The impact of a movement intervention program on functional self-sufficiency and manual dexterity of older adults living in homes for the elderly

Authors: Z. Žecová 1;  J. Kopřivová 2;  M. Sebera 2
Authors‘ workplace: Chirurgická nemocnice Delta spol. s r. o., Brno Primář: MUDr. Luboš Bärtl 1;  Masarykova univerzita, Brno Fakulta sportovních studií Děkan: Mgr. Jiří Nykodým, Ph. D. 2
Published in: Prakt. Lék. 2010; 90(5): 295-299
Category: In diferent


For most clients, moving into a home for the elderly is associated with a loss of opportunities to look after themselves. In addition, the range of tasks and activities that employ hands and upper extremities is reduced. The aim of our study was to determine the impact of a six-month movement intervention program on the level of independence in daily activities and on the manual dexterity of elderly people. The tested sample was a group of 33 people, 5 men and 28 women, aged from 65 to 93. All of them are inhabitants of a home for the elderly in Brno. We assessed the independence in older adults by the functional independence measurement (FIM), and the manual dexterity through a test of manipulation functions, using the constructional set “Ministav”. The results of the control measurements show an improvement in the level of self-sufficiency in the daily-life activities that were tested, improvements in washing and bathing were shown to be statistically significant. The intervention program improved the level of manual dexterity in the coordination of limbs in the operation and planning of manual operations, as well as the quality of various types of grips and targeted movements, and the grip strength and cognitive functions were also positively influenced.

Key words:
seniors, functional self-sufficiency, manual dexterity, movement intervention program.


1. Carmeli, E., Patish, H., Coleman, R. The aging hand. J. Gerontol. Med. Sci. 2003, 58A(2), p. 146-152.

2. Dobek, C. J., White, N. K., Gunter, B. K. The effect of a novel ADL – based training program on performance of activities of daily living and physical fitness. J. Aging Phys. Act. 2006, 15, p. 13-25.

3. Falconer, J., Hughes, L.S., Naughton, J.B. at al. Self report and performance – based hand function tests as correlatest of dependency in the elderly. J. Am. Geriatr. Soc. 1991, 39, p. 695-699.

4. Hendl, J. Přehled statistických metod zpracování dat: analýza a metaanalýza dat. 1 vyd. Praha: Portál, 2004. 583 s. ISBN 80-7178-820-1.

5. Hughes, S., Gibbs, J., Dunlop, D. et al. Predictors of decline in manual performance in older adults. J. Am. Geriatr. Soc. 1997, 45, p. 905-910.

6. McMurdo, M. E. T., Rennie, L. A controlled trial of exercise by residents of people’s homes. Age Ageing 1993, 22, p. 11-15.

7. Mulrow, C. D., Gerety, M. B., Kanten, D. et al. A randomized trial of physical rehabilitation for very frail nursing home residents. JAMA 1994, 271(7), p. 519-524.

8. Ranganathan, K. V., Siemionow, V., Sahgal, V. et al. Skilled finger movement exercise improves hand function. J. Gerontol. Soc. Sci. 2001, 56A(8), p. M518-M522.

9. Vaňásková, E. Testování v rehabilitační praxi – cévní mozkové příhody. Brno: NCONZO, 2004, 65 s. 

10. Vyskotová, J., Vaverka, F. A test of manipulation functions using the constructional set „Ministav“ in physiotherapy and the verification of its reliability. Acta Univ. Palacki Olomuc Gymn. 2007, 37(3), p. 49-56.

11. Vyskotová, J., Kristiníková, J. Výcvik manipulačních schopností u gerontů v domovech důchodců. Čes. Antropol. 2004, 54, s. 209-210.

General practitioner for children and adolescents General practitioner for adults
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account