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months from 40% to 100%. Additionally, patient awareness of pressure

ulcer prevention increased from 26% to 73%.


Overall, the reduction in the incidence of pressure ulcers

together with increased patient engagement for the risk of pressure

ulcers contributed significantly to an improved quality of life in elderly

patients in the rehabilitation unit.


Outcomes of elderly Portuguese patients referred to a long-term

care facilities from a tertiary hospital along two years

A.A. Sousa


, M.M. Luís


, R. Veríssimo


, A. Oliveira




Departamento de

Medicina, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de

Gaia, Portugal


The elderly Portuguese patients have reported higher

Hospital admission rates. Many of this patients are referred to a Long-

Term Care Facility (LTC). Therefore, this study was aimed to identify a

relation between the patient age, orientation in the Network and

mortality rate in the National Network for Integrated Continuous Care



The authors conducted a retrospective, observational,

single-center audit from the electronic records of the patients who

were referred to Midterm Rehabilitation (UMDR) and Long Term

Maintenance (ULDM), both part of RNCCI, at the time of discharged

and between the period January 2013 and December 2014.

Statistical analysis used Chi-squared for pvalue<0.05 and relative risk.


Over 24 months, 387 patients were referred to RNCCI, with a

median age of 80 years (percentile 25th

68 years) and 58.1% were

female. Of these, 315 patients (81.4%) had age

65 years. The most

common cause for referral are diseases related to the Neurological

an Respiratory System (43.2% and 15.2% respectively). 280 patients

were referred to UMDR (72.4%). The overall mortality rate in RNCCI

was 39% (151 patients), with high mortality rates in ULDM (72%)

compared to UMDR (26.4%), which was RR = 4.01 [IC = 2.77


With respect to the elderly, there was no statistical significant

difference in the assesssment for the two facilities (p = 0.771) as for

mortality (p = 0.595).


We have identified a higher percentage of elderly patients

referred to Long-Term Care Facilities. Despite the high mortality in the

RNCCI, especially in ULDM, there is no statistical significant difference

between elders and adults patients. This illustrates the utilization of

LTC for palliative care.


Effects of cognitive-motor dual task training with the BioRescue

force platform on cognition, balance and dual task performance in

institutionalized older adults

W. Vermeylen, T. Delbroek, J. Spildooren.

Faculty of Medicine and Life

Sciences, Rehabilitation Sciences and Physiotherapy, Hasselt University,



Impairment of balance, cognition and dual tasks are

a common problem in institutionalized older adults. This study

investigates the effect of Virtual reality training in combination

with balance training as an alternative form of therapy to improve

cognition, balance and dual task performance.


Randomized Control Trial; Twenty institutionalized older

adults (13 female, 7 male; 87.2 ± 5.96 years) were randomized to the

intervention or usual activity control group. The intervention group

took part in a 6-week training programusing the BioRescue to perform

cognitive-motor dual tasks. The control group maintained their daily

activities. At baseline and after 6-weeks of training, all participants

were evaluated with the BioRescue (posturographic parameters),

Tinetti and Instrumented Timed Up-and-Go Test (iTUG) for the

measurement of static and dynamic balance. In addition, the iTUG in

combination with a cognitive task was used for the evaluation of the

cognitive-motor dual task and the Montreal Cognitive Assessment

(MoCa) for the cognitive function. The Observed Emotions Rating Scale

(OERS) and the Intrinsic Motivation Inventory (IMI) evaluated the

emotions experienced during the exergaming and the motivation,



The iTUG improved significantly in the interventiongroup

(p < 0.01). A tendency towards significance was found for the iTUG

with dual-task (p = 0.08). The IMI and OERS showed that the BioRescue

is a pleasant and interesting treatment method, well suited for

institutionalized older adults.

Key conclusions:

The BioRescue could be a fun alternative exercise

tool for institutionalized elderly. More studies including larger sample

sizes and a longer training duration are needed.


The effect of a video-based group exercise program on strength,

functionality and balance in older adults suffering from dementia:

a non-randomized controlled trial

I. Bertels


, W. Dewagter


, A. Timmermans


, J. Spildooren





University, Campus Diepenbeek, Belgium Faculty of Medicine and Life

Sciences, Rehabilitation Sciences and Physiotherapy, Hasselt University,



Physical activity has a positive influence on strength,

balance, gait and functionality. A recent study has shown that a video-

based group exercise program in elderly with dementia is feasible.

Further research was necessary to investigate the effects of a video-

based exercise program on strength, balance, gait, mobility and



19 elderly (average age 85.8 ± 6.1, MMSE <24), recruited

from 2 care homes were included in an intervention group (video

based exercise program, 6 weeks, 3x/week) and control group (usual

care). Randomization was not performed due to practical reasons.

Balance (Functional Reach, 4 test Balance scale), Strength (Biceps,

Quadriceps) measured by a mircofet dynamometer, Gait (Tinetti Gait

subscale) and functionality (5 Times Sit-To-Stand Test) were measured

at the start and 6 weeks after the intervention.


A video-based exercise program of six weeks showed a

significant improvement of quadriceps strength (P = .027) and balance

(Functional Reach: P = .027) in older people with dementia living in a

care home. No significant improvements were seen in biceps strength,

gait and functionality. The control group showed a trend to significant

improvement in quadriceps strength (P = .065), but also a trend to

significant decrease in functionality (5 Times Sit-To-Stand Test:

P = .051). No significant differences were seen between groups.


A video-based group exercise program of six weeks can

improve quadriceps strength and balance in older people with

dementia living in a care home. Further research is needed to

confirm the findings.


The association between cardiopulmonary fitness and gait

endurance following total knee arthroplasty in elderly people

S.H. Kim


, S. Jung


, S.M. Kim




Department of Psychiatry, Hallym

University College of Medicine,


Department of Rehabilitation Medicine,

Hallym University College of Medicine, Hwaseong, South Korea


The purpose of this study was to evaluate the cross-

sectional associations of cardiopulmonary fitness with ambulatory

function in patients undergoing total knee arthroplasty (TKA),

especially early after surgery.


A total of 41 patients (10 males and 31 females ; average age

72.9 ± 6.6 years) undergoing a primary TKA were tested one month

after their surgery. 10-meter fast-pace gait speed test (10MWT) and

gait endurance assessed by using 6-min walk test (6MWT) were used

as measures of ambulatory function. Peak cardiovascular responses

were measured by the performance of an incremental exercise test

with use of lower body positive pressure treadmills. Knee pain using a

visual analog scale (VAS) and measurement of balance using timed up

and go (TUG) test were also assessed.


Mean peak oxygen consumption (Vo2 peak) was 15.3 ± 3.9

mL/kg/min. 10MWT correlated significantly with Vo2 peak (r = 0.34,

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