measurements being taken at the beginning of the project and after three months. [Results] In the motor functions evaluation, significant differences were observed in 10 m walking speed, Timed Up and Go time, and knee extension strength. In the daily life activities evaluation, scores for pain, rising movement, standing movement, indoor walking, outdoor walking, and fear of falling were significantly reduced. In addition, a significant correlation was also observed between motor functions and daily life activities. [Conclusion] The result of this study indicated that the long-term care prevention project is effective in maintaining or improving muscular strength and mitigating pain in the elderly and that it is an effective program for maintaining daily life activities. We were also able to show that it would be effective to develop programs with a low exercise intensity that can be performed on a continuing by the elderly.

Keywords: Daily life activities; Long-term care prevention project; Motor functions.

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References

    1. Ministry of Health, Labour and Welfare: The present conditions and role of the nursing-care insurance system. 2013, pp 1–6 (in Japanese).
    1. Ministry of Health, Labour and Welfare: Long-term care prevention project manual. 2012,. pp 1–13 (in Japanese).
    1. Ministry of Health: Labour and Welfare: Investigation results of implementation status of long-term care prevention project and comprehensive projects on care prevention/daily life support (community support projects). http//www.mhlw.go.jp/seisakunitsuite/bunya/hukushi-kaigo/kaigo kou (Accessed Apr. 10, 2013)
    1. Ministry of Health, Labour and Welfare: Prospects of the effects of long-term care prevention project in the fifth-term Insured Long-Term Care Service Plans 2013. http//www.mhlw.go.jp/topic/kaigo/osirase/hokenjigyou/05/dl/yobou (Accessed Sep. 5, 2013)
    1. Japanese Orthopaedic Association: http//www.joa.or.jp/public/index.html (Accessed Aug. 21, 2013)

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