https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2019.202

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 8; Issue 1 (February 2020)

Page No.: 3359-3365

DOI: https://dx.doi.org/10.16965/ijpr.2019.202

EFFICACY OF CHAIR BASED EXERCISES TO IMPROVE SELF REPORTED SLEEP PROBLEMS AND DEPRESSION AMONG INSTITUTIONALISED ELDERLY

Sheetal Aurangabadkar *1, Medha Deo 2.

*1 MPTh Community Medical sciences, Asst. Professor, Terna College of Physiotherapy, Nerul, Navi Mumbai, India.

2 MPT. Musculoskeletal Sciences, Principal & Professor, Terna College of Physiotherapy, Nerul, Navi Mumbai, India.

Corresponding Author: Dr. Sheetal Aurangabadkar (MPTh Community Medical sciences), Asst. Professor, Terna College of Physiotherapy, Nerul, Navi Mumbai, India. E-Mail: coolchimi@gmail.com

ABSTRACT

Background: Poor sleep quality and depression along with physiological changes due to ageing contribute to increased incidences of falls. It has been observed that among most of the elderly residents these problems remain untreated and studies have shown almost eighty five percentage of this  population rely on antidepressants and sedatives  as a treatment of choice. But these medications can have deleterious side effects like day time confusion, drowsiness and falls. Physical exercises in different modes like resisted exercises or Tai Chai have shown to improve sleep quality and depression. But most of these exercises are done in standing or unaided  and they can be difficult or impossible for frail elderly due to their co- morbidity and increased risk of falling.

Methodology: Permission to carry out the study was taken from concerned authorities of old age homes. Written consent was taken from participants. Thirty subjects aged sixty five years and above  were  recruited in the study from the old age homes, Navi Mumbai. The participants were screened and pre-test score for depression and sleep quality were taken on Pittsburgh Sleep quality index and Geriatric depression scale. A structured group ,chair based exercises was undertaken and supervised  by the  physiotherapist, twice in a week for  ten weeks  .The exercises included were  warm up, free mobility exercises for upper and lower limbs, breathing exercises and cool down  for  about forty five  minutes. After completion of ten weeks  post test score for outcome measures  were noted and results were analysed.

Results: Statistical analysis was done using  Wilcoxon signed rank test for  Pittsburg Sleep Quality Index and Geriatric Depression Scale. The Global Score of sleep quality scale showed improvement post-test value of 9.5 from 12.5, z value 4.230, p value less than 0.001. The post test for depression improved  to 12 from  pre-test score of 17, z value 4.639, p value less than 0 .001. The study was single blinded to reduce bias.

Conclusion: Chair based exercises can be considered as simple and effective  exercises to improve poor sleep quality and depression among institutionalized elderly.

Key Words: Chair Based Exercises, Insomnia, Depression.

REFERENCES

  1. Diagnostic Classification Steering Committee TMJC. International classification of sleep disorders.3rd Rochester (NY);American Academy of Sleep Medicine:2014.
  2. Vitiello M V,Moe K E,Prinz PN.Sleep complaints cosegregate with illness in older adults;clinical research informed by and informing epidemiological studies of sleep.J Psychosom Res.2002;53:555-559.
  3. Juan Carlos Rodriguez,M D Joseph M.Dzierzewski,Cathy A.Alessi – Sleep problems in the Elderly Medical Clinics of North America.2015Mar;99(2):431-439.
  4. Miranda Varrase et al.Curr Sleep Medicine Rep.Exercise and sleep in community dwelling older adults.2015;1:232-240.
  5. Bloom H G et al.J Am Geriatr Soc.Evidence based recommendations for the assessment and management of sleep disorders in older person.J Am Geriatr Soc. 2009 May;57(5):761-789.
  6. Morin C M, LeBlanc M,Belanger L,Ivers H,Merette C,Savard J.Prevalance of Insomnia and its treatment in Canada.Can J Psychiatry.2011;56(9):540-8.
  7. Jaussent I Bouyer J,Ancelin ML,Akbaralay T,Peresk, Ritchie K et al. Insomnia and daytime sleepiness are the risk factors for depressive symptoms in the elderly.Sleep 2011;34(8):1103-10.
  8. Robinson KR,Leighton Logan P etal.Developing the Principles of Chair Based Exercises for older people :a modified Delphi Study.BMC Geriatr.2014 May 19;14:65.
  9. Buysse DJ,et al . The Pittsburg Sleep Quality Index: a new instrument for psychiatric practice and research.Psychiatry Res.1989
  10. Esther Heerama.Geriatric Depression Scale –Long and Short form content and scoring.Very well mind.com/geriatric depression scale -98621.
  11. Passos G S,Poyares D L,Santana M G,Tufik S,Mello M T.Is exercise an alternative treatment for chronic Insomnia?Clinics(Sau Paulo).2012:67(6);653-60.
  12. Montgomery P, Dennis J. Physical exercises for sleep problems in adults aged sixty plus.Cochrane database Syst Rev.2002:4.
  13. Paskind J.Effects of laughter on muscle tone .Arch Neurol Psychiatry 1932:28:623-628.

Cite this article: Sheetal Aurangabadkar, Medha Deo. EFFICACY OF CHAIR BASED EXERCISES TO IMPROVE SELF REPORTED SLEEP PROBLEMS AND DEPRESSION AMONG INSTITUTIONALISED ELDERLY. Int J Physiother Res 2020;8(1):3359-3365. DOI: 10.16965/ijpr.2019.202