Cognitive-behavioural effects of reducing the susceptibility to the body injuries during the fall by nursing home care patients under the influence of innovative interventions

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Details: Category: 2024, Volume 20; 13 June 2024; Hits: 177

Jarosław Klimczak^1A-F, Dawid Dobosz^2ABC, Katarzyna Balewska-Juras^1DE, Artur Kalina^3ACD, Artur Kruszewski^4ACD, Izabela Orłowska-Bojarska^5B, Monika Staniszewska^5B, Monika Subkowska^5B, Bartłomiej Gąsienica-Walczak^6A-D

¹ 1School of Public Health, University of Warmia and Mazury in Olsztyn, Poland
² EPIONE Sp. z o.o., Katowice, Poland
³ Plus-Rehabilitation Services Ltd., Crystal Lake, United States
⁴ Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
⁵ Nersing Home Care in Barczewo, Barczewo, Poland
⁶ Health Institute, University of Applied Sciences in Nowy Targ, Nowy Targ, Poland

AUTHOR FOR CORRESPONDENCE: Bartłomiej Gąsienica-Walczak; Health Institute, Podhale State College of Applied Sciences in Nowy Targ, Kokoszków 71, 34-400 Nowy Targ, Poland; email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Jarosław Klimczak: https://orcid.org/ 0000-0003-6886-6388

Dawid Dobosz: https://orcid.org/ 0000-0002-9919-6677

Katarzyna Balewska-Juras: https://orcid.org/ 0009-0003-6886-6388

Artur Kalina: https://orcid.org/0009-0003-9312-0254

Kruszewski Artur: https://orcid.org/0000-0002-3930-7304
Orłowska-Bojarska Izabela
Staniszewska Monika
Subkowska Monika

Bartłomiej Gąsienica-Walczak: https://orcid.org/ 0000-0001-7818-6333

Abstract

Background and Study Aim: The phenomenon of the susceptibility to the body injuries during the fall (SFI) is neither a disease nor a pandemic, but affects every person - without exception – throughout ontogeny. Therefore, the three most important tasks of prevention are: permanent monitoring of the SFI phenomenon; reducing errors during unintentional falls through professional interventions; achieving the ability to protect the distal parts of the body that are most exposed to damage during a fall (head, upper limbs, trunk, lower limbs). The aim of this pilot study is the cognitive and motor effects of the intervention program among nursing home care residents (volunteers).
Material and Methods: Of the seven volunteers, the most homogeneous group consisted of four men: aged 62 to 81 years, with a body height of 167 to 174 cm and a weight of 62 to 114 kg; two with primary and two secondary education; all were eligible for the study and had a history of neurological events; and all participated in both general training (GWS) and dedicated safe fall sessions (SFS). The group of patients whose results are analysed is completed by a man, 75 years old (168 cm, 66 kg; primary education; bladder cancer); and a woman, 78 years old (149 cm, 71 kg; primary education; chronic obstructive pulmonary disease; hypertension). Both participated in SFS only.
The STBIDF-M was applied, elevated version (rehabilitation bed), because none of the subjects performed a deep squat during the pre-test. The Timed Test Up and Go (TTUG); 30 seconds Chair Stand Test (30CST) and 6 Minute Walk Test (6’MWT) were used to measure basic functional movement capabilities, balance, lower limb muscle strength and physical performance. In addition: Fall Efficacy Scale – International; the author's Questionnaire 'Fall In My Life'.
Results: All patients reduced collision errors with the distal parts of the body during simulated backward falls under laboratory conditions. The leader reduced errors by 69%. The four patients who participated simultaneously in the GWS and SFS sessions reduced errors during simulated test falls by between 60% and 27%. This result correlates very highly positively with the number of days of training sessions (r = 0.725, but is not statistically significant. The effect of reduced errors in this subgroup correlates positively (considering the directional test) almost fully with the number of SFS (r = 0.932, p<0.05) and with their duration (r = 0.926, p<0.05). There is a very high correlation (r = 0.842) of the effects of reduced SFI with the number of both categories of sessions, but it is no longer statistically significant.
Conclusions: The method of combining GWS-specific exercises with SFS-specific exercises, as well as explaining the causes of impact injuries with simple examples, has proven to be an effective prevention, mainly in the behavioural dimension. We expect to see increased cognitive effects in recording relevant measures more accurately, as well as in monitoring immediate physiological effects (especially HR at rest and during exercise, explaining simple self-interpretation criteria to people), exercise motivation and satisfaction with motor performance. This is essential information for the individualisation of preventive and therapeutic measures in accordance with the criteria of a complementary approach.

Key words: INNOAGON, Polish School of Safe Falling, possibility of action, Questionnaire 'Fall in My Life'

AMA:
Klimczak J, Dobosz D, Balewska-Juras K, Kalina A, Kruszewski A, Orłowska-Bojarska I, Staniszewska M, Subkowska M, Gąsienica-Walczak B. Cognitive-behavioral effects of reducing the susceptibility to body injuries during falls by nursing home care patients under the influence of innovative interventions. Archives of Budo Journal of Innovative Agonology. 2024;20.
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APA:
Klimczak, J., Dobosz, D., Balewska-Juras, K., Kalina, A., Kruszewski, A., Orłowska-Bojarska, I., Staniszewska, M., Subkowska, M., & Gąsienica-Walczak, B. (2024). Cognitive-behavioral effects of reducing the susceptibility to body injuries during falls by nursing home care patients under the influence of innovative interventions. Archives of Budo Journal of Innovative Agonology, 20.
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Chicago:
Klimczak, Jarosław, Dawid Dobosz, Katarzyna Balewska-Juras, Artur Kalina, Artur Kruszewski, Izabela Orłowska-Bojarska, Monika Staniszewska, Monika Subkowska, and Bartłomiej Gąsienica-Walczak. "Cognitive-Behavioral Effects of Reducing the Susceptibility to Body Injuries During Falls by Nursing Home Care Patients Under the Influence of Innovative Interventions." Archives of Budo Journal of Innovative Agonology 20 (2024).
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Harvard:
Klimczak, J., Dobosz, D., Balewska-Juras, K., Kalina, A., Kruszewski, A., Orłowska-Bojarska, I., Staniszewska, M., Subkowska, M., & Gąsienica-Walczak, B., 2024. Cognitive-behavioral effects of reducing the susceptibility to body injuries during falls by nursing home care patients under the influence of innovative interventions. Archives of Budo Journal of Innovative Agonology, 20.
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MLA:
Klimczak, Jarosław, et al. "Cognitive-Behavioral Effects of Reducing the Susceptibility to Body Injuries During Falls by Nursing Home Care Patients Under the Influence of Innovative Interventions." Archives of Budo Journal of Innovative Agonology, vol. 20, 2024.
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Vancouver:
Klimczak J, Dobosz D, Balewska-Juras K, Kalina A, Kruszewski A, Orłowska-Bojarska I, Staniszewska M, Subkowska M, Gąsienica-Walczak B. Cognitive-behavioral effects of reducing the susceptibility to body injuries during falls by nursing home care patients under the influence of innovative interventions. Archives of Budo Journal of Innovative Agonology. 2024;20

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Mission of ARCHBUDO

The specific mission of the Archives of Budo 2023 is to strive for a breakthrough in public perception of a broad class of combat sports and martial arts as specific means of innovative agonology.