162 / 290
months from 40% to 100%. Additionally, patient awareness of pressure
ulcer prevention increased from 26% to 73%.
Conclusion:
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.
P-479
Outcomes of elderly Portuguese patients referred to a long-term
care facilities from a tertiary hospital along two years
A.A. Sousa
1
, M.M. Luís
1
, R. Veríssimo
1
, A. Oliveira
1
.
1
Departamento de
Medicina, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de
Gaia, Portugal
Introduction:
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
(RNCCI).
Methods:
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.
Results:
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
–
5.80].
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).
Conclusion:
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.
P-480
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,
Belgium
Introduction:
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.
Methods:
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,
respectively.
Results:
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.
P-481
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
1
, W. Dewagter
1
, A. Timmermans
1
, J. Spildooren
1
.
1
Hasselt
University, Campus Diepenbeek, Belgium Faculty of Medicine and Life
Sciences, Rehabilitation Sciences and Physiotherapy, Hasselt University,
Belgium
Objectives:
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
functionality.
Methods:
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.
Results:
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.
Conclusion:
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.
P-482
The association between cardiopulmonary fitness and gait
endurance following total knee arthroplasty in elderly people
S.H. Kim
1
, S. Jung
2
, S.M. Kim
2
*.
1
Department of Psychiatry, Hallym
University College of Medicine,
2
Department of Rehabilitation Medicine,
Hallym University College of Medicine, Hwaseong, South Korea
Introduction:
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.
Methods:
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.
Results:
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
–
S259
S156