Sistema de Salut de Catalunya
Institut Català de la Salut
[Varela-Vásquez LA, Rierola-Fochs S, Jerez-Roig J, Minobes-Molina E] Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (Uvic-UCC), Vic, Barcelona, Spain. [Girabent-Farrés M] Department of Physiotherapy, School of Health Sciences, TecnoCampus-Pompeu Fabra University, Mataró, Barcelona, Spain. [Medina-Rincón A] Parc Sanitari Pere Virgili, Barcelona, Spain. Grup de Recerca en Envelliment, Fragilitat i Transicions a Barcelona (REFiTBcn), Vall d’Hebron Institut de Recerca (VIHR), Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2023-01-12T12:44:40Z
2023-01-12T12:44:40Z
2022-04-05
Delphi method; Older adult; Therapeutic exercise
Método Delfos; Adulto mayor; Ejercicio terapéutico
Mètode Delphi; Adult major; Exercici terapèutic
Background Most physical exercise programs for older people work the physical component in isolation, excluding cognitive aspects. Previous studies reported that both components (physical and cognitive) are necessary for correct functioning of older people in the society. Purpose To create and validate a dual-task exercise program (DualPro) to improve balance and gait speed in older people. Methods Expert consensus or the Delphi Method was used for validation. A group of 17 experts in neurorehabilitation and geriatrics was recruited to assess the proposed exercise program. They were selected taking into account their experience in clinical practice as well as their knowledge of the subject through the use of the expert competence coefficient (K). Online questionnaires were sent with a total of 11 exercises, which had to be rated using a “Likert” scale from 1 to 7. Results Two rounds were conducted to achieve 100% consensus in all exercises. The interquartile range of each exercise in both rounds was stable. During the second round, the relative interquartile range was less than 15% in all the questions, thus demonstrating consensus among the experts. Conclusion Experts in neurorehabilitation and geriatrics have concluded the validity of the progressive and systematized program of dual-task exercises focused on improving balance and gait speed for older people. This exercise program can help in the homogenization of the use of dual-task exercises in future studies and in professional practice.
This work was supported by the Catalan Board of Physiotherapists, code 002/2019. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Article
Published version
English
Exercici terapèutic per a persones grans; Equilibri; Caminades (Exercici); ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Gait::Walking Speed; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Physical Therapy Modalities::Therapeutics::Exercise Therapy; PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Postural Balance; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::exploración física::marcha::velocidad de la marcha; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::modalidades de fisioterapia::terapéutica::tratamiento por actividad física; FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::equilibrio postural
PeerJ
PeerJ;10
https://doi.org/10.7717/peerj.13204
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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