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Effect of Number of Home Exercises on Compliance and Performance in Adults Over 65 Years of Age

KD Henry, PT, is Physical Therapist II, Physical Medicine and Rehabilitation Department, The Johns Hopkins Hospital, Osler 159, 600 N Wolfe St, Baltimore, MD 21287.
C Rosemond, PT, GCS, is Clinical Assistant Professor, Division of Physical Therapy, The University of North Carolina at Chapel Hill, Chapel Hill, NC
LB Eckert, PT, is a graduate of the University of North Carolina at Chapel Hill

Address all correspondence to Mrs Henry

Background and Purpose. There is limited research on the effects of the number of exercises a person is told to perform on compliance and performance, as defined by cueing requirements, correct alignment, and quality of movement. Some studies of medication suggest that compliance decreases as the number of medications increases. The purpose of this study was to determine whether older adults comply and perform better (ie, requiring less cueing, exhibiting correct alignment, and exhibiting controlled, coordinated, and continuous movements) when they are asked to do 2, 5, or 8 exercises. Subjects. Subjects were 11 women and 4 men, aged 67 to 82 years (=72.8), who were living independently in their communities. Methods. Subjects were randomly prescribed 2, 5, or 8 general strengthening home exercises. They were instructed on their exercises at an initial session and asked to record the number of repetitions performed each day in a self-report exercise log. At a return session 7 to 10 days later, subjects were scored on their performance of the prescribed exercises using a newly designed assessment tool. Results. The group that was prescribed 2 exercises performed better, as defined by their performance tool score, than the group that was prescribed 8 exercises. The group that was prescribed 5 exercises was not different from the groups that performed 2 or 8 exercises. No differences were found among groups regarding the self-report measurement of compliance. There was a moderate correlation between performance scores and the self-report percentage rates. Conclusion and Discussion. Subjects who were prescribed 2 exercises performed better than subjects who were prescribed 8 exercises. The question of an optimal number of exercises to prescribe to elderly people warrants further study.

Key Words: Compliance • Exercises • Older adult • Optimal performance

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