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BACKGROUND: The deterioration of musculoskeletal system imposes significant impact on physical activity in older adults.
METHODS: This was a randomized, parallel-group, prospective study. All participants received education program including home-based exercise. The IC group consisted of different modalities of exercise while the LEE group performed machine-based exercise. Body composition, muscle strength, and physical performance were measured at their baseline and 3 months follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IC | Experimental | Integrated care (IC) |
|
| LEE | Experimental | Lower extremity exercise (LEE) |
|
| HC | Experimental | Home care (HC) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Integrated care (IC) | Behavioral | Integraded care (IC) Weekly professional led exercise program for 90 mins with reinforcemen on osteoporosis related educations and caremangements from study educational booklet and CD rom for 3-month. The exercise program included 15 minutes warm up with 10 minute brisk walks followed by gentle stretching. Resistance training (20-30 minutes) was provided with rubber band and bottled water (0.6-1L) as weight for major muscles of upper and lower limbs. Balance training were also provided for 10 minutes with tandem gaits and one leg standing, step up and down stairs, toe walking and heel walking. |
| Measure | Description | Time Frame |
|---|---|---|
| Lower extremity extensor power measured by isokinetic resistance equipment | Lower extremity extensor power is measured by isokinetic resistance equipment by a trained research assistant with standardized protocol | 12 weeks |
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Inclusion Criteria:
older than 50 years of age
high risk as defined from one of the following criteria
having a bone mineral density test within one year period
having the capability to understand the study and complete the study interventions
willing to participate for the intervention and study follow ups
Exclusion Criteria:
1. If patients were unable to meet at least the above inclusion criteria.
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| Name | Affiliation | Role |
|---|---|---|
| Ding-Cheng Chan | National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Taipei | 10002 | Taiwan |
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| ID | Term |
|---|---|
| D010024 | Osteoporosis |
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D001851 | Bone Diseases, Metabolic |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
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| ID | Term |
|---|---|
| D019033 | Delivery of Health Care, Integrated |
| D006699 | Home Care Services |
| ID | Term |
|---|---|
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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|
| Lower extremity exercise (LEE) | Behavioral | Lower extremity exercise (LEE) group subjects were invited to BB site to receive 2 sessions of 45-mintute training using isotonic strength training machines on major muslce groups each week. The intensity is set at 60-80% of 1 repetition maximum (RM). Evaluation of the exercise protocol are repeated every 2 weeks for individualized adjustments by trained physical therapist. |
|
| Home care (HC) | Behavioral | Home care (HC) group subjects were invited to LK site. For examining whether the exercise video could help elderly people to maintain their exercise and improve their muscle strength or not, the investigators provided exercise video to subjects, and encouraged them to play this exercise at least 2 hours for one week. |
|
| D009750 |
| Nutritional and Metabolic Diseases |
| D014947 | Wounds and Injuries |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D009739 | Nursing Services |