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26.07.2018 | Original Contributions | Ausgabe 1/2019

Zeitschrift für Gerontologie und Geriatrie 1/2019

Feasibility of the lifestyle integrated functional exercise concept in cognitively impaired geriatric rehabilitation patients

Zeitschrift für Gerontologie und Geriatrie > Ausgabe 1/2019
Nacera Belala, Michael Schwenk, Anna Kroog, Clemens Becker
Wichtige Hinweise

Authors contribution

N. Belala and C. Becker were major contributors in the recruitment of the study participants and realisation of the study as well as the writing of the manuscript. N. Belala, C. Becker and M. Schwenk were involved in the conceptualization of the study design. A. Kroog as an occupational therapist was involved in the methodological development. All authors read and approved the final manuscript.
The ​original ​version ​of ​this ​article ​was ​revised: The missing Acknowledgment was added.
An erratum to this article is available online at https://​doi.​org/​10.​1007/​s00391-018-1438-0.


Background and objective

Increasing numbers of cognitively impaired older persons are admitted for inpatient hospital treatment. Therefore, new approaches are needed to prevent a loss of mobility during hospital stays and improve outcomes of this vulnerable patient group. The lifestyle integrated functional exercise (LiFE) concept uses activities of daily living (ADL) situations as opportunities to improve balance and strength. A pilot study was performed to test the feasibility and acceptability of the LiFE exercises in a geriatric rehabilitation setting.

Methods and patients

A sample of 20 moderately cognitively impaired rehabilitation patients (mean age 84.5 years) tested the feasibility and acceptability of the LiFE exercises.


The testing resulted in floor effects for every tested exercise. Of the exercises two were too difficult for over the half of the participants, namely stepping over objects and walking on heels. In contrast, the sit to stand exercise was feasible for 95% of the patients. The frequency of floor effects for the remaining exercises varied between 20% and 40%.


In this group of moderately cognitively impaired rehabilitation patients the exercises were feasible mostly under supervised conditions and frequently included additional physical support. An adjustment of the LiFE exercises in this setting is required before a trial should be performed in the acute care setting.

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