1 ikku luoma ifa12-final

CHANGES IN QUALITY OF LIFE AND PHYSICAL

PERFORMANCE AMONG THE ELDERLY PARTICIPATING IN MULTI-ACTUATOR GERONTOLOGICAL REHABILITATION

Minna-Liisa Luoma, Susanna Mukkila, Mariitta Vaara , Monica Röberg

23/07/2012 1 Minna-Liisa Luoma | IFA2012 30 May 2012

23/07/2012 2

Quality of life and functional capacity among elderly participating in rehabilitation intervention (IKKU) 2009-2013

• Gerontological rehabilitation intervention study

(includes physical and psycho-social rehabilitation)

• Participants (N=480) has lowered functional capacity and suffer from musculoskeletal diseases

• Measures: Quality of life, Physical functioning capacity tests, psychological functioning, cognitive functioning and self evaluated functional capacity.

• Compare the baseline results with 6 and 12 months follow-up & with Finnish general population


The co-operative rehabilitation for aged rehabilitees

• Targeted to elderly whose coping at home was threatened because of decreasing functional capacity.

• Intended to maintain functioning and enhance the independence, meaningful living of older inhabitants in home settings and their participation in society.

• Central aim was promoting quality of life (QoL) and functional capacity.


Aims of the study

to evaluate changes over time in

• quality of life,

• functional capacity and

• pain

among the participants of a rehabilitation intervention.


Methods

• WHO QOL-BREF to assess quality of life

• Short Physical Performance Battery index to assess physical performance

• Visual analog scale to assess pain

• QoL, physical performance and pain were measured at baseline, at 6 and 12 months.

• T- Test were used

• A significance level p< = 0.05 was set a priori for all analyses


Results

• The quality of life of 63-72 % of the participants was maintained the same or increased in 6 and 12 months, depending on QOL domain.

• Physical performance was maintained or increased for 73 % of participants.

• The severity of pain decreased and the proportion of participants who were suffering severe or moderate pain decreased


QoL: Physical functioning

23/07/2012 10

50,00

52,00

54,00

56,00

58,00

60,00

62,00

64,00

66,00

68,00

70,00

74-99 n=319

74-79 n=183

80-84 n=102

85+ n=34

Mean PF BL

Mean PF 6 m.

Mean PF12 m.

* * ****

Minna-Liisa Luoma | IFA2012 30 May 2012

QoL: Emotional functionig

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50,00

52,00

54,00

56,00

58,00

60,00

62,00

64,00

66,00

68,00

70,00

74-99 n=

317

74-79

n=181

80-84

n=102

85+

n=34

Mean EF BL

Mean EF 6 m.

Mean EF 12 m.

* **


QoL: Social Functioning

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50,00

55,00

60,00

65,00

70,00

75,00

80,00

74-99 n=318

74-79 n=183

80-84 n=101

85+ n=34

Mean SF BL

Mean SF 6 m.

Mean SF 12 m.

* * **


QoL: Environment

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60,00

62,00

64,00

66,00

68,00

70,00

72,00

74,00

74-99 n=319

74-79 n=183

80-84 n=102

85+ n=34

Mean Env. BL

Mean Env.6 m.

Mean Env. 12 m.

**


Physical functioning SPPB

23/07/2012 14

7,40

7,60

7,80

8,00

8,20

8,40

8,60

8,80

9,00

9,20

74-99 n=396

74-79 n=177

80-84 n=89

85+ n=30

Mean SPPB BL

Mean SPPB 6kk

Mean SPPB 12 kk

** ***


Pain: Visual analog scale

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25,00

27,00

29,00

31,00

33,00

35,00

37,00

39,00

41,00

43,00

45,00

74-99

n=316

74-79

n=184

80-84

n=96

85+

n=36

VAS BL

VAS 6 m.

VAS 12m

** ** *

Conclusions

Results indicate that the elderly participating in rehabilitation intervention benefit from gerontological rehabilitation in terms of QOL and Physical performance.


Thank you for your attention! [email protected]

Acknowledgement

This work has been financially supported by the Social Insurance Institution of Finland


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