High Intensity Functional Exercise (HIFE) Training

Zusammenfassung

Hintergrund: Das in Schweden entwickelte und evaluierte Trainingsprogramm „High Intensity Functional Exercise“ (HIFE) wird dort zur Sturzprävention im stationären Seniorenpflegebereich eingesetzt. Das Programm besteht aus funktionellen, hochintensiven Kraft- und Balanceübungen und könnte eine wertvolle Ergänzung zu bereits bestehenden Sturzpräventionsprogrammen in Deutschland darstellen.

Ziel: Überprüfung der Anwendbarkeit des HIFE-Programms in 2 deutschen Pflegeheimen.

Methode: Machbarkeitsstudie einer 10-wöchigen HIFE-Intervention mit 16 Teilnehmern[*]. Primäre Zielparameter waren Teilnahme- und Drop-out-Raten, Beschwerden und Nebenwirkungen, Akzeptanz bei Heimleitung und Pflegepersonal. Sekundäre Zielparameter umfassten 30-Seconds Chair Rising Test (30 CR), 5-Seconds Chair Rising Test (5 CR), habituelle und maximale Gehgeschwindigkeit, Timed Up and Go Test (TUG), Sit and Reach Test (SR) und Standbalance zur Beschreibung funktioneller Veränderungen im Prä-Post-Vergleich.

Ergebnisse: Während der Intervention traten keine schwerwiegenden Nebenwirkungen auf. Teilnahmeraten und Akzeptanz des HIFE-Programms waren bei Heimleitung und Pflegepersonal sehr gut und die Drop-out-Rate gering. Die Standbalance (p < 0,05), funktionelle Beinkraft (30 CR: p < 0,005, 5 CR: p < 0,005) und habituelle Gehgeschwindigkeit (p < 0,05) verbesserten sich signifikant. Die Verbesserungen der maximalen Gehgeschwindigkeit (p = 0,075) und im TUG (p = 0,05) erreichten kein signifikantes Niveau. Die Beweglichkeit beim SR veränderte sich nicht (p = 0,608).

Schlussfolgerungen: Das HIFE-Trainingsprogramm lässt sich ist in Deutschland sicher und praktikabel anwenden. Verbesserungen funktioneller Parameter sind zu erwarten, was insgesamt einen wertvollen Beitrag zur Sturzprävention in Seniorenheimen leisten kann.

Abstract

Background: The training programme High Intensity Functional Exercise (HIFE) was developed and evaluated in Sweden and is used there as an intervention for fall prevention in nursing homes. The programme involves functional high-intensity strength and balance exercises and could be a valuable supplement for already existing fall prevention programmes in Germany.

Objective: Investigating the feasibility of the HIFE programme in 2 German nursing homes.

Method: Feasibility study of a 10-week intervention of HIFE training with 16 participants[*]. Primary endpoints were participation and drop-out rate, complaints and adverse effects, acceptance by managing director and nursing staff. Secondary endpoints involved 30-seconds chair rising test (30 CR), 5-seconds chair rising test (5 CR), habitual and maximum gait velocity, timed up and go test (TUG), sit and reach test (SR) and static balance in order to describe functional changes in pre/post comparison.

Results: During the intervention no serious adverse effects became apparent. Participation quota and acceptance of the HIFE programme by managing director and nursing staff were very good and the drop-out quota was low. Static balance (p < 0.05), functional leg strength (30 CR: p < 0.005, 5CR: p < 0.005) and habitual gait velocity (p < 0.05) improved significantly. The improvements of maximum gait velocity (p = 0.075) and TUG (p = 0.05) produced no significant level. Mobility during SR did not change (p = 0.608).

Conclusions: In Germany the HIFE programme may be implemented safely and functionally. Improvements of functional parameters are expected. This may be a useful contribution to fall prevention in nursing homes.

Schlüsselwörter

Training - Sturzprävention - Machbarkeit - High Intensity - Seniorenheim

Key words

exercise - falls prevention - feasibility - high intensity - nursing home

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