Effects of a physiotherapy intervention on functional health of elderly people with reduced physical mobility

INTERVENTION: The present study will be in function of "Education for functional health in the elderly with reduced mobility". To that end, we propose data collection at the level of aerobic capacity, cognitive function, strength, balance and flexibility, and the implementation of an exercise program with the objective of training of anticipatory reaction mechanisms, dual‐task and multi‐task training "‐ importance of associated motor and cognitive training to improve functional capacity and decrease the risk of falls. The independent variable of this study will be the introduction of specific exercises of functional training in the gymnastics class of physical activity program in the elderly, in the one that will be the experimental group. The program of this study will run for 12 consecutive weeks with sessions 3 times a week and 30 minutes each session. These sessions are performed with the elderly group (small group) of a day care center of the three study locations (Moselos, Lustosa and Tondelinha) included in the physical activity period of the Viseu Active program. The dependent variables will be the risk of falling, balance, functional and cognitive capacity of the elderly. The program includes: • Clarification session where all the information related to the study will be provided, and all doubts will be clarified. • In the group that will be chosen as experimental (That is, from a single day center ‐ Moselos), education for functional health will be introduced where a new series of functional exercises will be started every 15 days in the five areas of practice (aerobic training, balance, strength, flexibility and cognitive). At the beginning of each new series of exercises (Every 15 days are included a new series of 2 physical exercises and 2 cognitive exercises, this new series will add to the exercises previously applied in the previous series, the five areas of practice listed run simultaneously), the physiotherapist will introduce them and the remaining times will be the responsibility of the local physical activity technician apply the exercises . CONDITION: Poor physical mobility balance disorders elderly effects SECONDARY OUTCOME: Correlation between musculoskeletal pain and functional mobility in the elderly with reduced physical mobility when functional health education program was implemented using questionnaire according to Body Discomfort Scale, Time Up and Go, Berg balance scale and FES (Fall Efficacy Scale). Observation analysis if the recommended functional exercises program was implemented using video analysis INCLUSION CRITERIA: Age plus 65 years old Physical mobility reduction Elderly who can not comply with the Initial Assessment of Physical‐Functional Fitness according to the Otago Exercise Programme PRIMARY OUTCOME: Analysis a musculoskeletal pain assessment in the elderly with reduced physical mobility using questionnaire according to Body Discomfort Scale (Corlett and Bishop, 1976) in order to verify and categorize the pain felt (where 0 corresponded to no pain and 5 to the full amount of pain felt by the subject), and its duration (acute pain, subacute or chronic pain). Analysis of the intervention of a functional health education program in the elderly with reduced physical mobility according a questionnaire on functional mobility with a composite outcome, assessed by Time Up and Go (person's mobility and requires both static and dynamic balance), Berg balance scale (static and dynamic balance abilities) and FES (Fall Efficacy Scale ‐ fall risk assessment). Analysis of the intervention of a functional health education program in the elderly with reduced physical mobility with questionnaire about cognitive performance, assessed by Mini‐mental (Cognitive Performance Scale) ,