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Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers

Background: Senior day care centers in Japan are the most commonly used insurance service for frail elderly people, and it is important to examine the factors that influence the use of walking aids at these centers. We aimed to investigate the factors affecting the use of walking aids by frail elder...

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Autores principales: Sakano, Yuya, Murata, Shin, Goda, Akio, Nakano, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048215/
https://www.ncbi.nlm.nih.gov/pubmed/36981515
http://dx.doi.org/10.3390/healthcare11060858
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author Sakano, Yuya
Murata, Shin
Goda, Akio
Nakano, Hideki
author_facet Sakano, Yuya
Murata, Shin
Goda, Akio
Nakano, Hideki
author_sort Sakano, Yuya
collection PubMed
description Background: Senior day care centers in Japan are the most commonly used insurance service for frail elderly people, and it is important to examine the factors that influence the use of walking aids at these centers. We aimed to investigate the factors affecting the use of walking aids by frail elderly patients in senior daycare centers. Methods: A total of 131 frail elderly people (mean age 82.7 ± 6.4 years) formed our study population. They were divided into two groups: solo walking (n = 87) and walking aid (n = 44). Individuals with cognitive decline were excluded. All participants were assessed using Functional Independence Measure Motor (FIM-M) sub-scores. Grip strength, knee extension strength, the 10 s Chair Stand test for Frail elderly (Frail CS-10), Single Leg Standing (SLS), and Timed Up and Go (TUG) tests were measured and compared between the two groups. Results: The walking aid group scored significantly lower than the solo walking group for five items: FIM-M, knee extension muscle strength, Frail CS-10, SLS, and TUG (p < 0.05). Logistic regression analysis revealed that knee extension muscle strength was the only factor that affected the use or disuse of walking aids (p < 0.05). The cut-off value of the knee extensor muscle strength-to-weight ratio for walking alone was 28.5%. Conclusions: Knee extensor muscle strength was the most important factor in determining the use of a walking aid.
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spelling pubmed-100482152023-03-29 Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers Sakano, Yuya Murata, Shin Goda, Akio Nakano, Hideki Healthcare (Basel) Article Background: Senior day care centers in Japan are the most commonly used insurance service for frail elderly people, and it is important to examine the factors that influence the use of walking aids at these centers. We aimed to investigate the factors affecting the use of walking aids by frail elderly patients in senior daycare centers. Methods: A total of 131 frail elderly people (mean age 82.7 ± 6.4 years) formed our study population. They were divided into two groups: solo walking (n = 87) and walking aid (n = 44). Individuals with cognitive decline were excluded. All participants were assessed using Functional Independence Measure Motor (FIM-M) sub-scores. Grip strength, knee extension strength, the 10 s Chair Stand test for Frail elderly (Frail CS-10), Single Leg Standing (SLS), and Timed Up and Go (TUG) tests were measured and compared between the two groups. Results: The walking aid group scored significantly lower than the solo walking group for five items: FIM-M, knee extension muscle strength, Frail CS-10, SLS, and TUG (p < 0.05). Logistic regression analysis revealed that knee extension muscle strength was the only factor that affected the use or disuse of walking aids (p < 0.05). The cut-off value of the knee extensor muscle strength-to-weight ratio for walking alone was 28.5%. Conclusions: Knee extensor muscle strength was the most important factor in determining the use of a walking aid. MDPI 2023-03-14 /pmc/articles/PMC10048215/ /pubmed/36981515 http://dx.doi.org/10.3390/healthcare11060858 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sakano, Yuya
Murata, Shin
Goda, Akio
Nakano, Hideki
Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers
title Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers
title_full Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers
title_fullStr Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers
title_full_unstemmed Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers
title_short Factors Influencing the Use of Walking Aids by Frail Elderly People in Senior Day Care Centers
title_sort factors influencing the use of walking aids by frail elderly people in senior day care centers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048215/
https://www.ncbi.nlm.nih.gov/pubmed/36981515
http://dx.doi.org/10.3390/healthcare11060858
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