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[Physical training as treatment of reduced functional ability in frail 75+ year-olds living at home. A randomized
Esther Vad1, Charlotte Worm, Jens M Lauritsen
1Forskningsenheden for Almen Medicin i Odense, Syddansk Universitet, Winsløwparken 19, DK-5000 Odense C.
Introduction:
The aim of this study was to establish the value of physical training as a treatment of reduced physical ability in frail, elderly patients living at home.
Material And Methods:
46 community-dwelling frail elderly patients (> 74 years) participated in a randomised, controlled intervention study. The intervention group was transported to training, whilst the control group was not activated. All had their physical functional ability determined using SF-36, Berg's Balance Scale, 10 m walking test and muscle strength test.
Results:
The intervention group had a significant improvement in functional ability measured by means of Berg's Balance Scale, walking test, muscle strength test and SF-36 (p < 0.01) compared with the control group. The average cost per patient was estimated at 121 DKK per training session, equivalent to 1452 DKK for a 12-week training period.
Discussion:
The establishing of a "multi-component-training" as a treatment offer, to which general practitioners could refer their patients, would involve some costs, but savings due to reduced nursing care can be expected.
