EFFECTS OF RESISTIVE INSPIRATORY EXERCISE ON ACTIVITY PARTICIPATION, FATIGUE, AND RESPIRATORY INFECTIONS IN PERSONS WITH ADVANCED MULTIPLE SCLEROSIS LIVING IN A LONG-TERM CARE FACILITY
M.H. Huang, A. Burnham, L. Doyle, D. Fry, L. Wiske, M. Kolanda, E. Khitrik, J. Goode, H. Smith, K. Shea, N. Houston
Jour Nursing Home Res 2020;6:78-81
This study examined the outcomes of 10-week daily resistive inspiratory exercise in 34 adults with advanced multiple sclerosis (MS) in a long-term care facility. Respiratory muscle strength (maximum inspiratory [MIP] and expiratory pressure [MEP]) and fatigue (Modified Fatigue Impact Scale-5) were measured at pre-test, post-test, and 8-week retention. Activity participation (days/week attending group social activities) and respiratory infections were analysed during the baseline, exercise, and retention. Participants were aged 60.0±8.5 years and non-ambulatory (Expanded Disability Status Scale = 8.5±0.4). MIP (p=0.02) and activity participation (p=0.019) differed significantly by time. Bonferroni post-hoc analysis revealed that MIP was greater at post-test (41.6%±23.9%) than pre-test (35.6%±22.0%) (p=0.004), and participants attended more social activities during exercise phase (5.0±3.4 days/week) than baseline (4.0±2.1 days/week) (p=0.043). Fatigue did not change by time. Among the participants, 18%, 6%, and 9% had respiratory infections during baseline, exercise, and retention, respectively. Resistive inspiratory exercise improved activity participation without worsening fatigue during the course of exercise in persons with advanced MS.
M.H. Huang ; A. Burnham ; L. Doyle ; D. Fry ; L. Wiske ; M. Kolanda ; E. Khitrik ; J. Goode ; H. Smith ; K. Shea ; N. Houston (2020): Health Information Technology Use Among Nursing Assistants in Long Term Care: A User Study of a Touch Screen Point of Care System. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.21