32 An evaluation of a 6 week physiotherapy strength and balance intervention for the older person in primary care

Abstract

Abstract Background Ageing is associated with a decline in skeletal muscle mass, strength and function, resulting in sarcopenia and frailty. Guidelines for physical activity in older adults recommend multimodal exercise. The aim of this study was to evaluate a group exercise intervention for older adults attending Primary Care Physiotherapy. Methods Participants were over 65 years, independently mobile with or without an aid, and deemed suitable by the referring Physiotherapist. The 6 week intervention based on the Otago programme, with additional upper limb strength training. It was delivered once weekly with additional independent home sessions advised. Outcome measures included SARC-F (Sarcopenia Screening Tool), grip strength, 5 Times Sit to Stand (5XSTS), and Timed Up and Go (TUG). Data was analysed using descriptive statistics. Results 31 participants completed the intervention (22 women and 9 men). Mean age 80 years (SD = 5.6). 52% of participants (n = 16) had a score of ≥4 greater using the SARC-F Tool indicating a need for further evaluation. The mean grip strength for women was 15.70 kg (SD 4.4) suggestive of probable sarcopenia based on EWGSOP2 definition. Mean grip for men of 29 kg (SD = 8) was within normal range. Mean TUG was 13.8 seconds, indicating falls risk. Mean 5XSTS in all age categories was lower than aged matched norms suggesting functional impairment (60–69 years = 11.14 sec, 70–79 years = 18.58 sec, 80–89 years = 17.2 sec). Following intervention, mean grip strength for men improved (33.5 kg, SD = 8.8). Mean grip strength for women improved to within normal range (18.4 kg, SD = 4.3). Mean TUG score improved to 12.6 sec. Mean 5XSTS improved but remained lower than age matched norms (60–69 years 9.84 sec, 70–79 years 16.72 sec, 80–89 years 15.52 sec). Conclusion The study demonstrated the accessibility, feasibility and benefits of a Physiotherapy group strength and balance intervention in Primary Care.