Minna-Liisa Luoma, Susanna Mukkila, Mariitta Vaara , Monica Röberg
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CHANGES IN QUALITY OF LIFE AND PHYSICAL
PERFORMANCE AMONG THE ELDERLY PARTICIPATING IN MULTI-ACTUATOR GERONTOLOGICAL REHABILITATION
Minna-Liisa Luoma, Susanna Mukkila, Mariitta Vaara , Monica Röberg
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Quality of life and functional capacity among elderly participating in rehabilitation intervention (IKKU) 2009-2013
• Gerontological rehabilitation intervention study (includes physical and psycho-social rehabilitation)
• Participants (N=480) has lowered functional capacity and suffer from musculoskeletal diseases
• Measures: Quality of life, Physical functioning capacity tests, psychological functioning, cognitive functioning and self evaluated functional capacity.
• Compare the baseline results with 6 and 12 months follow-up & with Finnish general population
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The co-operative rehabilitation for aged rehabilitees
• Targeted to elderly whose coping at home was threatened because of decreasing functional capacity.
• Intended to maintain functioning and enhance the independence, meaningful living of older inhabitants in home settings and their participation in society.
• Central aim was promoting quality of life (QoL) and functional capacity.
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Aims of the studyto evaluate changes over time in •quality of life, •functional capacity and •pain among the participants of a rehabilitation intervention.
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Methods
• WHO QOL-BREF to assess quality of life• Short Physical Performance Battery index to assess
physical performance• Visual analog scale to assess pain• QoL, physical performance and pain were
measured at baseline, at 6 and 12 months.
• T- Test were used• A significance level p< = 0.05 was set a priori for all
analyses
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Results• The quality of life of 63-72 % of the participants was
maintained the same or increased in 6 and 12 months, depending on QOL domain.
• Physical performance was maintained or increased for 73 % of participants.
• The severity of pain decreased and the proportion of participants who were suffering severe or moderate pain decreased
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QoL: Physical functioning
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50,0052,0054,0056,0058,0060,0062,0064,0066,0068,0070,00
74-99 n=319
74-79 n=183
80-84 n=102
85+ n=34
Mean PF BL
Mean PF 6 m.
Mean PF12 m.
* * ****
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QoL: Emotional functionig
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50,0052,0054,0056,0058,0060,0062,0064,0066,0068,0070,00
74-99 n= 317
74-79 n=181
80-84 n=102
85+ n=34
Mean EF BL
Mean EF 6 m.
Mean EF 12 m.
* * *
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QoL: Social Functioning
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50,00
55,00
60,00
65,00
70,00
75,00
80,00
74-99 n=318
74-79 n=183
80-84 n=101
85+ n=34
Mean SF BL
Mean SF 6 m.
Mean SF 12 m.
* * **
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QoL: Environment
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60,00
62,00
64,00
66,00
68,00
70,00
72,00
74,00
74-99 n=319
74-79 n=183
80-84 n=102
85+ n=34
Mean Env. BL
Mean Env.6 m.
Mean Env. 12 m.
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Physical functioning SPPB
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7,407,607,808,008,208,408,608,809,009,20
74-99 n=396
74-79 n=177
80-84 n=89
85+ n=30
Mean SPPB BL
Mean SPPB 6kk
Mean SPPB 12 kk
** ** *
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Pain: Visual analog scale
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25,0027,0029,0031,0033,0035,0037,0039,0041,0043,0045,00
74-99 n=316
74-79 n=184
80-84 n=96
85+ n=36
VAS BL
VAS 6 m.
VAS 12m
** ** *
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ConclusionsResults indicate that the elderly participating in rehabilitation intervention benefit from gerontological rehabilitation in terms of QOL and Physical performance.
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Thank you for your attention!
AcknowledgementThis work has been financially supported by the Social Insurance Institution of Finland
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