The Effect of Occupational Activities and Finger Exercise Program on Hand Grip Strength and Activities of Daily Living in Elderly Individuals With Dementia: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Measurement of hand and finger grip strength in elderly individuals using digital dynamometer
研究概览
简要总结
As people age, cognitive functions, muscle mass, and hand strength tend to decrease. Reduced hand grip strength in the elderly can make it harder for them to perform daily tasks such as buttoning clothes, pulling zippers, or opening doors. These difficulties can lead to a reduced quality of life and increased need for assistance and institutional care. Activities of daily living (ADL) are a key indicator of an older adult's ability to live independently.
This study aimed to examine whether an occupational activities and finger exercise program helps improve hand grip strength and the ability to perform daily tasks among older adults with mild dementia. The program includes hand and finger exercises combined with creative and functional tasks such as sewing, painting, and using tools. Supporting physical and cognitive function through such activities may help improve the independence and well-being of elderly individuals living in institutions.
详细描述
The study was planned as a randomized, parallel-group experimental design. It was conducted in Konya Dr. İsmail Işık Nursing Home. Fifty randomly selected individuals who were over 65 years of age, not bedridden, and who agreed to participate voluntarily were included in the study.
Pre-tests After the individuals included in the study group were informed about the study and gave their consent, pre-test applications (information form, Barthel Index, and hand and finger grip strength measurement) were performed. The hand and finger grip strength measurements and data collection were performed by an independent physiotherapist who was experienced in this field. The measurements and data collection were performed in the rooms of elderly individuals with dementia who stayed in a private room, while others were evaluated in a separate room.
Post-tests Post-tests (Barthel Index and hand and finger grip strength measurements) were carried out at the end of the 8th week by the same independent physiotherapist. The post-tests were also performed in the rooms of elderly individuals who stayed in a private room, while the others were in a separate room.
Intervention A pastime activities and finger exercise program was applied to the experimental group 3 times a week for 8 weeks. At the end of the program, post-test evaluations for hand grip strength and daily life activities in both the experimental and control groups were performed simultaneously. The data obtained as a result of the measurements - numbers, percentages, mean, minimum and maximum values - were analyzed using the independent groups t-test, Mann-Whitney U test, Wilcoxon test, and Shapiro-Wilk test for normal distributions. Ethics committee approval and institutional permission have been obtained for the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of dementia (MMSE score between 18-23)
- •Age 65 years or older
- •Not bedridden
排除标准
- •Advanced osteoarthritis or neurological disorders
- •Significant visual/hearing impairment interfering with communication
- •Severe depression or behavioral disorder
研究组 & 干预措施
Intervention Group
The intervention group was composed of elderly individuals aged 65 years and older who were residing in a nursing home and were not bedridden The intervention group was composed of elderly individuals aged 65 years and older who were residing in a nursing home and were not bedridden. A total of 25 out of 50 participants were randomly assigned to this group. The intervention included a structured program of occupational activities and finger exercises implemented 3 days per week for 8 weeks, aiming to improve hand grip strength and activities of daily living. The intervention was delivered by trained healthcare staff, and informed consent was obtained from all participants.
干预措施: Occupational Activities and Finger Exercise Program (Behavioral)
Control Group
The control group consisted of elderly individuals aged 65 years and older who were residing in a nursing home and were not bedridden. A total of 25 out of 50 participants were randomly assigned to this group. Participants in this group did not receive any intervention and continued with their usual care routines. They were evaluated at the same time points as the intervention group to compare outcomes such as hand grip strength and daily living activities.
结局指标
主要结局
Measurement of hand and finger grip strength in elderly individuals using digital dynamometer
时间窗: Baseline and at 2 months (post-test)
Hand grip strength was assessed using a digital hand dynamometer to evaluate upper extremity muscle performance. The test was performed on the dominant hand while the participant was in a seated position with the elbow flexed at 90 degrees. Three attempts were recorded, and the highest value (in kg) was used in the analysis.A pinchmeter is used to measure finger grip strength. Finger grip strength measurement should be performed while the individual is sitting on a chair, in the standard position recommended by the American Society of Hand Therapists (AETD); sitting position, shoulder adduction and elbow 90° flexion. In the test procedure, 3 measurements should be taken for finger grip strength with one minute intervals between each measurement and the averages should be recorded (American Society of Hand Therapists). Measurements were taken at baseline (prior to the intervention) and after 8 weeks of intervention.
Activities of Daily Living (ADL) - Standardized Questionnaire
时间窗: Baseline and at 2 months (post-test)
The level of independence in performing activities of daily living (ADL) was assessed using the Barthel Index. The aim was to assess the functional performance of elderly individuals in both the intervention and control groups. The difference in ADL scores between the groups was analyzed to determine the effect of the occupational activity and finger exercise program on daily living functions. Assessments were conducted at baseline and 8 weeks after the intervention.
次要结局
未报告次要终点
研究者
Emel Dogan
Doctoral Student, Department of Nursing
Selcuk University