Bestform-F – Best Function of Range of Motion: A Feasibility Study of a Multimodal Exercise Training Program for Older Adults in Retirement Homes

• Published in: Clinical interventions in aging 2022-01, Vol.17, p.1069-1080
• Main Authors: Schaller, Nina, Krusemark, Helge, Mende, Esther, Weiß, Michael, Spanier, Bianca, Zelger, Otto, Bischof, Jan, Haller, Bernhard, Halle, Martin, Siegrist, Monika
• Format: Article
• Language: English
• Subjects: Age; Aged patients; Balance; Care and treatment; Exercise; Exercise therapy; Falls; Feasibility studies; Fitness training programs; Intervention; machine-based exercise; Methods; mobility; Muscle function; Nursing home patients; Older people; Original Research; Physical fitness; Range of motion; resistance training; Retirement homes; Sarcopenia; School dropouts; seniors; Sports training; Strength training; Testing; Weight training
• ISSN: 1178-1998; 1176-9092; 1178-1998
• DOI: 10.2147/CIA.S367858

Purpose: Mobility is a crucial factor for independence and quality of life in old age. Nevertheless, many old people in retirement homes do not meet the physical activity recommendations. The aim of the Bestform-F--Best Function of Range of Motion feasibility study (bestform-F) was to evaluate the feasibility of implementing a machine-based multimodal exercise training program in older residents in retirement homes. Materials and Methods: The participants (n = 77) were recruited from two retirement homes and took part in a six-month multimodal exercise training program (2x/week, 45 minutes) on pneumatic strength training machines, a balance platform and bicycle ergometers. Feasibility criteria were recruitment number [greater than or equal to] 35 participants within six months, dropout rate < 40% of participants within six months of exercise, and training adherence [greater than or equal to] 50% of participants taking part in at least 50% of offered training sessions. Additionally, physical performance, fear of falling, cognitive function, and quality of life were assessed at baseline and after six months. Results: For the bestform-F study, 77 (85.6 [+ or -] 6.6 years; 78% women) out of 215 eligible residents from two senior residences were recruited. The dropout rate over six months was 10% (8/77 participants). The training adherence rate for the finishing participants was 77% (53/69 participants). In addition to the achieved feasibility criteria, significant improvements were recorded in the Chair Stand Test, Six-Minute Walk Test, and fear of falling after six months. Conclusion: All feasibility criteria have been fulfilled. The high number of recruited participants, the low dropout rate, and high adherence to the training program confirm the feasibility of a multimodal machine-based exercise training program offered to residents in retirement homes. The results provide a basis for a cluster-randomized controlled trial aimed at further investigating the efficacy of the bestform-F program. Keywords: machine-based exercise, seniors, sarcopenia, mobility, resistance training, balance