Comprehensive outpatient rehabilitation increases the ability of people over 60 to live independently.
INTRODUCTION
The answer to current social and health needs of people aged over 60 are the multidirectional and carefully planned, comprehensive activation and rehabilitation activities carried out as part of Daycare Centres (DCC). The aim of creating and the functioning of DCCs deployed all over Poland is to improve the health and psychophysical fitness of this group of people. Health factors and psychophysical fitness determine the ability to live independently, both today, and later in life.


OBJECTIVE
The objective of the study was to assess the impact of comprehensive ambulatory rehabilitation, including tailored endurance training preceded by an ergospirometry test, on indicators demonstrating the ability to live independently and the risk ratio of future health problems in the elderly.


MATERIAL AND METHODS
60 people participating in a rehabilitation cycle implemented as part of the services provided to patients aged over 60 in the DCC of the Witold Chodźko Institute of Rural Medicine (IMW) in Lublin comprised the sample. The tests were carried out in the test-retest model on the first and last day of the kinesiotherapy cycle. Patients were tested using standardized Barthel, I-ADL and VES-13 questionnaires. The rehabilitation programme applied included systemic kinesiotherapy (endurance training) with a load determined according to individual exercise capacity, determined on the basis of a ergospirometry test, and varied rehabilitation activities resulting from the condition of the locomotor system, as provided for under the project.


RESULTS
After completing the rehabilitation cycle, patients obtained higher results in comparison to the tests carried out before the beginning of the cycle in the Barthel index used to measure functional efficiency (Z = 5.41; p = 0.001), as well as lower in the I-ADL scale used to test the degree of dependence on the help of others when performing complex activities of everyday life (Z = 2.63; p = 0.009) and in VES-13 scale used to assess the risk of geriatric health problems (Z = 5.47; p = 0.001).


CONCLUSIONS
As the result of the use of comprehensive rehabilitation, including obligatory endurance training, desired changes were achieved in terms of fitness and independence in performing advanced daily activities and reducing the risk of geriatric health problems.
['Czarkowska|Magdalena|M|', 'Saran|Tomasz|T|', 'Mazur|Anna|A|', 'Panasiuk|Lech|L|']
D000203:Activities of Daily Living D000368:Aged D000369:Aged, 80 and over D000375:Aging D005260:Female D006801:Humans D057187:Independent Living D008297:Male D008875:Middle Aged D010045:Outpatients D011044:Poland D012047:Rehabilitation Centers D011795:Surveys and Questionnaires
rehabilitation endurance training I-ADL Barthel index ES-13 independent existence seniors