Chair-based exercises for frail older people: a systematic review

Kevin Anthony, Katie Robinson, Philippa Logan, Adam L Gordon, Rowan H Harwood, Tahir Masud, Kevin Anthony, Katie Robinson, Philippa Logan, Adam L Gordon, Rowan H Harwood, Tahir Masud

Abstract

Introduction: Frail older people are often unable to undertake high-intensity exercise programmes. Chair-based exercises (CBEs) are used as an alternative, for which health benefits are uncertain.

Objective: To examine the effects of CBE programmes for frail older people through a systematic review of existing literature.

Method: A systematic search was performed for CBE-controlled trials in frail populations aged ≥65 years published between 1990 and February 2011 in electronic databases. Quality was assessed using the Jadad method.

Results: The search identified 164 references: with 42 duplicates removed, 122 reviewed, 116 excluded, and 6 analysed. 26 outcome measures were reported measuring 3 domains: mobility and function, cardiorespiratory fitness, mental health. All studies were of low methodological quality (Jadad score ≤2; possible range 0-5). Two studies showed no benefit, and four reported some evidence of benefit in all three domains. No harmful effects were reported; compliance was generally good.

Conclusion: The quality of the evidence base for CBEs is low with inconclusive findings to clearly inform practice. A consensus is required on the definition and purpose of CBEs. Large well-designed randomised controlled trials to test the effectiveness of CBE are justified.

Figures

Figure 1
Figure 1
Study selection and results.

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Source: PubMed

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