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set exercises for a specific thematic related with functional limitations

in daily live, then counseling for de facilitation of movement. We

analyze the results with dimensions of SF-36, for the differences at

the beginning and the end of the program.


research show statistically significant differences for all

dimensions of QOL, between the beginning and the end of the

program. We use non parametric test, for related- samples Wilcoxon

signed ranks test.


There are statistically significant differences between

the twomoments of assessment, suggesting that physical intervention

programs for promotion of physical activity can play an important role

for the QOL of elderly population.


Physical activity programs in patients with Alzheimer

s disease.

What does the practice based on evidence in physiotherapy

L. Pedro




Escola Superior de Tecnologia da Saúde de Lisboa


de Lisboa, Lisbon, Portugal



s disease is progressive and irreversible and

results in cognitive and/or motor disturbances. The objectives of this

study is to review the literature-based evidence on the efficacy of a

physical activity program designed by physical therapy in controlling

the progression of Alzheimer

s disease.


The research was performed in the databases MEDLINE and

PEDRO, where articles in English and Portuguese idioms published

from 2011 to 2016 were selected. We used the following keywords:




physical activity



, having as

result 112 articles in MEDLINE, and 21 in PEDRO. We applied the

following Exclusion criteria in the selection of articles: All articles

that did not register data recommendation for physiotherapy, those

patients submitted to pharmacological tests. At the end articles 18

were selected.


The studies recommend performing aerobic exercise of

moderate intensity for a total of 20 to 30 minutes per session, alter-

nating with rest periods, two to three times per week, have benefits for

cognitive component of these patients. The balance training improves

posture of individuals affected by Alzheimer

s disease, and thereby

reduce the risk of falling. The program of activities including, aerobic

exercise (walking, swimming, cycling) and strength training, proved to

be particularly effective in improving posture and reducing the risk of

fall as well as improved physical function and cognitive these patients.


We found scientific evidence that exercise programs and

physical activity promotion in people with Alzheimer

s disease. may

have a significant impact on its functionality, and possibly to improve

cognition in individuals with Alzheimer

s disease.


The rise of a fall prevention program

M. Pires


, T. Santos


, A. Borges




Physical and Rehabilitation Medicine

Department, Hospital Beatriz Ângelo, Loures, Portugal


According to the World Health Organization elderly

falls are a public health concern, with around 424 thousand being fatal

annually. Many risk factors lead to a growing prevalence, with the

higher living expectancy being one of the leading causes, determining

the need for special care in fall prevention on this frail segment of the



The Physical and Rehabilitation Department of the Hospital

Beatriz Ângelo, has created in January 2016 a Fall Prevention Program

targeting the elderly with 65 years-old (yo) or above, and with a high

risk of falling. It consists of a 12 session biweekly group class, in

which the patients perform a rotation between four exercise sta-

tions focusing on aerobic and isometric strengthening, coordination,

balance/vestibular, plyometric and stretching exercises. Patients are

evaluated with strength, balance and functional tests in the first and

last sessions, using BERG balance test (BERG), Timed-up and Go (TUG),

Functional Reach Test (FRT) and global lower limb strength evaluation

(MRC scale).


So far seven patients have been enrolled in this class

(ratio women: men, 1 : 1), mean age 78 yo ranging from 65 to

85 yo. Although a total of 15 patients were prescribed to the

program, eight didn

t complete the whole program or did not attend

it at all, and thus were excluded. A positive progression tendency was

encountered in TUG, BERG and FRT scales, although not statistically



Maintenance of this Programwill allow further statistical

analysis and a better understanding of the importance of this

intervention in preventing elderly falls.


Nutritional intervention among geriatric patients after discharge

baseline findings

T.M. Puranen


, J. Verho


, M.H. Suominen




Department of General

Practice and Primary Health Care, University of Helsinki, Finland


Malnutrition is common among hospitalized older

adults and nutritional status may deteriorate during hospital stay.

Recovering from acute disease, however, requires good nutritional

status and adequate energy, protein and other nutrient intake.


The randomized, controlled trial is used to investigate the

effectiveness of tailored nutritional guidance on nutrient intake,

quality of life and physical performance after discharge among

independently living older adults with normal cognition. The MNA

is used to assess nutritional status and three-day food diaries are

collected shortly after discharge to assess nutrient intake. The tailored

nutritional guidance includes at least one home visit, personalized

nutritional care plan, written material, and ONSs when needed. The

study is ongoing.


To date, 33 (52% women) older adults, with the mean age 77.4

years have been recruited to the trial. At baseline, 52% were at risk for

malnutrition according to the MNA. The mean energy intake was

1,283 kcal (SD 469), the mean protein intake 62 g (SD 25), dietary

fiber 15 g (SD 5.6), calcium 814 mg (SD 380), vitamin C 87 mg (SD 72),

and folate 186


g (SD 113). The 67% of participants had the protein

intake under 1 g/bodyweight in kg, and only 18% reached the protein

intake of 1.2 g/bodyweight in kg.


The risk of malnutrition and poor nutrient intake is

common among geriatric patients after discharge. Tailored nutritional

guidance and use of ONSs are needed to ensure the adequate nutrition,

which is essential when recovering from acute disease.


Barriers and facilitators to delivering a chair based exercise


K. Robinson


, V. Hood


, P. Logan


, T.M. Masud


, J.R.F. Gladman




Division of Rehabilitation and Ageing, University of Nottingham,


Division of Physiotherapy and Rehabilitation Sciences, University of



Healthcare of Older People Nottingham University

Hospitals NHS Trust, Nottingham, United Kingdom


Chair based exercise (CBE) is encouraged for older

people who are unable to take part in standing exercise programmes

and is currently delivered across health and social care with little

standardisation in practice. A CBE programme has now been devel-

oped using a consensus definition derived from the views of clinical

experts. This qualitative study aimed to explore barriers and facili-

tators to delivering the CBE programme in order to improve future



Thirteen community dwelling older peoplewere recruited to

a chair based exercise programme. A researcher maintained field notes

and recorded barriers and facilitators to delivering the programme

from the participant and therapist perspective. Content analysis was

used to identify themes from the textual data of the field notes. The

frequency of themes was recorded to establish the most commonly

occurring barriers and facilitators.


19 themes relating to facilitators and 18 themes relating to

barriers were identified. Facilitators included participants being able

Poster presentations / European Geriatric Medicine 7S1 (2016) S29