Descripción de los resultados y costes de una intervención preventiva a nivel respiratorio en el anciano institucionalizado: ensayo controlado aleatorizado |
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Authors: | Maria dels À ngels Cebrià i Iranzo,M. Á ngeles Tortosa-Chuliá ,Celedonia Igual-Camacho,Patricia Sancho,Laura Galiana,José Manuel Tomá s |
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Affiliation: | 1. Departament de Fisioteràpia, Universitat de València, Valencia, España;2. Servicio de Rehabilitación, Hospital Universitari i Politècnic La Fe, Valencia, España;3. Departament d’Economia Aplicada, Universitat de València, Valencia, España;4. Servicio de Rehabilitación, Hospital Clínic Universitari, Valencia, España;5. Departament de Metodologia de les Ciències del Comportament, Universitat de València, Valencia, España |
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Abstract: | IntroductionThe institutionalized elderly with functional impairment show a greater decline in respiratory muscle (RM) function. The aims of the study are to evaluate outcomes and costs of RM training using Pranayama in institutionalized elderly people with functional impairment.Material and methodsA randomized controlled trial was conducted on institutionalized elderly people with walking limitation (n = 54). The intervention consisted of 6 weeks of Pranayama RM training (5 times/week). The outcomes were measured at 4 time points, and were related to RM function: the maximum respiratory pressures and the maximum voluntary ventilation. Perceived satisfaction in the experimental group (EG) was assessed by means of an ad hoc questionnaire. Direct and indirect costs were estimated from the social perspective.ResultsThe GE showed a significant improvement related with strength (maximum respiratory pressures) and endurance (maximum voluntary ventilation) of RM. Moreover, 92% of the EG reported a high satisfaction. The total social costs, direct and indirect, amounted to €21,678.ConclusionsThis evaluation reveals that RM function improvement is significant, that intervention is well tolerated and appreciated by patients, and the intervention costs are moderate. |
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Keywords: | Aná lisis coste-consecuencia Funció n de la musculatura respiratoria Fisioterapia Anciano Residencias |
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