Get Up and Go!: A New Physical Activity Initiative in the Fraser - PowerPoint PPT Presentation

‘Get Up and Go!’: A New Physical Activity Initiative in the Fraser Health Region Fabio Feldman, PhD Manager , Seniors Falls and Injury Prevention, Fraser Health Ming Leung Physiotherapist, Seniors Falls and Injury Prevention, Fraser Health 1 1

Goal  To fill a current gap by developing/adapting a specialized exercise program for frail seniors to be offered in community centers 2

OSTEOFIT  Unique and Credible  Research based best practices  Medical endorsement  Safe, gentle, effective  Low impact, functional exercises, resistance training, agility, balance and coordination  Mentally stimulating  Adaptable  FUN! 3

Components of  Education  Exercise  Resistance training  Agility training  Integrated activities of daily living  Relaxation  Social 4

Fit Tips - education 1. Exercise Dos and Don’ts 2. Benefits of Exercise 3. Benefits of Resistance Training 4. Active Living 5. Reducing the Risk of Osteoporosis 6. What Is Osteoarthritis? 7. Taking Care of your Feet and Finding a Good Fit 8. Tips on Lifting, Carrying, and Bending 9. Activity Can Reduce Pain! 10. Canada’s Food Guide to Healthy Eating 11. How Much Calcium Do I Need? How Can I Determine How Much Calcium I Am Getting? 5

Fit Tips - education 12. Calcium Supplements 13. Vitamin Supplements 14. Vitamin D 15. Vitamin A and Beta Carotene 16. Safe Gardening 17. Household Safety Tips 18. Getting up from a fall 19. Exercising at Home 20. Home Exercise Goals 6

Pre-Osteofit Pilot  Participants were referred by FH geriatric clinics  1 hour – Twice a week – 8 weeks  Free  Locations:  Seniors First Clinic (Surrey) = 6 participants  New Westminster Geriatric Clinic = 15 participants  Abbotsford Seniors Clinic = 6 participants  Elder Health Services (White Rock) = 10 participants Total = 37 participants

Inclusion Criteria  65 years of age or older  Must be able to ambulate independently – with or without a mobility aid  Must be able to follow direction through verbal or physical gestures with or without the help of a caregiver  Must be able to tolerate light and moderate levels of physical activity  Not able to safely participate in a community class due to physical and/or cognitive concerns  Must have transportation to/from the class 8

Demographics (n=28)  Age  Gender  Average = 82  Range = 51-92 Male 39% Female 61% Average attendance = 14 out of 16 days 9

TUG Test Pre Post 60 50 Time (seconds) 40 30 20 10 0 1 2 3 4 5 6 7 8 9 10111213141516171819202122232425262728 Participants • 24 participants improved their time by an avg of 4.6 sec (range 1-20sec) • 2 participant increased their time by an avg of 2.5 sec and 2 participants showed no change in time

Sit to Stand Pre Post 60 50 Time (seconds) 40 30 20 10 0 1 2 3 4 5 6 7 8 9 10111213141516171819202122 Participants • 18 participants improved their time by an avg of 9.2 sec (range 2.1-25 sec) • 4 participants increased their time by an avg of 4.8 sec

Evaluation Feedback Did you notice an improvement in your day to day activities? Yes – 70% No – 15% Don’t know – 15% If yes, give examples:  I find it easier to set my hair because of arm exercises  I feel more relaxed  able to bend over further to pick up things  more active, more cheerful  better upper body strength  I can do much more for my self  Balance seems a little better  I can now walk around my unit with just one cane sometimes 12

Evaluation Feedback What did you like best? Provide reasons.  increased flexibility  companionship  exercises  possibility of improving  participating with others (social contact)  exercise all parts of the body, especially for balance  meeting other people  it was free!  instructor for her enthusiasm  exercise, meeting new friends and having a good sleep at night Do you plan to continue Osteofit exercise classes in the future? Yes – 65% No Maybe – 35% 13

Sustainability  Get Up & Go! exercise program is currently being offered in 16 locations (12 municipalities)  Partnership between Fraser Health and recreational centres or senior centres  Referrals from a variety of health professionals  Fee = $2 to $4/class  Progression to a higher level exercise program available at most locations

Modified Program Training and certification for:  Residential Care staff  Assisted Living staff  Adult Day Care staff  Rehabilitation Assistant Diploma Program (Capilano University) 15

We don’t stop playing because we get old……. Put the into functional! ….We get old because we stop playing! - George Bernard Shaw 16